The questions we get most often.

Typically 2–4 weeks. We start with a 30-day billing review at no charge so you can see what we see, then credentialing review, PM/EHR access setup, fee schedule loading, and a parallel-run period where we work alongside your existing process before cutting over.

Predictable fee structure based on scope — volume, specialty mix, and services chosen. No per-denial fees, no hidden line items. We quote after the free billing review so the number reflects your actual book of business.

Most likely. We regularly work inside Nextech, Modernizing Medicine (ModMed), PatientNow, Symplast, AdvancedMD, Kareo/Tebra, Athena, eClinicalWorks, DrChrono, Practice Fusion, and many others. We integrate with your existing system.

Yes. Role-based access, encrypted transfers, signed BAAs, audited workflows, and staff training aligned to HIPAA requirements.

Our headquarters and account management are in New City, NY, just outside Manhattan. We operate a coordinated billing and coding team in India, which lets us move claims around the clock.

Days in A/R (by payer and by case type), first-pass yield, net collection rate, denial root-cause breakdown, pre-authorization status, aging buckets, and credentialing expirations. Live dashboard access plus a monthly review call with your account manager.

We triage at charge entry. Cosmetic cases go into the cash-pay workflow (deposits, financing, superbills). Reconstructive cases go through the insurance workflow (pre-auth, medical necessity documentation, claim submission). Hybrid cases get split correctly so neither stream contaminates the other.

Yes. Financing platform settlements are reconciled against quoted procedures and deposit ledgers monthly so cash-pay revenue actually closes.

Payer-specific criteria are tracked for every reconstructive CPT — Schnur scale for breast reduction, BMI/pannus documentation for panniculectomy, NOSE scores and failed medical management for functional rhinoplasty, visual field testing for functional blepharoplasty. We prepare the submission, track through to approval, and support peer-to-peer review when required.

Yes. We handle both professional and facility claims and coordinate between them when the same payer receives both. ASC-specific HCPCS, implant pass-through eligibility, and facility denial work are all part of scope.

Modifier 62 (co-surgeon), 80/82/AS (assistant), 66 (team surgery) are all handled. We coordinate operative note language across practices when multiple surgeons share a case so neither claim gets denied for insufficient documentation.

Yes — and this is often where plastic surgery practices leak the most revenue. We audit for proper modifier 24 (unrelated E/M), 25 (significant separately identifiable E/M), 58 (staged procedure), 78 (unplanned return to OR), and 79 (unrelated procedure) usage before claims ship.