Medical billing for independent practices · Charleston, SC
We know behavioral health. We know surgical. We bill every specialty.
Every specialty bills differently. We've gone deepest where it's hardest — behavioral health and surgical — and we bring that same rigor to every practice we take on. You only pay when we collect.
- 25+ years in billing
- HIPAA compliant
- Works in your EHR
- No upfront fees
Money doesn't grow on trees… it grows with us.
The difference a specialist makes
We found $11,500 sitting unposted for 965 days.
Money another biller walked right past. That's the difference between a billing service and a billing partner who actually digs — and it's often the fastest cash a new client ever sees from us.
Results for a multi-provider Charleston psychiatric practice
recovered or accelerated in the first 90 days
denial rate — brought down to industry benchmark
drop in patient A/R in a single month (~$44K)
These are results from a single engagement, not company-wide averages — we'd rather show you one practice's real numbers than quote a statistic we can't stand behind.
Why a specialist beats a generalist
Generalist billers learn your specialty on your dime.
We've gone deepest where billing is hardest — behavioral health and surgical. Fewer denials because we knew the rule before the claim went out, and faster appeals when a payer gets it wrong.
Behavioral health
- Spravato (esketamine) — J-code + in-office administration
- TMS prior authorization and treatment-course claims
- MDD coverage criteria payers actually require
- CPT 90791 / 90834 / 90837 and add-on codes
- Telehealth modifiers and parity-law denial appeals
Surgical
- Global surgical periods and modifiers 24 / 25 / 57 / 58 / 78 / 79
- Multiple-procedure reduction and NCCI bundling edits
- Assistant-surgeon modifiers (80 / 82 / AS)
- Procedure prior auth and medical-necessity documentation
- Implant, device, and facility-vs-professional billing
Not a psych or surgical practice? We bill every specialty with the same rigor — primary care, therapy, PT/OT, and beyond.
See how we workEarn-first, pay-later
You only pay when we collect.
No upfront fees. No monthly minimums. We're paid a percentage of the revenue we actually bring in — so we only succeed when your practice does.
What we do
Billing built around how your practice actually runs.
Ongoing medical billing
End-to-end claim lifecycle — coding, submission, denial work, and patient billing — on a no-risk, percentage-of-collections basis.
Revenue cycle management
From eligibility and charge capture to posting and reporting. We shorten the gap between care delivered and money in the bank.
90-Day+ recovery
We revive aged and denied claims most practices have written off — often the fastest cash a new client sees.
One-time cleanup projects
ERA backlogs, payer-config audits, and unposted-payment recovery. We find money sitting in places other billers never check.
Free tool
Should your practice accept insurance?
Most providers underestimate insurance reimbursement by 2–4×. Our calculator uses real 2025 Medicare fee-schedule rates, state adjustments, and commercial payer multipliers to show what you'd actually earn.
Open the calculatorStraightforward pricing
Priced as a percentage of what we collect.
Pricing is tailored to practice size, payer mix, and engagement scope — typically 6–9% of collections, with optional one-time cleanup projects. Let's scope your practice on a quick call.
Get a free A/R auditQuestions practices ask us
How does the no-risk billing model work?+
You only pay us a percentage of what we successfully collect. No upfront fees, no monthly minimums. Our payment is tied directly to our performance, so our incentives match yours.
What specialties do you bill for?+
All of them. We're a full-service medical billing partner for independent practices, with the deepest expertise in the two hardest areas to bill — behavioral health (Spravato, TMS, MDD criteria, parity-law denials) and surgical (global periods, modifier rules, NCCI bundling). Whatever your specialty, we bill it with the same rigor.
What EHR do you work in?+
Yours. We're EHR-agnostic and work inside your existing system, so there's no migration and no disruption to your clinical team.
Can you recover old claims we've already written off?+
Often, yes. Our 90-Day+ Recovery Program targets aged and denied claims. In one recent engagement we recovered $11,500 in payments that had sat unposted for 965 days.
What does it cost?+
Pricing is tailored to practice size, payer mix, and engagement scope — typically 6–9% of collections, with optional one-time cleanup projects. The best next step is a free A/R audit so we can scope your practice specifically.
Let's find the revenue you're leaving on the table.
A free A/R audit shows you exactly where claims are stalling — no obligation, no upfront cost. If we take you on, you only pay when we collect.