For Independent medical billing and outsourced revenue cycle companies serving small practices
See which billers' work queues are aging before a client notices
Each biller owns a set of clients. When one falls behind, because of a vacation, a hard client, or too many accounts, follow-up stops on their claims while the rest of the team looks fine. You learn about it from the client.
What it can cost you
Example: 1 biller's untouched claims grow from 80 to 240 in 2 weeks = 160 more claims nobody is following up on.An illustration, not a promise. Your Opportunity Scan puts a real number on it.
What the system checks overnight
- Counts open claims and denials by assigned biller and days since last touch.
- Flags billers whose untouched backlog is growing.
- Compares claims worked per day by biller, adjusted for client complexity.
- Flags clients with no biller activity logged in your set window.
- Suggests which claims to reassign when one queue backs up.
Where it reads from
- athenahealth
- AdvancedMD
- Tebra
- eClinicalWorks
- DrChrono
What happens when it fires
The operations director sees the backlog and a suggested rebalance. Who covers what stays your call.
Autonomy level: Suggest only. The brief tells you what changed and what to do. Nothing happens without you.
What we guarantee
Every biller's queue is aged nightly, and growing backlogs are flagged before follow-up on any client stops. We agree on the metric before the Sprint starts and measure it over the first 20 business days after go-live. If we miss it, you get half your Sprint fee back. Dollar savings are tracked in your monthly saves log, reported rather than promised.
Questions
Is this a productivity scoreboard?
It is a backlog alarm. It flags queues that are slipping so work can be rebalanced before a client notices, not a ranking to manage by.
Do billers need to log activity a special way?
No. It reads the claim note timestamps and status changes your PM systems already record.
Do I need new software for this?
No. The system reads from the tools you already use, with read-only access by default. A guardrail layer controls exactly which data the AI can see.
What does it cost?
A 3-week Sprint is $6,000 fixed and includes the morning brief plus one automation tied to an agreed metric. Ongoing support is $1,500 a month, or $500 a month to keep it running without new automations. If the agreed metric is missed over the first 20 business days after go-live, half the Sprint fee is refunded.
How is this different from a dashboard app or a free AI kit?
A dashboard app shows numbers when you go look. A free AI kit gives you the parts, and you do the setup, the upkeep, and the checking. Here the alarms are built for your kind of business, they watch outside data like market rates and rule changes alongside yours, and on Run or Keep-Running, the person who built them keeps them working and logs what they caught.
More alarms for medical billing companies
Seven more things worth watching.
- Client A/R aging creepTrack days in A/R and aging buckets for every client and payer nightly, and flag the client whose older A/R is growing before they notice it first.
- A client stopped sending chargesCompare each client's charge volume with its schedule and normal pace, and flag lag-to-bill growing toward payer timely filing limits.
- Denial spikes by client and payerGroup denials by payer, reason, and CPT code across every client nightly, and catch one payer change hitting several clients at once.
- Clearinghouse rejections nobody workedCount open clearinghouse rejections by client and reason, flag queues nobody touched, and catch claims the payer never acknowledged.
- Payments not posted or posted shortMatch deposits with ERAs and posted payments for every client, flag ERAs not posted, and catch payers paying below the client's fee schedule.
- Provider enrollments pending or expiringFlag client providers seeing patients before payer enrollment clears, revalidations coming due, and CAQH attestations about to lapse.
- Client accounts at riskCompare each client's fee revenue with staff hours, flag falling collections, late fee payments, and renewals coming up across your book.
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