FAQ
Frequently Asked Questions
Direct answers to the questions practices actually ask — about money, operations, security, and what happens when things go wrong.
Getting Started
What happens in the free billing assessment?
You provide standard reports from your practice management system (we send the exact list) and complete a short workflow questionnaire. We compute your baseline KPIs — denial rate by category, days in AR, clean claim rate, net collection rate — and deliver written findings with gaps named and sized. The findings are yours regardless of whether you engage us.
How long does onboarding take?
Most single-specialty practices reach full production in two to four weeks: BAA and access setup, workflow documentation, backlog triage, and a verified ramp. Multi-provider groups run longer; every timeline is committed in writing at scoping.
Do we have to switch software?
No. We work inside your existing, client-authorized system wherever platform access rules allow — your data, your history, and your reporting stay under your control, with our work visible in your own queues.
What size practices do you work with?
From solo physicians to multi-location groups. Scope and pricing are sized to the practice — a solo practice does not pay for enterprise ceremony, and a group gets the per-provider and per-site structure it needs.
Pricing and Contracts
How do you charge?
Typically a percentage of collections, with flat-fee and project pricing where they fit better. The percentage depends on specialty, volume, collections, scope, AR condition, providers, locations, payer mix, and software environment — we quote from your actual numbers and explain the drivers. Our cost resources explain how industry pricing works generally.
Are there long-term contracts or exit penalties?
Our agreements define an orderly exit: a notice period, transition support, and your data remaining yours — including workflow documentation we created. We believe retention should be earned monthly through results.
What counts as "collections" in percentage pricing?
The contract defines it explicitly with examples — which payment types are included, how patient payments are treated, and how pre-engagement claims are handled. Ambiguity in this definition is the classic percentage-model dispute, so we eliminate it in writing.
Operations
Who exactly works our account?
Named account leadership answers for your practice, with production running through documented functional workflows. You are told who is accountable at engagement start, and the two-week-vacation question — what happens when someone is out — has a designed answer: coverage continues, because knowledge lives in systems, not just heads.
What are your turnaround standards?
Charges entered same or next business day from available documentation; claims submitted daily; clearinghouse rejections reworked on same-week standards; denials triaged by deadline and value on defined cadences. Standards are written into the scope and reported against.
How do you handle our existing AR and denial backlog?
As defined projects with honest triage: backlogs are inventoried claim by claim, classified by recoverability and deadline, worked in deadline order, and closed with documentation where recovery rights have expired. Nobody can honestly quote a recovery percentage before triage — including us.
Do you handle patient billing calls?
Where scoped, yes — patient statements, inquiry handling, and payment plans per your policies, with the tone your practice’s reputation deserves. Collection policy decisions (plans, discounts, external collections) remain yours; we execute them consistently.
Security and Compliance
Is our data safe with a remote team?
The framework is specific: named individual logins, role-based minimum-necessary access, executed BAAs before any PHI access, managed devices under documented policies, and your system’s audit trails covering everything. Our HIPAA and security page details it — and your compliance reviewer is welcome to interrogate it.
Are you "HIPAA certified"?
No one legitimately is — HIPAA provides no government certification for billing companies, and badges claiming otherwise are marketing. What exists is compliance: implemented safeguards, documentation, and contractual commitment, which is what we provide and can evidence.
Where is your team located?
We answer that directly during scoping — which functions are performed where, under what security controls and oversight. Practices with US-only requirements should state them; we will scope accordingly or say honestly that we cannot.
Question not answered here?
Ask it directly — contact us or bring it to a consultation. Straight questions get straight answers.