See what your last 90 days of billing left behind.
We are a small billing company, four years in, working with nineteen independent practices. Most practices cannot tell whether their billing is being handled well or slowly mishandled, because the reporting is not built to answer that. We start with a free written audit of your own claims data, and we publish our prices so there is nothing to negotiate under pressure.
- No setup fee
- Month to month
- HIPAA & HITECH compliant
- Signed BAA before access
Claims filed daily with
Services
Nine services, one accountable team.
Take the whole cycle or the part that is broken. Either way you get one named account manager, one dashboard, and one set of numbers that reconcile.
Medical Billing
Charge entry, scrubbing, submission and follow-through to paid — not to submitted.
Read moreRevenue Cycle Management
All eight stages under one accountable team, from pre-auth to the last patient balance.
Read moreMedical Coding
Certified coders by specialty. We flag undercoding as hard as we flag overcoding.
Read moreProvider Credentialing
Applications, CAQH, PECOS and contracts — with expirables calendared so nothing lapses.
Read moreA/R Management
Worked by deadline and value, not oldest-first. Including the A/R others gave up on.
Read moreDenial Management
Every denial tagged by root cause, so the category shrinks instead of repeating.
Read moreEligibility Verification
Checked 48 to 72 hours ahead, with patient responsibility your front desk can quote.
Read moreBilling Audits
A written diagnosis of what your current process is losing. Free, and yours regardless.
Read morePatient Statements & Help Desk
Statements a person can read, and a support line a person actually answers.
Read moreThe revenue cycle
Eight stages. We own every one of them.
Most billing companies touch the middle of this cycle and let the ends happen to you. That is why the same denials keep arriving. Select a stage to see what we do there.
Stage 1 of 8
Eligibility & pre-auth
Eligibility & pre-auth
Eligibility & pre-auth
A third of denials are decided before the patient walks in. We verify coverage 48 to 72 hours ahead and secure authorization against the CPT codes you actually intend to bill.
- Real-time and batch eligibility checks against every active payer
- Authorization requirements determined at scheduling, not at check-in
- Patient responsibility estimate delivered to your front desk
Patient registration
A misspelled name or a stale insurance card becomes a denial six weeks later, usually close to the timely filing edge. Registration is where the cheapest fixes live.
- Demographic and subscriber data validated at intake
- Coordination of benefits resolved before charges post
- Registration-origin denials fed back to your front desk monthly
Charge capture
Work performed but never entered is revenue that never existed on paper. We reconcile the day's schedule against posted charges and chase the gap while people still remember the visit.
- Daily reconciliation of encounters against captured charges
- Missing charge alerts routed to the rendering provider
- Modifier and bundling review before anything reaches a coder
Medical coding
Certified coders assigned by specialty, reviewing in both directions. Everyone audits for overcoding. Almost nobody audits for the levels you left on the table.
- CPT, ICD-10-CM and HCPCS applied to current guidelines
- E/M levels validated against documentation, up and down
- Specific documentation queries, not generic form letters
Claim scrubbing & submission
Claims are scrubbed against payer-specific edits before they leave. Clearinghouse rejections get corrected the same business day instead of aging quietly in a queue.
- Payer-specific edit rules maintained per contract
- Primary, secondary and tertiary submission handled end to end
- Same-day correction and resubmission on clearinghouse rejects
Payment posting
Auto-posting without a variance check is how an underpayment becomes permanent. Every remittance is reconciled line by line against your contracted rate.
- ERA and EOB posting with line-level reconciliation
- Contractual variance flagged and pursued as underpayment
- Credit balances and refunds tracked through to resolution
Denial management & appeals
A denial is a symptom. We tag every one with the stage of the cycle that produced it, then push the fix upstream so the category shrinks instead of repeating next month.
- Triage within two business days, appeal within ten
- Root-cause tagging by origin, not just by CARC code
- Denial trends reported by payer, provider and origin
A/R follow-up & patient billing
Working A/R oldest-first is how claims die at timely filing. We sequence by deadline and recoverable value, and we show you the write-offs rather than burying them.
- A/R prioritised by filing deadline and expected recovery
- Aged and legacy A/R worked as a dedicated recovery project
- Patient statements, payment plans and a staffed support line
Denial cost calculator
Put a rough number on what denials are costing you.
Three inputs, no email required. The defaults are set for a small independent practice, and the recovery assumption is conservative on purpose. Round numbers here are worth less than one afternoon with your actual claims.
Recoverable in year one
Estimate only, and deliberately conservative. Assumes a 55% recovery factor on the gap between your denial rate and the 6.4% we currently run across our own book. It does not account for payer mix, specialty, contracted rates or how well your current process performs. The audit is where you get a real figure from your own data.
