Free medical billing audit for California practices
We will tell you which denials are costing you money, which of them were preventable, and what we would do differently. No charge, no obligation, and you keep the analysis either way.
What the audit actually involves
Three steps, about a week, and nothing to sign.
1. You send one remittance file
A recent 835 or a remittance report from your practice management system. One file is enough. We work under a signed BAA before you send anything.
2. We sort it by code and payer
Denials cluster. Sorted by reason code and payer, two or three patterns usually account for most of the money, and each one names a specific step in your process that is letting claims through.
3. You get the findings, not a pitch
Which denials were preventable at the front desk, which needed better documentation, and which are worth appealing. Yours to act on with or without us.
The whole cycle, or the part you need
Six services, from full revenue cycle management down to coding review on its own. Credentialing, virtual medical assistants, scribing, remote patient monitoring and bookkeeping are each priced and scoped separately.
Twelve specialties, billed by people who know them
Cardiology, orthopedics, gastroenterology, behavioral health, radiology, anesthesia and six more. Each specialty page sets out the denial patterns and payer behavior that actually cost that specialty money.
A denial-code library, not a sales page
What each CARC actually means, the three things that usually cause it, how to fix it and whether it is worth appealing. Free, no form in front of it.
How the work actually runs
Nothing here is a black box. Every step below happens on your account, in your system, and you can ask to see any of it.
Before the claim goes out
Eligibility is checked twice, once at booking and once close to the visit, because the second check is the one that catches terminations. Charges are entered against the documentation rather than the superbill, and a certified coder reads the note before submission.
After it comes back
Denials are read, not filed. Each one is sorted by code and payer so the pattern is visible, appealed where the documentation supports it, and fed back to whatever step let it through. Appeal volume is reported to you, because it is the honest measure of whether denials are being worked.
Handling your patient data
Every RGT employee who touches patient data works under a signed business associate agreement and completes HIPAA training before their first shift. Access is limited to the records a person needs for the accounts they work on, and every view is logged.
We can provide our BAA, our training records and our access logs on request during your vendor review. A vendor who cannot produce all three is telling you something.
Where we are
Fresno, California. US-based staff, working your hours, in your systems. The people on your account are reachable by name rather than through a ticket queue.
From the learning center
How claims get paid, why they get denied, and what to do about it.
Outsourced revenue cycle management, evaluated honestly who reviews your claims, what the fee covers, and the four numbers to ask for before you sign.
Five numbers that tell you whether your revenue cycle is working, why clean claim rate is not one of them, and what each number should make you do.
The real comparison is not hourly rate against hourly rate. Here is what actually differs between a VMA and a front desk hire, and when each one wins.
One remittance file is all it takes
You will get the denial patterns back, whether or not you ever work with us. Our rates are published in full, so you can price the alternative before you talk to anybody.