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Insights
Practical questions. Clearer decisions.
Practical guidance on provider enrollment, aging AR and behavioral health billing for healthcare practice owners and administrators. Written by our founder from real engagements, with the numbers explained.
AR & Denials Management
Case Study: Recovering $90K in Aged AR for a Podiatry Practice
$90,000 collected in cash within 60 days, and more than $200,000 in aged claims resolved, by sorting AR by cause.
Credentialing & Enrollment
Case Study: Supporting a Behavioral Health Group From 1 Provider to 100+ Across 20 States
From one provider to 100+ in 20 states, with more than 3,000 payer applications submitted along the way.
Credentialing & Enrollment
Case Study: Credentialing for a California Medical Group Across 5 States
Ongoing credentialing for a cardiology and weight management group: 30+ providers, 5 states and 600+ active payer enrollments.
Medical and Behavioral Health Billing with Complete RCM
Case Study: Managing Billing and RCM for a Growing Behavioral Health Practice
From 2 providers and $20K a month to 12 providers, 5 locations and $95K in a recent month, with billing managed end to end.
Medical and Behavioral Health Billing with Complete RCM
Case Study: Complete RCM for an Ohio Behavioral Health Practice, 3 to 18 Providers
From 3 providers and $25K a month to 18 providers, 5 locations, a 900+ patient caseload and $98K last month.
Credentialing & Enrollment
How Long Does Provider Enrollment Really Take? Medicare vs. Medicaid vs. Commercial
Realistic enrollment timelines for Medicare, Medicaid and commercial payers, what delays applications, and how to avoid revenue gaps.
Credentialing & Enrollment
Why Provider Enrollment Applications Get Rejected or Returned
The four most common reasons applications are rejected or returned, from CAQH lapses to NPPES and PECOS mismatches, and how to prevent them.
Medical and Behavioral Health Billing with Complete RCM
How to Read an AR Aging Report and Find Revenue Leaks
An aging report shows how old claims are, not why they are stuck. Sort AR by root cause to recover cash faster.
Medical and Behavioral Health Billing with Complete RCM
Behavioral Health Billing: Common Denial Causes and How to Fix Them
Most behavioral health denials come from POS codes, authorizations, eligibility and filing limits. Here is how to find and fix them.
Not sure where to start?
Start with a clearer picture.
A focused review of your credentialing and revenue workflows helps identify the right next steps. The initial audit is complimentary.
A clearer path forward
Let’s find what’s holding your revenue back.
Start with a conversation about your practice. No pressure. No promises we can’t support.