Independent healthcare practices lose 8–15% of collectible revenue to denials, aging AR, and patient-pay workflows built for a different decade. We rebuild that layer from the inside out — specialized, accountable, and run by people who answer the phone.
Our work sits in the operational layer of the revenue cycle — from claim submission through final payment posting — for practices that need real billing discipline without building a large internal team.
Specialty-aware billing for behavioral health, dental, radiology, fertility, ortho, eye care, pain management, and more. The code knowledge actually matches the work being billed.
Most practices write off 50–65% of denied claims because rework costs exceed expected recovery. We do the rework, the appeals, and the payer escalations that nobody else has time for.
Automated escalation at 30, 60, 90, and 120 days. Insurance AR stays inside 45 days on average. Patient AR moves through a multi-channel statement workflow instead of paper-only.
Real-time verification within 24–48 hours of every visit. Service-specific benefit checks. Prior authorization handled where the payer requires it. Documentation captured in the patient record.
A practice's revenue cycle isn't just a billing problem. It's an operational problem dressed up in CPT codes. We treat it like the operational work it actually is — specialized, disciplined, and owned by people who care whether your number lands.
If your denial rate is above 8%, your AR is aging past 60 days, or your patient-pay collection rate is below 75% — there's revenue you've already earned that you haven't collected. We can help you find it.
Read our full story at capitolmedicaltech.com