Automated claim engineering &
revenue optimization.
We deploy intelligent claims scrubbing algorithms, real-time EDI validation, and AAPC-certified coding pipelines designed to eliminate rejections, accelerate reimbursement velocity, and maximize practice net revenue.
- ANSI 837 Pre-Submission Scrubbing: Automated checks for NPI, CPT/ICD-10 compatibility, and missing modifiers.
- 48-Hour Rapid Denial Appeals: Immediate CARC/RARC analysis with custom clinical appeal letter dispatch.
- HIPAA & HITECH Cloud Encryption: Enterprise security standards (AES-256) protecting all PHI transmission.
Automated pre-submission EDI scrubbing eliminates rejections before transmission.
Accelerated payer reimbursement cycles averaging under 14 business days.
Rigorous denial appeals and underpayment audits capture lost revenue.
Transparent online statement dispatch, digital payments, and flexible installment plans.
Full-spectrum revenue engineering.
Electronic Claims Scrubbing & Submission
Automated clearinghouse rules engine verifies ANSI 837P & 837I transactions for missing modifiers, incorrect NPIs, and code conflicts before submission.
Certified Medical Coding (ICD-10, CPT, HCPCS)
Experienced AAPC/AHIMA certified coders perform rigorous clinical documentation review, preventing unbundling, under-coding, and regulatory compliance risks.
Denial Management & Appeal Engine
Systematic classification of CARC & RARC denial codes, automated resubmission within 48 hours, and custom clinical appeal letters written for complex payer denials.
Patient Billing & Statement Services
Clear, transparent patient statements sent via SMS/email and physical mail, integrated with secure online payment portals and customizable payment plan options.
Real-Time Eligibility & Prior Authorizations
Instant electronic insurance verification (ANSI 270/271) prior to appointments, copay/deductible calculations, and prior-authorization approval tracking.
RCM Analytics & Practice Dashboards
Custom executive reporting on Net Collection Ratios, aging AR buckets (>90 days), provider RVU performance, payer payment variance, and fee schedule optimization.
Estimate Your Practice's Revenue Lift
Select your practice's current monthly billing volume to estimate potential revenue recovery and days in AR reduction with DNL RCM engineering.
Zero Risk Guarantee: We work on a performance-aligned model. If your collections don't increase, we don't succeed.
Continuous revenue cycle precision.
Our 5-step end-to-end framework bridges patient intake with financial settlement seamlessly.
Intake & Eligibility
Real-time 270/271 insurance verification before patient arrival to eliminate registration denials.
Charge Capture & Coding
Certified coders map clinical notes to exact ICD-10 & CPT codes within 24 hours of encounter.
Scrubbing & Electronic Claims
ANSI 837 clearinghouse routing with automated pre-submission rule validation.
ERA Posting & Denial Action
835 ERA auto-posting and immediate 48-hour clinical appeal filing for any denied claims.
Analytics & Patient Billing
Clear electronic patient statements and monthly practice executive financial audits.
Compatible with your existing EHR.
We integrate directly into your practice management software via secure API or remote bridge — zero migration headache required.
Medical billing answered.
How does DNL ensure strict HIPAA & HITECH compliance?
All billing workflows, claims transmissions, and staff communications operate over end-to-end encrypted networks (AES-256 at rest, TLS 1.3 in transit). We sign formal Business Associate Agreements (BAAs) with all medical clients and perform annual third-party compliance audits.
What is your billing fee model?
We operate primarily on a percentage-of-collections structure (typically between 4% and 7% depending on practice volume and specialty complexity). You only pay when we successfully collect on your claims.
How long does onboarding and transition take?
A standard EHR integration and billing transition takes between 7 to 14 business days. Our team handles clearinghouse enrollment, EDI credentialing, and fee schedule setup without interrupting your clinical workflow.
What medical specialties do you support?
Our certified coders specialize in Primary Care, Cardiology, Orthopedics, Mental & Behavioral Health, Pain Management, Urgent Care, Radiology, and General Surgery.
Ready for zero-denial medical billing?
Book a complimentary financial audit of your current AR and claim denial rates today.