Verification of Benefits (VOB)

We verify client coverage and eligibility before services begin, so there are no surprises for you or your clients.

Authorizations

We handle the process of obtaining and managing authorizations to ensure services are approved and reimbursable.

Claims Submission

Clean, timely, and compliant claims submission using industry-standard platforms. We monitor every claim to ensure it’s received and processed correctly.

Accounts Receivable (A/R) Management

We proactively track and manage outstanding claims to keep your revenue flowing.

Denial Management & Appeals

Our team reviews and works denials promptly—submitting appeals and correcting claims to recover every dollar you’re owed.

Payer Communication

We communicate directly with Medicaid and commercial insurance payers on your behalf, resolving issues efficiently and professionally.

Tailored Policy & Procedure Development

We collaborate with you to create and refine policies, procedures, and organizational plans that reflect best practices and meet regulatory standards.

Full-Scope Licensing & Accreditation Guidance

From your initial application to final survey, we guide you through every requirement, checklist, and documentation process.

Hands-On Support

You’re never alone. We walk side-by-side with your team throughout the entire journey—answering questions, prepping for audits, and providing ongoing assurance.

Designated Compliance Officer Services

Once you’re licensed or accredited, we continue serving as your designated compliance officer—helping you maintain good standing, meet annual requirements, and operate with integrity.

Medicaid Enrollment & MCO Credentialing

We help you get enrolled with Medicaid and its Managed Care Organizations (MCOs), ensuring your applications are complete and compliant with state requirements.

Commercial Insurance Credentialing

We work with major commercial payers to secure your in-network status, navigating the unique requirements of each insurer.

CAQH Profile Management

We set up or update your CAQH profile to ensure it’s accurate, complete, and linked to the right payers.

Application Tracking & Follow-Up

We don’t just submit applications—we track their progress, follow up with payer reps, and troubleshoot any issues that come up.

Recredentialing & Updates

Already credentialed? We also assist with recredentialing, roster updates, and maintaining active status.

SOP & Workflow Development

We help you create clear Standard Operating Procedures (SOPs) and workflows that support consistency, efficiency, and staff accountability.

Audit Preparation & Readiness

We get you organized for audits, reviews, and site visits—helping you avoid penalties and protect your license.

Quality Assurance System

We build monitoring tools and systems that support continuous improvement and help you meet state and accrediting body expectations.

Compliance Infrastructure

From file storage to reporting protocols, we help you maintain internal processes that support ethical, compliant service delivery.

Organizational Planning

Need support with org charts, internal structure, or staffing models? We’ll help you build the foundation for long-term sustainability.

Comprehensive Business Planning

We’ll help you define your mission, services, target populations, staffing needs, and operational model, all aligned with your state and payer requirements.

Custom Financial Proformas

From revenue projections to expense modeling, we build detailed proformas tailored to your services, rates, staffing, and market. Perfect for funding proposals, licensing requirements, or internal planning.

Growth Strategy Consultation

We help you identify realistic paths to growth, whether that’s expanding services, increasing capacity, or entering new markets.

Licensing & Accreditation Alignment

All plans and projections are designed to meet the expectations of licensing agencies, accreditation bodies, and payers.

Sourcing Support

We help you locate qualified candidates for key administrative or compliance-related roles within your organization.

Screening & Vetting

Need a second set of eyes? We assist with candidate reviews, interviews, or vetting to ensure you’re bringing the right people onto your team.

Onboarding Guidance

We help you set up onboarding processes and training materials aligned with your policies and compliance standards.

Our Human Resources team supports employees throughout their employment by providing guidance on workplace policies, benefits, hiring, onboarding, employee relations, and general employment questions.

Our Compliance team helps ensure our organization follows applicable laws, regulations, and internal policies. They provide guidance, monitor processes, support staff with compliance-related questions, and work to promote ethical, safe, and accountable operations across the organization.

Our Revenue Cycle team manages the financial processes related to client services, including insurance verification, billing, claims processing, payment posting, and account follow-up. They work to help ensure accurate billing, timely reimbursement, and a smooth financial experience for both clients and providers.