About
We started because the reporting was insulting.
Four years old, nineteen practices, and no intention of becoming the biggest company in this market. This page explains how we ended up running it the way we do.
Every practice we spoke to before starting this company described the same experience. Their billing company sent a monthly report. The report had numbers on it. Nobody at the practice could tell from those numbers whether they were being served well or slowly mishandled — and when they asked, they got a percentage and a reassurance.
That is not a reporting problem. It is a design choice. Opaque reporting protects the vendor, because if you cannot see which denials went unappealed, you cannot ask why.
So we built the company outward from a single decision: everything visible, by default, to every client, at no extra charge. Published pricing came from the same logic. So did the thirty-day exit. So did writing our service commitments down with a fee credit attached, which nobody asked us to do and which we occasionally regret during a busy month.
We are four years into this and we bill for nineteen independent practices. That is not a number we are embarrassed by, and it is not a number we are in a hurry to multiply. Scale in this business usually means more claims per biller, and more claims per biller is precisely how A/R starts to age. Every practice we take on is one more set of payer quirks somebody here has to actually hold in their head.
What that means in practice: if you are looking for a vendor with a national footprint and a client success portal, we are not it. If you want the person handling your claims to recognise your practice name without looking it up, that part we can do.
What we believe
Four positions, and what each one costs us.
Root cause beats resubmission
Refiling the same denial forty times is data entry, not billing. Every denial we work is categorised by the stage that produced it, and the fix goes upstream. If a denial category is not shrinking, we are not doing our job.
You should be able to leave
Retention through contract length is not retention, it is delay. Month to month, thirty days' notice, complete data export on the way out.
Undercoding is a loss in the other direction
Most compliance conversations are about billing too much. We flag both directions, because money left on the table is still money left on the table.
Say the number you can prove
We would rather give you a commitment we will honour than a statistic you have no way to verify.
Team
Who you will actually be talking to.
Arslan Mahmood
Founder
Twelve years in revenue cycle operations, mostly multi-specialty groups and denial analytics.
Sarah Whitfield
Director of Operations
Runs the billing and coding teams. Previously managed RCM for a 40-provider ambulatory network.
Dr. Imran Qureshi
Compliance Advisor
HIPAA compliance, coding audit standards and payer policy monitoring.