Do we have to change our EHR, CRM, or practice software?

No. We work inside the systems you already run: EHRs and clearinghouses for billing, SuiteCRM, Dynamics 365, or your custom CRM for sales operations. Zero migration, zero adoption risk.

Can you take over our existing billing or CRM operations?

Yes, that is the core of our managed-service model. We absorb the day-to-day operation (claims, denials, follow-up, CRM upkeep, call QA), report transparently every month, and you keep full ownership of systems and data.

How do you handle data security and compliance?

Healthcare work runs HIPAA-compliant with a signed BAA, role-based access, encrypted data in transit and at rest, and full audit trails. European work is GDPR-ready, and voice operations enforce TCPA/DNC and PCI-aware payment handling. Self-hosted deployment is available when data cannot leave your network.

Where is the team located?

Engineering and operations run across three offices: Langenfeld (Rheinland) in Germany, Milton, Ontario in Canada, and Islamabad in Pakistan. Work continues around the clock while a dedicated contact answers in your business hours.

How fast can we see something real?

Our standard path is a pilot. One real use case, scoped in days and live in weeks, so you evaluate a working system on your own data before committing to scale.

How do you price engagements?

Fixed-scope projects with a defined deliverable and price, managed retainers with SLAs for ongoing operations, consulting and audits, or staff augmentation. Medical billing follows the industry's percentage-of-collections model, so you pay when you get paid.

Who owns the code and the data?

You do. Deliverables ship with source code and documentation, data stays in systems you control, and nothing is locked behind our infrastructure unless you ask us to host it.

Medical Billing · Telehealth

Telehealth billing that keeps up with the rules.

Q: We operate in several states. Can you handle the payer differences?

Yes. We maintain payer-by-payer telehealth policy per state you operate in, so coverage is confirmed before the visit rather than litigated after.

Q: Do we have to change our EHR?

No. We work inside your existing EHR and clearinghouse, with zero migration and no disruption to clinical workflows.

Q: How does pricing work?

Percentage of collections, so you pay only on revenue we actually collect. No setup fees, no lock-in, and the free billing audit comes with a firm quote.

Q: How fast can we switch?

Typically two to four weeks, run in parallel with your current process so cash flow never gaps.

Telehealth billing changed more in five years than most specialties change in twenty. Place-of-service codes, modifiers, audio-only rules, and Medicare flexibilities now extended through 2027. We track it so you don't.

Get your free billing audit Experience it in 3D

95%+

clean-claim rate we manage to*

<5%

denial-rate target*

<35

days-in-A/R target*

*Industry benchmarks we manage your billing to. Your monthly report shows actuals against these targets.

The problem

Where telehealth billing goes wrong.

POS 02 vs POS 10 confusion silently changes reimbursement rates

Modifier 95 vs 93 (audio-only) misuse triggers denials

Medicare telehealth flexibility deadlines create policy whiplash, currently extended through 2027

Multi-state care raises licensure and payer-policy questions most billers can't answer

Our coverage

What we handle for virtual-first practices

Correct POS 02/10 and modifier 95/93 application per payer
Medicare telehealth flexibility tracking (extended through Dec 2027)
Audio-only visit billing where permitted
Multi-state payer policy management
Hybrid in-person + virtual practice billing
Eligibility checks that confirm telehealth coverage before the visit

Plus the full revenue cycle behind it: see the complete RCM catalog.

Questions

Good questions, straight answers.

We operate in several states. Can you handle the payer differences?

Yes. We maintain payer-by-payer telehealth policy per state you operate in, so coverage is confirmed before the visit rather than litigated after.

Do we have to change our EHR?

No. We work inside your existing EHR and clearinghouse, with zero migration and no disruption to clinical workflows.

How does pricing work?

Percentage of collections, so you pay only on revenue we actually collect. No setup fees, no lock-in, and the free billing audit comes with a firm quote.

How fast can we switch?

Typically two to four weeks, run in parallel with your current process so cash flow never gaps.

Get a free telehealth billing audit.

We analyze your recent claims and show exactly where revenue is leaking. No obligation, no sales pitch.

Get your free billing audit