Clean claims and consistent reimbursement.
Proactive billing with denial management.
Complete revenue cycle oversight.
Ongoing 1:1 support reviewing client accounts, documentation, and insurance workflows.
Contract with one payer or RAE.
Includes CAQH/NPPES validation, application submission, portal alignment, tracking, and participation confirmation. Fast, accurate onboarding for clinicians expanding access.
Enrollment with HCPF + your primary RAE.
End-to-end onboarding for solo practitioners beginning Medicaid billing. Includes HCPF enrollment, one RAE contract, directory validation, and billing-readiness review.
Statewide Medicaid access.
Complete onboarding including HCPF enrollment and contracting with all five Colorado RAEs for full service coverage. Includes directory setup and billing infrastructure checklist.
Enroll with 2 commercial payers (BCBS, Aetna, Cigna, or UHC).
Ideal entry for providers preparing to serve commercially insured clients. Includes CAQH alignment, payer applications, directory setup, and billing-readiness review. Select any two top plans contracted in Colorado: BCBS, Aetna, Cigna, or UHC.
Enroll with all 4 major commercial payers in Colorado.
Complete onboarding to major commercial plans: BCBS, Aetna, Cigna, and UnitedHealthcare. Includes CAQH setup, directory registration, and payer tracking until participation is confirmed. Best option for providers entering or growing private practice.
Foundation for credentialing success.
We establish or correct CAQH and NPPES (NPI) profiles to meet payer standards. Includes document uploads, taxonomy alignment, and attestation support.
Full Medicare PECOS enrollment for eligible advanced licensed clinicians. Includes identity verification, practice setup, EFT/ERA registration, and approval monitoring.
End-to-end Medicare enrollment for eligible clinicians (LCSWs, Psychologists, PMHNPs). Includes NPPES/PECOS setup, practice and taxonomy alignment, identity and banking verification, required supporting documentation, and CMS contractor correspondence until approval. Ongoing revalidation scheduling included. For advanced licensed providers only.
Credentialing and network enrollment with TRICARE for mental health clinicians eligible to serve military families and veterans.
End-to-end TRICARE credentialing and network enrollment for eligible clinicians. Includes application submission, NPI/CAQH validation, document coordination, EFT/ERA setup as needed, contract confirmation, and listing verification. Requires an advanced or independently billable license under TRICARE guidelines. Ideal for expanding access to military families.
We conduct a full clinical documentation integrity audit to ensure medical necessity is clearly supported and that services meet state and payer compliance standards. This protects reimbursement, prevents recoupments, and reduces audit exposure. Includes line-item feedback and coded recommendations tied to regulatory language.
We analyze your coding patterns for accuracy, missed billable services, and revenue leakage. You receive coding corrections with payer-specific guidance that strengthens compliance while capturing all legitimate reimbursement. Includes code frequency analysis and missed-opportunity identification.
Live compliance and documentation coaching for clinical teams. We teach efficient, defensible phrasing based on payer rules, Medicaid medical necessity standards, and service-specific documentation requirements. Includes session-type templates and post-session reference tools.
We configure your EHR/PMS to operate correctly from day one. This includes payer profiles, billing settings, rendering vs. billing NPI rules, CPT/HCPCS code libraries, required modifiers, claim formatting, and intake/admin workflows. The result is a streamlined operational environment that reduces manual steps, protects compliance, and accelerates revenue. This service is ideally completed once credentialing is underway and before insurance billing begins.
We establish and activate all necessary electronic integrations between your EHR and each payer. This includes claims submission, ERA posting, EFT enrollment, eligibility checks, and system-level mapping to prevent rejections. Proper EDI setup reduces denials, speeds payments, and ensures financial integrity from the start.
We review your existing administrative infrastructure and correct the hidden operational failures that cost time and money. This includes an audit of claim workflows, payer IDs, documentation prompts, service setup, modifier logic, security controls, and efficiency barriers. Providers receive a complete roadmap with prioritized operational fixes.
