Service
Billing fails quietly. Charges sit unentered for a week, a scrubber edit gets ignored, a posted payment hides a short-pay nobody appeals, and three months later the practice is asking where the money went. We run the full cycle daily — charge to claim to cash — and file within 48 hours of receiving your charges so nothing ages while waiting on a keystroke.
0
Years in revenue cycle
48h
Claim filing window
30d
Target days to payment
HIPAA
Compliant by design
Charges are entered every business day from your superbills, encounter forms, or EHR export. Each one is checked against the documentation for the obvious revenue leaks: missing units, an unbilled second procedure, a modifier the payer requires for that code pair, a place of service that contradicts the encounter type. Batches are reconciled against your appointment schedule so an encounter that never produced a charge gets caught the same week it happened, not at month-end close.
Every claim runs through edit checks before it leaves — payer-specific formatting, NCCI pairing, diagnosis-to-procedure support, authorization numbers where required, and taxonomy or NPI fields that particular payers insist on. Claims that clear go out within 48 hours. Claims that fail get corrected first. When a clearinghouse or payer rejection does come back, it is corrected and resubmitted the same day, and the underlying edit is added to our pre-submission checks so the same rejection stops recurring.
ERAs and EOBs are posted promptly and reconciled against the deposit, so your books match your bank. Posting is where most practices lose money silently: a payer allows less than the contracted rate, bundles a line item, or applies patient responsibility incorrectly, and the payment posts as if it were correct. We compare each remittance against expected reimbursement and route variances to the appeals queue rather than writing them off. Remaining balances are moved to patient responsibility only after every payer has been exhausted.
Statements go out after all payers have finalized, so patients are not billed for amounts insurance still owes. Each statement itemizes the service, what the plan paid, what it applied to deductible, and what remains. Patient billing questions get answered by people who can read the EOB and explain it plainly. Practices get more of the patient portion collected when the first statement is accurate and understandable than when it arrives early and wrong.
Process
Your encounters arrive through your EHR, secure upload, or direct system access. Charges are entered the same business day and reconciled against the schedule so no completed visit goes unbilled.
Claims pass payer-specific edits, coding pair checks, and demographic validation before release. Clean claims are transmitted within 48 hours; failures are corrected first rather than submitted and denied.
Remittances are posted and reconciled against expected contract rates. Deposits are matched to the ledger, short-pays are flagged for appeal, and true patient responsibility moves to statements only after every payer finalizes.
Unpaid claims enter structured follow-up on a set cadence, denials are appealed with supporting documentation attached, and you receive regular reporting on collections, aging by bucket, and the denial reasons driving both.
More services
WNL RCM verifies patient coverage, benefits, plan type, and prior authorization before the visit, so claims go out payable and denials never reach your A/R.
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Certified coders assign accurate CPT, ICD-10, and HCPCS codes with NCCI edit checks, E&M leveling, and documentation queries that cut denials and audit risk.
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WNL RCM works aged receivables and denials to root cause: claim triage, payer escalation, documented appeals, and reporting that stops denials from repeating.
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WNL RCM manages payer enrollment, CAQH and NPI upkeep, re-credentialing deadlines, and contracting so your providers get in network and stay billable.
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Clear credit balance backlogs with WNL RCM: reconcile true overpayments, correct misapplied postings, process compliant refunds, and document every action.
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FAQ
Within 48 hours. Charges are entered the same business day they arrive, scrubbed against payer edits, and transmitted once they pass. The only claims held longer are those with a genuine problem — missing documentation or an unresolved authorization — and those come back to you with the specific blocker named.
No. We work inside whatever practice management system and clearinghouse you already use, under login credentials you issue and can revoke. Your data stays in your system, your reports stay where you expect them, and you keep full visibility into every claim we touch.
We work them alongside current claims rather than starting clean and abandoning the backlog. Existing A/R gets triaged by age, balance, and timely filing deadline, so claims closest to expiring get attention first. That legacy inventory is usually where the fastest recoverable cash sits.
We do, if you want us to. Our staff answers patient calls about statements, explains what the plan paid and why a balance remains, and sets up payment arrangements within the policy you define. Practices that prefer to keep patient contact in-house can route only the claim work to us.
Through reporting you receive on a set schedule: claims submitted, payments posted, aging by bucket, denial reasons ranked by frequency and dollar value, and what is moving in appeals. Because we work in your system, you can also open any individual claim yourself and see its full history.
Next step
Send us your specialty, claim volume and current billing setup. We will come back with a proposal you can act on.
