Rules set up wrong
Claims go out broken from day one.
HomeManaged billing services
Billing, handled end to end. By experts you can trust.
Senior billers run your billing operation inside Orion, alongside your front desk. They file the claims, fight the denials, chase down the ones that go wrong, and make sure you get paid for the work you did.
Billers, not a queueyou know their names
One systemno exports, no handoffs
Here when you need usyour billers, directly
The real problem
Claims aren't the hard part. Everything around them is.
Billing breaks in six places, and most of them sit upstream of the claim itself.
Clearinghouse issues
Rejected, stalled, or never received.
Provider mistakes
Units, modifiers, a missing signature.
Credentialing gaps
Lapsed or unfinished, and nobody is tracking it.
Prior auths
Lapsed, miscounted, or never requested.
Rules that keep changing
Every payer, every year, all at once.
The last few percent take both of us. A good billing team gets a practice most of the way. The rest depends on the billers and the front desk working the same list, talking every day, toward one goal: you get paid for everything you do. That is how we work: set up together, in constant contact, nothing handed off and forgotten.
What you're buying
Billers you can reach. Not a ticket queue.
The same four things every practice asks of a billing team, and how each side answers them.
What matters
Orion managed billing
Typical billing company
Getting help
Named billers, here whenever you need them
Submit a ticket, wait
What they own
Your billing operation, down to every claim that goes wrong
The claim only
Where the work lives
One system, zero handoffs
Exports and spreadsheets
What you hear back
Paid for everything, and anything to worry about
A deposit total
Scope
Scheduled visit to posted payment. Set up together.
Four stages, run by your billers and set up with your front desk before a claim goes out.
01Before the visit
Credentialing and visit prep
Payer contracts confirmed and kept current. Eligibility and auths checked with your front desk.
- Credentialing
- Eligibility
- Auth counts
02Charge capture
Coding review
EHR rules configured per payer so claims leave clean.
- Units
- Modifiers
- Doc gaps
03Submission
Filing, denials and problem claims
Rejections worked the same day. Wrong denials fought until they pay.
- Same-day rejections
- Aged AR
- Appeals
04Payment
Posting and reconciliation
Set up so it mostly runs itself. We confirm what should have hit the bank did.
- Bank match
- Underpayments
- Owner report
Beyond the deposit
Am I getting paid for everything I should be? Is there anything to worry about?
Those two come first, every month. Once both are settled, a third gets the same attention: am I making as much as I want to? If not, we show you what is holding revenue back and what would raise it.
The bank
Deposits matched
Everything that should have landed did.
Leakage
Underpayments and denials
Found, fought and recovered, not just counted.
Needs you
Open items
What your team has to touch this week, in one list.
Growth
Where the next dollar is
Payer mix, visit volume and write-offs, ranked.
Getting started
From quote to clean, without a gap in filing.
Three steps. Your current process keeps filing the whole way through.
Step 01
One number, in writing.
Scoped to your volume, payer mix and how much cleanup your AR needs. Most do.
No published ratePricing
Quoted per practice. One number, in writing.
No two books look alike, so we don't publish a rate we'd have to guess at. Tell us what you run and a biller replies with the number.
- Orion EHR includedNo separate Pro or Pro Plus subscription.
- Cleanup is scoped inOld AR priced honestly, not ignored.
- Transition is includedEHR rules, enrollments, clearinghouse.
- Direct access includedYour team reaches ours, any time.
Straight answers
Before you hand over billing.
Do we have to be on Orion?
Yes. Your clinicians and our billers work in one system, nothing exported or re-keyed, and the Orion EHR is included with the service, so there is no separate software subscription. On another EHR today? We'll tell you plainly what the transition looks like before you commit.
What happens to our billing staff?
Most practices keep them. Billing never fully leaves the building: front-desk accuracy, authorizations and patient conversations stay with you, and we work them together. We'll be explicit about who does what, so nobody's pointing fingers.
Will you work our old AR?
Yes. Most practices come to us knowing it's a mess. We'll tell you which aged claims are realistically collectible and scope the cleanup into the quote instead of pretending it doesn't exist.
How do we reach you?
Directly. Your billers are the people working your queue, and they are there for your front desk whenever a question comes up. No ticket portal, no waiting in line.
How fast do we see a difference?
Rejections and clean-claim rate move within weeks. Days in AR and collections move over a quarter or two, and every practice is different, so we won't promise a date we'd have to guess at.
The one thing we promise
You get paid for the work you did.
Every practice is different, so we won't hand you a number that pretends otherwise. If your AR is a mess today, say so. It usually is, and we'll clean it up.
- Nothing you did goes unbilled
- Nothing wrongly denied goes unfought
- Nothing written off without you knowing