Recover more earned revenue without replacing your EHR.
We manage coding, claims, billing, A/R follow-up, denial appeals, patient billing and reporting end-to-end, helping provider organisations reduce revenue leakage, shorten A/R cycles and improve reimbursement accuracy.
Outcomes that show up on the P&L.
Coding accuracy
First-pass clean claim rate
Denial rate
Average A/R days
$1.5M collected in 6 months — 30% revenue lift, 85% of denials recovered.
We took over backend RCM for a multi-site oncology group without changing their EHR. Denial appeals, coding QA, and A/R prioritization ran in parallel from week one.
Every step from charge capture to reporting.
Charge capture
Structured intake from your EHR — nothing slips through unbilled.
Coding & audit
Certified CPC/CCS coders, continuous QA, specialty-aware.
Claims submission
Clean-first claims tuned to each payer's edit ruleset.
A/R follow-up
Aged buckets worked by priority and payer, not by ticket order.
Denial appeals
Root-cause tracked, appealed, and prevented at the source.
Patient billing
Clear statements, self-serve payment, calm collections.
Reporting & analytics
Executive dashboards with the KPIs that move net collection.
We operate inside the systems your team already uses.
From signed to first recovery in weeks, not quarters.
Assess
Free revenue leakage assessment on your last 90 days of claims data.
Integrate
Read-only access to your EHR/PM. Live within a week — no migration.
Operate
Coding, claims, A/R, denials, and patient billing running end-to-end.
Optimize
Weekly reporting, quarterly reviews, continuous KPI improvement.
Built for what procurement actually asks about.
HIPAA-conscious handling
Administrative, physical, and technical safeguards for ePHI.
BAA available
Signed Business Associate Agreement with every engagement.
Minimum-necessary access
Role-based controls, least-privilege by default, fully auditable.
Transparent operations
Weekly KPI reporting and a named accountable operations lead.
We win when your practice wins.
For groups needing a focused fix on aged A/R and denial appeals.
- Denial management
- A/R 60+ workdown
- Monthly reporting
End-to-end coding, claims, A/R, denials, patient billing, reporting.
- Everything in rescue, plus:
- Certified coding & QA
- Payer-tuned claims
- Patient billing & collections
- Executive analytics
For multi-site and health-system ambulatory divisions.
- Dedicated ops lead
- Custom SLAs & reporting
- Payer contract support
- Credentialing services
"Denials dropped from 12% to under 4% in the first quarter. We didn't touch our EHR — Pinetree just made the workflow underneath it work."
"A/R over 90 days went from 34% to 11%. Our own team stopped burning out on payer follow-up."
Answers before the discovery call.
Do we have to switch EHR or PM systems?
No. We operate inside your existing stack — Epic, Athenahealth, eClinicalWorks, NextGen, and most common systems. No migration, no data reload.
How is pricing structured?
Percentage of net collections for standard engagements; fixed or hybrid models for enterprise. You only pay on money we actually recover.
How fast can we go live?
Denial & A/R rescue engagements can be live within a week. Full backend cycle typically activates in 2–4 weeks depending on integration scope.
Are you HIPAA compliant?
Yes. We sign a Business Associate Agreement, apply minimum-necessary access, role-based controls, and full audit logging on every ePHI touchpoint.
What reporting do we get?
Weekly KPI dashboards (clean claim rate, denial rate, A/R days, net collection rate) plus a monthly executive review with your named ops lead.
What's the contract term?
12-month standard term with 60-day exit for cause. Enterprise engagements are custom.
Find the leakage in your revenue cycle — in two weeks, no obligation.
Share the basics. We'll analyze a sample of your last 90 days of claims data and return a written revenue leakage report.
- Written report on denials, A/R aging, and coding gaps
- Projected recovery estimate specific to your data
- Signed BAA before any ePHI is transferred