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Every service your practice needs
From eligibility verification to final payment, we manage your entire revenue cycle with deep specialty expertise, compliance-first workflows, and a relentless focus on clean claims.
Our revenue cycle process
A disciplined, expertise-driven approach that prioritizes clean claims at every step.
Onboarding & analysis
We audit your current billing, identify revenue gaps, and build a customized RCM strategy for your practice.
Clean claim submission
Every claim is scrubbed, coded, and validated against payer-specific guidelines before submission to maximize first-pass acceptance.
Active follow-up
We proactively track every claim and follow up with payers, resolving issues before they become denials or delays.
Denial resolution
When a claim is returned, our specialists work it quickly with complete, well-documented appeals to secure earned reimbursement.
A deep dive into each service
Every service is built around one principle: your practice earned that reimbursement, and we are going to help you collect it.
End-to-end claim lifecycle
Medical billing & coding
From charge capture to payment posting, we manage every step with precision. Our coders are specialty-trained across therapy, chiropractic, rehab, behavioral health, and outpatient specialty CPT codes.
What's included
- Specialty-specific CPT and ICD-10 coding
- Pre-submission claim scrubbing and validation
- Electronic and paper claim submission
- Payment posting and reconciliation
- Explanation of benefits (EOB) review
- Patient statement generation
Know before you go
Insurance eligibility verification
We verify patient insurance eligibility and benefits in real time before every appointment, eliminating billing surprises and reducing claim rejections.
What's included
- Real-time eligibility checks prior to appointments
- Benefits verification including deductibles and co-pays
- Out-of-network benefit confirmation
- Secondary insurance coordination
- Patient financial responsibility estimation
- Verification documentation and recordkeeping
Resolved with expertise
Denial management
When a claim is denied, speed and expertise matter. We analyze every denial, identify root causes, and work each one with payer-specific strategy to recover the reimbursement your practice has earned.
What's included
- Rapid denial identification and categorization
- Root cause analysis to prevent recurrence
- Well-documented appeal preparation and submission
- Payer-specific appeal strategies
- Denial trend reporting and insights
- Proactive denial prevention protocols
Recover what you've earned
Accounts receivable recovery
Aging AR is lost revenue. Our specialists systematically work outstanding balances, from 30-day follow-ups to complex aged claims, using targeted payer outreach to maximize collections.
What's included
- Systematic AR aging analysis and prioritization
- Proactive payer follow-up and escalation
- Aged claim recovery (90, 120, 180+ days)
- Underpayment identification and appeal
- Secondary billing and coordination of benefits
- AR performance reporting and benchmarking
Transparent, actionable data
Revenue analytics & reporting
You deserve full visibility into your revenue cycle. Our reporting delivers clear insight into claim performance, collections trends, denial patterns, and payer behavior.
What's included
- Monthly and quarterly performance reports
- Payer-specific reimbursement analysis
- Denial rate and trend reporting
- AR aging and collections dashboards
- Provider productivity and billing metrics
- Custom reporting on request
Protecting your practice and patients
HIPAA compliance & support
Every process, workflow, and team member operates under HIPAA-compliant practices. We implement and maintain the safeguards needed to protect patient data and keep your practice audit-ready.
What's included
- HIPAA-compliant data handling and storage
- Business Associate Agreement (BAA) execution with every client
- Secure electronic data transmission (EDI)
- Staff HIPAA training and compliance protocols
- Audit trail documentation
- Breach prevention and response procedures
Provider credentialing
Credentialing is available as an add-on service at an additional fee. Our team manages the full enrollment process with major commercial payers, Medicare, and Medicaid, including CAQH setup, re-credentialing, and status tracking, so your providers can start billing as quickly as possible.
Covered
- Commercial payer enrollment
- Medicare & Medicaid enrollment
- CAQH setup and maintenance
- Re-credentialing and status tracking
Every service above runs on one platform
You don’t stitch together an EHR vendor and a billing service. Everything on this page — eligibility, charge capture, claims, denials, AR, and reporting — runs inside Adaptive PracticeOS, our own integrated EHR and billing platform. Your clinical notes and your billing live in one system, so nothing gets lost in the handoff between two companies.
- No separate EHR vendor or bill. Your EHR comes with us, not a second company.
- Notes flow straight into claims. Documentation becomes billing — no double entry, no missed charges.
- One system end to end. Charting, claims, payments, and reporting in a single place.
Our integrated EHR & billing platform — the engine behind every service we provide.
Ready to maximize your revenue?
Let's talk about your practice's specific needs and what you could be recovering.