Why Arslan
Six things we do differently, and will keep doing.
Every one of these costs us something. That is roughly the point — a promise that costs nothing is not worth reading.
Deliberately small
Nineteen practices, and we would like to keep the number low.
We are four years in and we take on a limited number of clients at a time. Scale in this business means more claims per biller, and more claims per biller is exactly how A/R starts to age. You get one account manager who knows your payer mix and answers within four business hours, and the same coders on your charts every month.
Your software
We work inside the system you already have.
Epic, athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, NextGen, SimplePractice, TherapyNotes, CareCloud, WebPT and most others. No migration, no data export project, no retraining your staff.
Open books
Everything visible by default, at no extra charge.
Live dashboard from day one: charges, collections, A/R aging, denial categories, payer performance. If a number moves, you can see which claims moved it. Opaque reporting protects the vendor, not you.
Root cause
We fix the stage that produced the denial.
Refiling the same denial forty times is data entry. Every denial is tagged by origin and the correction goes upstream, into eligibility, coding or registration. If a category is not shrinking, we have not done the job.
Compliance
HIPAA and HITECH aligned, with a BAA signed first.
Encrypted transmission and storage, role-based access, logged audit trails, annual staff training, and a signed business associate agreement before anyone touches your system.
No lock-in
Month to month, with thirty days' notice.
No term commitment and no exit penalty. Complete data export within ten business days, and an exit call with your incoming biller so your patients never absorb the cost of us losing an account.
Clients
What practices say when we ask directly.
“Their audit found $8,400 my previous biller had let pass timely filing. That was an unpleasant thing to learn and I am glad somebody finally told me.”
Solo internal medicine · Houston, TX
“I run a two-provider clinic and cannot justify a full-time biller. What I wanted was somebody who picks up the phone, and that is what this is.”
Two providers · Sacramento, CA
“They flagged that we had been undercoding established patient visits for two years. Nobody had ever mentioned it. That one fix covered the fee.”
Behavioral health, three clinicians · Atlanta, GA
Questions
The things people ask on the first call.
If yours is not here, call and ask. If we do not know, we will say that instead of guessing.
(888) 555-0142What is your pricing model?
A percentage of what we collect, published on our pricing page rather than quoted case by case. Billing only is 4.5%, full revenue cycle management is 5.5%, and full RCM with coding is 6.5%. Credentialing is a flat fee per provider per payer, and aged A/R recovery is 12% of what we actually recover. There are no setup fees, per-claim fees, statement fees or clearinghouse markups.
Do I have to change my EHR or practice management software?
No. We log into whatever you already use. If you happen to be switching platforms for unrelated reasons, we can help with the billing side of that transition, but nothing about working with us requires it.
What happens to claims already in flight when we switch?
They keep moving. We run parallel with your existing process during onboarding rather than taking a hard handoff on a fixed date, which is where claims usually get dropped. Anything already submitted stays tracked until it pays or is appealed.
How is our patient data secured?
A business associate agreement is signed before anyone gets access. Data is encrypted in transit and at rest, access is role-based and logged, and staff complete annual HIPAA training. Every billing company says this, so ask us to walk you through the specifics — that is the part that separates the claim from the practice.
We are a two-provider practice. Are we too small to outsource?
No, and small practices often gain the most, because a single biller out sick is a two-week gap in submissions. The relevant comparison is not our rate against zero, it is our rate against a salary plus benefits plus software plus turnover.
How long before we see results?
Clean-claim and submission timing improve in the first month because that is a process change. Denial rate and days in A/R move over one to two quarters, because they depend on fixing the stages upstream of billing. Aged A/R recovery is slower still and depends entirely on what is left that is collectible.
Free audit
Start with the free audit.
We pull ninety days of your claims data and send back a written report. About a week. No cost, no obligation, and yours to take to any billing company you like — including the one you already use.
- Your real net collection rate, calculated from your data
- Denial breakdown by root cause, not just by payer
- Recoverable dollars sitting in aged A/R
- Coding accuracy on a sample of charts, in both directions
Request received
We will be in touch within one business day. If it is urgent, call (888) 555-0142.
Free trial
Send us five claims. Compare the two results.
We will code and price five of your recent claims alongside whatever your current biller produced, at no charge and with no commitment. You see both numbers side by side.
- 1You send five recent claims and the documentation behind them.
- 2We code and price them independently, without seeing your biller’s output first.
- 3You get both sets of numbers and the reasoning for every difference.
In most cases we find more than the previous process was capturing — usually in undercoded visits, missed modifiers or underpayments that posted without a variance check.
Typical result, not a guarantee. Outcomes depend on your payer mix, contracted rates, documentation and how your current process is performing. A business associate agreement is signed before we receive anything.