You Built Your Practice
to Heal Patients.
Not to Chase Claims.
We handle the billing. You handle the medicine. And unlike every other billing company — you'll always know exactly what's happening with your money.
AI-powered billing intelligence. Radical transparency. One dedicated expert who is yours, and only yours.
Specializing in
The Problem
What's Really Happening
Inside Your Billing
Most practices have no idea how much revenue they're leaving on the table every month. Not because they're careless — but because the billing process is a black box. Claims go out. Some money comes back. No one explains the gap.
You're Losing Revenue You Already Earned
- Visits were completed but claims were never submitted
- Claims were denied — and then never resubmitted
- Payers paid less than the contracted rate, and no one caught it
- High-complexity visits were billed at lower codes than the documentation supported
Real money, from real patient encounters, that simply never made it into your account.
Your Billing Company Isn't Being Straight With You
The standard billing company model has a built-in conflict of interest. The less transparent they are, the harder it is for you to see what they're not doing. So they don't send reports unless you ask. They rotate your point of contact every few months. And when you ask questions, you get vague answers.
You shouldn't have to chase your billing company for information about your own revenue.
Nobody Owns Your Account
You get a new contact. You re-explain everything. Mistakes repeat. Context is lost. Every handoff costs you time, money, and trust.
The Solution
A Different Kind
of Billing Partner
We combine AI-powered billing intelligence with a level of transparency and accountability that the industry has never offered.
Meet Your Spock
Every client gets a dedicated billing specialist — we call them your Spock. Your Spock knows your practice inside and out. Your payer mix. Your providers. Your most common procedures. Your coding patterns. Your problem payers.
Your Spock handles one account. Yours.
Not five accounts. Not ten. One. Because the only way to do this job exceptionally well is to be fully focused on one practice at a time.
Your Spock is your single point of contact for everything — questions, reports, escalations, strategy. And as long as your practice is with us, your Spock never changes. No handoffs. No re-explaining. No lost context.
Weekly Aging Report
Every outstanding balance — by payer, by age, by status
You'll always know what's owed to you and how long it's been sitting.
Weekly Denial Report
Every denied claim — reason, payer, action being taken
No hiding. No vague summaries. Full visibility into your revenue.
"The industry standard is to share this data only when a client complains. Our standard is to share it before you ever have to."
Radical Transparency —
Every Single Week
We send you two reports every week. Without you having to ask. That's 52 times a year you'll know the exact state of your billing.
without asking once
A Structured Onboarding
That Sets You Up for Success
First Quarter: Weekly Touchpoints
Weekly calls to review reports, answer questions, identify early wins, and ensure a seamless transition.
After Q1: Monthly Reviews
Monthly review cadence covering aging, denial trends, billing performance, and any issues to address.
Always On Demand
Direct access to your Spock at any time. No ticketing systems. No "we'll get back to you in 48 hours."
The first quarter is where context is built, workflows are dialed in, and your Spock becomes an extension of your practice.
Specialties We Serve
Built for Your Specialty.
Not Generic Billing for Everyone.
We focus exclusively on three specialties — because deep expertise in your billing rules, coding patterns, and payer behaviors is what separates good billing from exceptional billing.
Cardiology
Cardiology billing is technically demanding. Procedure and interpretation splits, modifier requirements on diagnostic studies, high-complexity E&M documentation — the margin for error is significant, and the revenue per encounter is high enough that errors are expensive.
We focus on
- Professional vs. technical component billing (modifier 26 / TC)
- Bundling rules on cardiac procedures
- High-complexity E&M coding aligned with documentation
- Payer-specific authorization requirements for diagnostic studies
Internal Medicine
Internal medicine practices often leave money on the table through preventive visit and problem visit billing errors, chronic care management underbilling, and annual wellness visit bundling mistakes.
We focus on
- Correct separation of AWV and problem-focused visits
- Chronic Care Management (CCM) and Principal Care Management (PCM) billing
- Transitional Care Management (TCM) capture
- Accurate E&M leveling across a wide range of visit complexity
Dermatology
Dermatology has some of the most nuanced billing in outpatient medicine — especially when medical and cosmetic services intersect, and when multiple procedures occur in the same visit.
