Nothing is written off silently.
Every payment is reconciled to what was expected, not only posted as it arrived. A short payment is flagged and followed up. A denial is sorted by cause and appealed where the documentation supports it. You can see all of it, any day, with read-only access to your own data.
Request a revenue assessment- Who we bill for
- All medical providers, and ancillary providers: rehabilitation (physical therapy and occupational therapy), acupuncture, nurse practitioners and chiropractors.
Payments
Posted and reconciled to the deposit and to expected reimbursement. A variance is flagged for follow-up.
Denials
Categorized by root cause, appealed where the documentation supports it, and reported back to you as a trend.
Your data
Continuous read-only access to your claims, payments and patient ledgers. No black box.
What the standard engagement covers
One agreement. It can replace an in-house billing office or work alongside one.
Demographic and charge entry
Entered the same day or the next business day from intake forms, superbills, encounter notes or your EHR feed. Missing information comes back to the practice by a defined route.
Claim scrubbing, submission and tracking
Checked before submission against payer edits, NCCI, MUE and LCD and NCD coverage. Clearinghouse rejections are monitored daily and corrected. Every claim is tracked to final adjudication.
Payment posting and reconciliation
ERAs, EOBs and patient payments posted to the right claim and ledger, then reconciled to the deposit. Underpayments and unexpected denials go to follow-up.
A/R follow-up and denial management
Worked by aging and by payer, by phone and portal. First- and second-level appeals are written in the payer's own policy language.
Patient statements
Sent monthly. Balance questions, payment plans and disputes are answered by us, within the Fair Debt Collection Practices Act, HIPAA and state law.
Reporting
Each month: aged A/R by payer, charges, payments and adjustments, denial trends and top procedures.
Checks the payer mails to the patient
For out-of-network providers: weekly tracking of payer checks sent to the patient, and three statements to the patient within 30 days of the check.
Coding education
Sessions for providers and staff on annual code changes, specialty documentation, E/M leveling and modifiers, taught by a CPC, COC and CPMA.
The platform
The engagement runs on CureMD practice management, licensed and paid for by Precision. There is no separate platform fee.
Compliance
Delivered under a signed Business Associate Agreement, in line with HIPAA, OIG and CMS requirements and the Fair Debt Collection Practices Act.
What can be added
Each is added by a written scope of work, with the price agreed before the work starts. Each comes with a plain statement of what we do not control.
Benefit verification
We call the carrier on every patient and do not rely on portal data alone. Benefits come back on a template built with your practice: active coverage, deductible, copay, coinsurance and out-of-pocket status, visit limits, network status, and the services that usually need authorization.
Outside our control
Benefits are the payer's information on the day of the call. Coverage can change before the date of service, and final payment is decided by the payer.
Prior authorization
Requests submitted with the clinical documentation you provide. Peer-to-peer calls scheduled. Approval numbers and validity dates recorded in the patient record, with expirations tracked and renewals started in time.
Outside our control
The payer decides medical necessity. We submit a complete, accurate request.
Chart audits
Performed by a Certified Professional Medical Auditor, before billing or on a sample afterward. Each finding comes with the supporting documentation, the guideline citation, a risk tier and a recommendation, and is reviewed with the provider.
Outside our control
Findings reflect the documentation available at review. Final code assignment stays with the practice and the treating provider.
Credentialing
Medicare enrollment and revalidation through PECOS and NPPES. Commercial and Medicaid enrollment, including CAQH and New Jersey Medicaid. Effective dates tracked so billing starts on time.
Outside our control
Timelines and panel acceptance belong to the payer. Approval is not guaranteed.
Out-of-network setup
Registration with each non-contracted carrier so payment routes to the practice. Fee schedule construction, Good Faith Estimates, and negotiation on individual high-dollar claims.
Outside our control
Out-of-network payment varies by payer, plan and geography. No rate or collection percentage is represented.
PIP arbitration and workers' compensation
For New Jersey auto and workers' compensation claims. PIP arbitration prepared and followed up: the demand, the position statement, the exhibits and support at the hearing. Workers' compensation fee schedule disputes prepared with your counsel: the exhibits, and the fee schedule and medical-necessity argument.
Outside our control
The arbitrator or the court decides. We work in a non-attorney capacity, with your counsel where the matter needs one.
Training built for your practice
Most coding errors start as a documentation or workflow habit. Training is how what a denial teaches gets back to the people who can prevent the next one.
Included today
- Annual code-set update sessions: CPT, ICD-10-CM and HCPCS
- Specialty documentation workshops
- E/M leveling under current guidelines
- Modifier and high-risk code workshops
- Recorded sessions for onboarding new staff
Rolling out to every client
- Training videos specific to your practice
- One-on-one sessions with Kelly Greco
- Written procedures built from those videos for your own EMR
- Coding and billing reviews
- A review of how your EMR is set up
If you keep your billing in-house
Not every practice wants to hand its billing over. We also work on a consulting basis to develop the revenue cycle workflow your own staff already run: training, operations, coding and billing.
We will also be offering Rook's denial management to in-house billing staff, to run in the practice's own environment. It will never be one size fits all, so we are taking names and developing a solution to meet each practice's system requirements and needs.
What consulting coversRook in your own environmentYou talk to the people doing the work.
Precision is senior-led by design. Clients work directly with credentialed leadership, not with a rotating account manager. A coding or compliance question reaches someone qualified to answer it, and a payer change becomes a workflow change without a long delay.
The founder stays personally involved in compliance and audit determinations across the client base.
How an engagement starts
Every engagement begins with a written agreement. Add-on services are added by a written scope of work.
Discovery and scoping
A no-obligation conversation about your specialty, payer mix, systems and what is not working. You receive a written scope recommendation and proposed economics.
Documents and onboarding
The Services Agreement and Business Associate Agreement are signed. We collect NPIs, payer contracts, fee schedules and credentialing documents, and set the practice up in CureMD.
Go-live and the first 90 days
First charges processed, first A/R worked, first reports delivered. Weekly check-ins until day 90 to find and fix workflow friction.
Steady state
Monthly performance reporting, a quarterly business review, and continuous review of payer, regulatory and code-set changes that affect you.
The most effective revenue cycle is one a practice's clinicians do not have to think about — because the work is being done, the way it is supposed to be done.
Kelly Greco, CEO and Founder
- Founder-led
- Since 2003, by the same person
- Providers served
- More than 500, across specialties
- State certification
- Third-party billing service, certified by the State of New Jersey, Department of Banking and Insurance
- References
- Available on request, with each client's permission