Medical Billing & Certified Coding Services
Eliminate revenue leakage before claims ever leave your clinic. Smart Revenue RCM combines certified AAPC coders with deterministic pre-clearinghouse scrubbing to achieve an industry-leading clean claim rate.
>98.4%
Clean Claim First-Pass Rate
<24 Hours
Charge Transmission SLA
100% AAPC / AHIMA
Certified Coder Verification
100% to the Penny
Remittance Balancing Accuracy
Common Practice Bottlenecks We Eliminate
Most independent clinics lose between 4% and 9% of their gross revenue to administrative billing errors, outdated modifier rules, and unreconciled EOBs.
Delayed Charge Entry & Coding Backlogs
When encounters sit unbilled for 10-14 days due to busy administrative staff, cash flow stalls and timely filing deadlines are jeopardized.
Incorrect Modifier & Bundling Errors
NCCI edit mismatches, improper use of modifier -25/-59, and unbundled codes trigger immediate clearinghouse rejections.
Unreconciled Remittance Advice (ERA/835)
Electronic remittances are often posted as bulk lumps, masking line-item underpayments and uncollected secondary copays.
Our 5-Stage Charge-to-Remittance Workflow
An institutional protocol engineered to ensure zero delays, zero untracked claims, and total accountability.
Charge Ingestion & EHR Audit
We connect to your existing EHR (Epic, athena, eCW, Kareo, etc.) to ingest encounters daily. Super-bills, provider notes, and diagnostic tests are cross-referenced.
Certified AAPC / AHIMA Coding
Our certified coders (CPC, CCS) review clinical charts to assign exact ICD-10-CM, CPT, and HCPCS codes while ensuring medical necessity documentation compliance.
Dual-Tier Rule-Based Scrubbing
Claims pass through our pre-clearinghouse rules engine targeting commercial, Medicare LCD/NCD, and Medicaid local state guidelines to guarantee clean status.
Electronic EDI 837 Transmission
Batches are submitted directly to primary clearinghouses with automated Level 1, 2, and 3 277 acknowledgement tracking within minutes of dispatch.
Line-Item Remittance & Patient Invoicing
Payments are posted and balanced down to the penny. Residual patient balances are routed to clean, compliant patient statements with zero hidden fees.
Ready to Eliminate Denials and Recover Trapped Practice Revenue?
Receive an objective, line-item audit of your current denial root causes, aging A/R buckets, and coding opportunities—conducted by senior AAPC-certified billing auditors under a mutual BAA.