About Us

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What we do

Comprehensive Healthcare Revenue Cycle Services

Accurate, compliant, and technology-driven solutions that deliver measurable financial results.

From medical billing and coding to denial management, AR follow-up, payment posting, and compliance support, our expert team delivers end-to-end Revenue Cycle Management solutions that help healthcare providers maximize reimbursements, improve operational efficiency, and focus on exceptional patient care.

What We Do

Full-cycle revenue cycle management, built around your existing systems.

We don’t sell new software. We find where your revenue cycle is leaking — at the front end, mid-cycle, or in aging AR — and fix it inside Epic, AdvancedMD, eClinicalWorks, or athenahealth, whichever you already run.

Core capabilities

Eight workstreams. One accountable partner.

Each engagement starts with an assessment of where revenue is actually being lost, then applies the workstream(s) that matter most for your practice.

01

End-to-End RCM

We manage the full cycle — eligibility, charge capture, coding review, claims submission, payment posting, and patient billing — as a single accountable operation instead of disconnected handoffs.

  • Eligibility & authorization verification
  • Charge capture & coding review
  • Claims submission & posting
02

Denial Prevention & Recovery

Most denials are preventable. We trace each one back to its root cause — eligibility gaps, missing authorizations, coding errors, weak documentation — and fix the source, not just the resubmission.

  • Root-cause denial categorization
  • Pre-submission quality checks
  • Organized appeals & rework
03

AR Optimization & Acceleration

Aging accounts lose recoverability every day they sit untouched. We run targeted recovery campaigns on high-priority buckets with disciplined, escalation-driven payer follow-up.

  • Aging-bucket prioritization
  • Aggressive payer follow-up cadence
  • Escalation protocols for stalled claims
04

Charge Capture Acceleration

Slow charge entry delays everything downstream. We standardize provider-to-billing workflows so charges move from encounter to claim in under 48 hours.

  • Standardized provider-to-billing handoffs
  • Delayed-encounter monitoring
  • Defined turnaround benchmarks
05

EMR-Aligned Workflow Transformation

No platform migration required. We integrate directly with the EMR/practice management system you already use, so your team’s day-to-day workflow doesn’t change.

  • Epic, AdvancedMD, eClinicalWorks, athenahealth
  • Specialty-specific documentation standards
  • Provider education & onboarding
06

KPI-Driven Operational Improvement

Executive-level reporting on clean claim rate, denial rate, AR performance, net collection rate, and payer analytics — so leadership can act early instead of reacting late.

  • Real-time performance dashboards
  • Weekly executive reviews
  • Payer analytics & revenue leakage tracking
07

Credentialing & Provider Enrollment

An uncredentialed provider can’t bill at all — every day of delay is revenue that never gets captured. We manage enrollment end to end so new providers start billing sooner and existing ones never lapse.

  • Enrollment with Medicare, Medicaid & commercial payers
  • Recredentialing & ongoing provider updates
  • Organized, audit-ready credential document indexing
08

Telemedicine Billing Services

Telehealth billing rules shift by payer, state, and service type — and reimbursement rates are easy to leave on the table if coding doesn’t keep pace. We handle virtual-visit coding and billing as its own discipline, not an afterthought bolted onto in-person workflows.

  • Coding & billing built for virtual visits
  • Ongoing compliance with evolving telehealth regulations
  • Reimbursement optimization specific to telehealth services
Beyond traditional RCM

The technology running behind the scenes.

You don’t have to adopt new software — but our team runs on three purpose-built platforms that combine revenue intelligence, AI-enabled operations, and revenue cycle expertise to get to results faster.

JRIP

Jusme Revenue Intelligence Platform

Our internal analytics layer that turns your claims and AR data into decisions leadership can act on immediately.

  • Executive dashboards
  • AR & denial analytics
  • Payer & provider insights
  • Revenue leakage visibility
  • KPI monitoring & reporting
Outcome Improved visibility & faster decisions
AI CODING

AI-Assisted Auto-Coding Platform

Coding support that catches errors before they become denials, without replacing certified coder judgment.

  • AI-assisted CPT & ICD coding
  • Documentation validation
  • Coding quality enhancement
  • Productivity acceleration
  • Compliance support
Outcome Improved coding accuracy & efficiency
RCOP

AI-Enabled RCM Operations Platform

The operating system behind our teams’ day-to-day work — routing, prioritizing, and auditing every claim that moves through the cycle.

  • Workflow automation
  • Smart work queues & prioritization
  • Quality auditing & process compliance
  • Productivity & workforce monitoring
  • Denial prevention & resolution support
Outcome Scalable, efficient, quality-driven operations
Behind every service

Medical billing & coding expertise.

Every workstream above runs on certified coding and billing discipline, not generalist staffing. Our teams work across multiple physician specialties and outpatient care settings, so the expertise scales with whatever mix of services your organization needs.

CPT ICD-10-CM HCPCS Level II HCC / Risk Adjustment Coding Insurance Eligibility Verification Prior Authorization Payment Posting Denial Management AR Follow-Up
Executive Revenue Cycle Assessment™

Evaluate your revenue cycle across 28 critical operational checkpoints — in under 10 minutes.

Not sure where your revenue cycle is leaking?

Before committing to an RCM engagement, evaluate your organization’s Revenue Cycle using our complimentary Executive Revenue Cycle Assessment™.

Designed for healthcare executives, practice administrators, physician groups, hospitals, ambulatory surgery centers, specialty practices, DME suppliers, and Revenue Cycle leaders, this structured self-assessment helps identify potential revenue leakage before it impacts financial performance.

Download Executive Revenue Cycle Assessment™ (PDF)
What’s Included
  • Executive self-assessment in under 10 minutes
  • 28 operational checkpoints across the entire Revenue Cycle
  • Front-end, mid-cycle & back-end operational evaluation
  • Executive scoring framework
  • Revenue leakage insights
  • Practical operational recommendations