We focus on
- Biopsy and destruction billing in same-day encounters
- Modifier 59 usage for distinct procedural services
- Medical vs. cosmetic procedure classification
- Pathology and lab billing coordination
Free Audit Report
Before You Decide Anything —
See What You've Already Lost
We offer every prospective client a free, no-obligation audit of the last 6 to 12 months of their billing data. No sales pitch. Just honest findings.
Revenue Leakage Analysis
- Unbilled encounters: Visits completed in the EMR with no claim ever submitted — pure lost revenue
- Denied and abandoned claims: Claims that were denied and never resubmitted or appealed
- Underpayments: What your payer contracts say you should be paid vs. what was actually deposited
- Avoidable write-offs: Write-offs due to timely filing lapses, missing authorizations, or eligibility errors — all preventable
Coding Quality Review
- E&M code distribution: Is your visit coding consistent with your patient population and specialty benchmarks?
- Procedure-documentation alignment: Are all billable procedures in the notes being captured on claims?
- Modifier errors: Missing or incorrect modifiers that caused bundling denials or non-payment
Denial Pattern Analysis
- Denial breakdown: By payer and by reason code
- Highest denial rate payers: Which payers are denying most — and why
- Authorization and eligibility trends: Patterns that point to systemic upstream issues
A/R Health Check
- Aging buckets: How long has money been outstanding?
- Patient balance collection rates: What's being collected vs. what's owed
- Payer-specific payment lag: Which payers are slowest to pay — and by how much
What You Get
A clear, plain-language report that shows real numbers from your real data. No jargon. No fluff.
| Finding | Volume | Est. Revenue Impact |
|---|---|---|
| Unbilled encounters | X visits | $XX,XXX |
| Abandoned denials | X claims | $XX,XXX |
| Underpayments identified | X claims | $XX,XXX |
| Avoidable write-offs | X adjustments | $XX,XXX |
| Total recoverable / preventable | $XXX,XXX |
What We Need From You
- Read-only reporting access: To your billing/PM module (no clinical notes, prescriptions, or lab data)
- Date range: Last 6–12 months of encounter, claim, and remittance data
- Fee schedule: Loaded in your system, for underpayment analysis
We sign a BAA before accessing anything. Your data never leaves a secure environment.
Request Your Free Audit
No commitment. No cost. Just clarity on exactly where your revenue has been going — and what it would take to get it back.
No commitment. No cost. Just clarity.
Why Us
What You Get With Us That You
Won't Get Anywhere Else
| Feature | Typical Billing Company | Us |
|---|---|---|
| Point of contact | Rotates every few months | One person, never changes |
| Accounts per specialist | 5–10+ | One. Yours. |
| Reporting | On request (if you push) | Weekly, automatically |
| Transparency | Minimal | Full — aging + denials every week |
| Specialty expertise | Generalist | Cardiology, IM, Dermatology |
| Audit before you commit | Rarely offered | Always free |
| Onboarding support | Minimal | Weekly calls for first 90 days |
How It Works
Simple to Start.
Built to Last.
Start with a free audit. We'll show you exactly where you stand — before you commit to anything.
Free Audit
We analyze your last 6–12 months of billing data and show you exactly where revenue has been lost. No cost, no commitment.
Onboarding
We get read/write access to your billing system, sync with your team, and your Spock gets to know your practice deeply. We handle the transition.
Weekly Rhythm
Claims go out. Reports come in. Your Spock is on calls with you weekly for the first quarter, then monthly. You always know what's happening.
Ongoing Partnership
As long as you're with us, your Spock is with you. One relationship. Full accountability. No surprises.
Ready to see what your billing is actually doing?
Start with the free audit. It costs you nothing and shows you everything.
Ready to See What Your
Billing Is Actually Doing?
Either way, you win.
Start with the free audit. It costs you nothing and shows you everything. If the numbers make sense, we'll talk about what working together looks like. If they don't, you walk away with insights you didn't have before.
Serving cardiology, internal medicine, and dermatology practices across the United States.