Revenue recovery for specialties others avoid
We recover the revenue in-house teams and other billers miss, on the hardest claims in healthcare. Thirty-plus years of billing for specialties, applied to every step of your revenue cycle.
Three-plus decades of revenue-cycle experience across Chicago’s leading health systems, now serving practices nationwide
Revenue rarely leaks at the claim. It leaks long before one is filed.
By the time a denial lands, the money is typically already gone: lost at verification, in a mis-routed carve-out, or a lapsed authorization. We work the cycle where the leaks happen.
- 01 / INTAKE27%Eligibility & benefits
of denials trace to coverage never verified correctly at intake.
- 02 / ROUTING1 in 7Carve-out routing
behavioral claims are billed to the wrong payer when carve-outs go unchecked.
- 03 / AUTH48 hrsAuthorization
is all a lapsed concurrent review needs to turn care into uncollectible revenue.
- 04 / DENIALS65%Never reworked
of denied claims are never reworked by overloaded in-house or outsourced teams.
The whole revenue cycle, or just the part that’s losing money.
Run your entire cycle with us, or bring us in for a single stage. The discipline is the same either way.
Explore all solutions- 01
Medical Billing
Charge entry, claim scrubbing, electronic submission, payment posting, and relentless A/R follow-up.
- 02
Denial Management
Root-cause analysis by payer, code leveling, appeal levels to resolution, and follow-up that recovers claims other teams give up on.
- 03
Patient Accounts
Registration, eligibility & benefits verification, prior authorization, statements, and collections.
- 04
Credentialing & Enrollment
Provider enrollment and payer credentialing: the critical first step to maximizing revenue and accelerating cash flow.
- 05
Coding & Auditing
CPT / ICD-10 / HCPCS accuracy and documentation review that catches recoupment risk early.
- 06
KPI & Payment Analytics
Reporting and dashboards on the metrics your leadership actually watches, so you always know where your revenue stands.
Built for the claims other billers can’t handle.
The hardest, highest-stakes specialties to bill, and where deep expertise pays for itself many times over.
01Behavioral Health
Admissions-to-cash for IOP, PHP, and residential care: VOB, carve-out routing, level-of-care authorization, prior authorization, and OON / single-case agreements.
Carve-out routingSCA tracking
02Mental Health & Psychiatry
Psychotherapy time-bands, psychiatry E/M, add-on codes, crisis, group and family therapy, and telehealth, with documentation feedback before denials become recoupments.
90837 riskTelehealth grid
03Inpatient Physician Billing
Professional services for admitted patients: initial and subsequent hospital care, critical care, discharge, and shared-visit rules, coded to the level the documentation supports.
E/M levelingConcurrent care- 04
Outpatient Physician Billing
Professional services for ambulatory patients: office and outpatient visits, observation care, and preventive services, with modifier discipline that holds up under audit.
Modifier 25Telehealth grid
Changing billers is daunting. Our under-30-day plan is why practices switch.
No cash-flow cliff. No aged claims lost in the handoff. Direct access to leadership and a documented plan from day one.
- Phase 01
Stabilize & inventory
Full open-A/R inventory & payer / EDI / ERA / EFT checklistOld-vendor data export & claim-hold rules setCredentialing & effective-date review - Phase 02
Clean claims flowing
New claims submitting clean; first-pass acceptance tracked by payerPatient account recoveryCash forecast and shared work queues live - Phase 03
Recovery & reporting
Denial root-cause report delivered with recovery planOld-A/R worked and appealed to resolutionMonthly KPI dashboard and governance cadence established
Boutique discipline, without the trade-offs.
The outsourced-billing market is crowded. Here’s where everyone else leaves a gap, and how we fill it.
| The alternative | Where it falls short | The Clarity difference |
|---|---|---|
| Enterprise RCMHundred-hospital-scale vendors | Built for hundred-hospital systems. Too big, too slow, and too impersonal for independent practices. | High-touch, specialty-aware, and always in touch with leadership. |
| EHR / PM softwarePractice-management platforms | Gives you the tools, then leaves the billing labor and accountability to you. | We run the revenue independently, in the software of your choice. |
| In-house billingYour own staff | Overloaded, hard to staff, and rarely specialized in your hardest payers. | Specialty depth and capacity that scales with you, not against you. |
| Outsourced billingGeneral billing companies | Volume-driven and generalist: the hardest claims get the least attention and the first write-off. | The hardest claims are the whole reason we exist. |
“Most of the revenue we recover was never denied outright. It leaked quietly at eligibility, at carve-out routing, at authorization, until someone went looking. That is the work.”
Find out what your current biller is leaving behind.
A no-obligation review of your receipts and denials. We’ll show you exactly where revenue is leaking, and what it’s worth to recover it.