What we saw
Five appointments, five practices, one month.
Two lab orders, filed under the same patient’s name, because one person at the front desk was handling two patients and a ringing phone at the same time. We saw that at one of five independent practices we visited in a month — every one with a working EHR, every one still running on paper. Nobody was doing a bad job. There was just more work arriving than one desk could absorb.
That is the work we take. Not the patient, not the clinical decisions. The queue behind them.
What we take on
The rule is simple: if it needs a person physically present, it stays.
Everything else, we can take off the desk, so the person there can stay with the patient in front of her. These are the jobs practices hand us first. The full list runs to 44, across six categories.
How it works
You choose what comes to us. Not a transformation project.
- Pick the work that eats your front desk. Eligibility checks, the fax queue, prior-auth chasing — one of them or all of them. Each runs on its own. One place you drop the work.
- We sign a BAA and scope our access to only the systems the work touches. Named, unique logins. Minimum necessary. Nothing shared, nothing generic.
- We run it for thirty days, free. It comes back finished. Every week you get a count of what we did and what we sent back to you.
- Then we talk about what it’s worth. If it didn’t help, there’s nothing to unwind — no system to rip out, nothing for your staff to un-learn.
Why the first thirty days are free: because the only honest way to show you this works is to do it. You will have a month of finished work in front of you before you pay us anything.
What this costs
One or two jobs off your front desk, handled every business day. Month to month.
We never price per call or per appointment, and never take a percentage of anything you collect. Your written quote spells out exactly what’s covered before you sign it.
Who you would be working with
Two of the four people who run this are physicians.
The team that would take your work is recruited, trained and managed in person by a practicing doctor, and the same coordinators work your practice every day — you will know their names.
What we publish
We show our working, and we label every number.
Where a figure comes from federal payroll data we say so and link it. Where it is our own estimate we say that too. You should be able to check us.
Most denied claims were decided before anyone touched a billing code
Initial denial rates reached 11.8% in 2024. The widely-quoted figure that registration errors cause 30% of them comes from vendors selling registration software — so here is what is solid, what is not, and how to measure your own.
Two hours of desk work for every hour with a patient
A time-motion study of 57 physicians found they spend 27% of the office day with patients and 49% on the EHR and paperwork. The same imbalance exists at the front desk, and nobody has measured it.
Tell us what you’d hand over.
Fifteen minutes on the phone. No deck, no pricing exercise — just what is landing on your front desk that shouldn’t be.