A biller can call the payer and get a status update. That is not the same as getting the claim paid, in full, on time. The gap between the two is where independent practices quietly lose the most revenue.
No form. Nothing to book at the end.
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The part of the week nobody reads twice
Every one of these is a claim someone already worked. None of them is the expensive problem.
A denial is visible. Someone reworks it, and it either pays or it does not. What is harder to see is your A/R quietly growing: eligibility issues that resurface, claims that stall for reasons nobody chased down, underpayments nobody reconciled against the contract. No single system flags it, because no single process owns the whole cycle.
Every practice loses something at each stage. The question is which one costs you most, and whether anyone in your current process is positioned to find it.
Stage 01 of 05Prior authorizations and eligibility issues that do not surface until weeks after the visit, when the denial finally lands. Front desk catches the obvious misses. Nobody owns the pattern behind the ones that keep repeating.
Fixed before the visit, not after the denialUndercoding feels safer than a defensible code, so it becomes the default. Across a full panel over a year, that gap is not a rounding error. This is what we find on the practices where we run coding. For everyone else, we still scrub every claim for the rejections and modifier misses this catches. We just do not own your coding day to day.
Looks like caution, costs like a leakModifiers applied out of habit rather than from the record, capping what the visit can pay before the payer looks at it.
Passes every clean claim checkThe same reason arrives every month and gets reworked every month. Rework feels like progress. The cause stays where it is.
Treated, not diagnosedBalances age past the point anyone will chase them. Small ones are written off because chasing costs more than the claim. Nobody decides that. It happens.
Never shows up as a lossPick a stage. This is the order we work in during an audit.
Shown here is what we find when we run coding for a practice. If your team keeps coding in-house, we still scrub every claim before submission and flag anything like this.
If you get on a call with us, we will walk through this together. It helps to have six numbers ready beforehand: charges, claims, adjustments, denials, A/R and net collections.
Most practices should start at the first. Plenty never go further, and we would rather say so than sell the version that is hardest to unwind.
Bring six numbers, charges, claims, adjustments, denials, A/R and net collections, and we read them with you live in twenty minutes. You walk away knowing which stage is costing you the most, whether or not we ever work together.
Ongoing coding support, plus education for your physicians on the habits costing the most. Your billing team stays. We handle the part that needs a clinical read.
Coding, billing, claims, denials and collections end to end. The largest thing we do, and only right when the leak is structural rather than local.
Other billing companies fail because they do not have a real process for the complex stuff. No shared accountability with the practice, and nothing that gets audited to make sure your metrics and your claims are actually being managed right.
Built NatRevMD with Troy Signorelli over five years, from no clients to more than 30 independent practices
Hosts the NatRevMD podcast, 200+ episodes on what independence costs and what it pays
Wrote a book for physician owners rather than for billing departments
The NatRevMD podcast, on the economics of staying independent.
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Collections increase for the practices we take on. A floor we work back from, not an average, and not a promise before anyone has read a chart.
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Independent practices, not hospital systems
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Years, from zero clients and no acquisition
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Episodes you can check before talking to us
Your result depends on specialty mix, payers and how billing runs today. If we cannot move your numbers, we will say so.
Public Google reviews from practices we work with. Nothing here was written for this page.
Shown as published on Google
No. We look, we tell you what we found, and nothing about your billing, your systems, or your staff changes unless you decide to act on it.
One call to get us access to the right data. After that we are not in anyone's inbox asking for things. Most practices spend under thirty minutes total.
No. A metrics review is a second read, not a replacement. Most practices that do this keep their billing team exactly as is and simply hand them what we find.
No. We work with the EHR and the staff you already have. Nothing here requires either to change.
Then you have confirmed your billing is solid, for nothing. That happens more often than people expect, and we will tell you plainly if it is the case.
Our billing services are built for larger practices, typically $150K or more a month in collections. Below that our fees usually cost more than they recover, and we would rather tell you that up front than take you on and have it not pay off. If that is where you are, skip the call and run the free RECOVER Diagnostic instead. Five minutes, self-serve, and it will still show you where your revenue is likely leaking.
Six questions, about a minute, and a read on where your revenue is most likely sitting.
Want to hear us think first? Check the podcast.
