You get paid first. Then we do.
Ecardius is a performance-based revenue cycle management partner for clinics, physician groups, and ambulatory surgery centers. We eliminate claim denials, recover aging A/R, and charge only a percentage of verified collections deposited into your bank account.
Illustrative A/R aging report · Benchmark targets
The 90+ day bucket is where unworked revenue quietly expires under payer timely-filing rules. It is where our recovery starts.
- $0 UpfrontFees are a strict percentage of collections only. If we don't collect, we aren't paid.
- Your Bank AccountPayers deposit directly into your account. We never hold or touch your funds.
- BAA FirstA Business Associate Agreement is executed before any PHI is shared.
- Dedicated Account LeadA named specialist who knows your providers, staff, and payer mix.
Everything between the patient visit and payment
One unified team managing your complete revenue cycle so clinical staff can focus on patient care.
Billing & Claims Management
Charge entry through electronic clearinghouse transmission on time, with automated CPT, ICD-10, and modifier scrubbing.
Denial Management & Appeals
Every denial categorized by CARC code, corrected, and appealed with clinical notes before payer deadlines lapse.
Old A/R Recovery Project
A focused recovery initiative targeting 60, 90, and 120+ day balances to recover uncollected cash without disrupting daily billing.
Eligibility & Prior Authorization
Real-time 270/271 insurance verification and pre-cert tracking before visits to eliminate front-end coverage rejections.
Credentialing & Enrollment
End-to-end commercial payer, Medicare PECOS, and Medicaid provider enrollment with proactive 120-day CAQH revalidation.
Medical Coding & Audits
Coding reviews to protect compliance, resolve under-coding, defend modifier utilization, and ensure timely filing across all specialties.
Clinical specialties we support
Compatible with all clinical specialties: Every medical field has distinct modifier rules, LCD frequency caps, and documentation requirements.
Cardiology
Diagnostic component splitting (-26/-TC), NCCI bundling on caths and stents, and compliant remote patient monitoring (99453–99458).
Cardiology details →Orthopedics & Spine
Global surgical periods (-24/-58/-78/-79), joint injections with modifier -25, DME compliance, and workers' compensation claims.
Orthopedic details →Surgery Centers (ASCs)
CMS-1500 (-SG) and UB-04 facility billing, implant invoice carve-outs, multiple procedure reductions, and modifier -73/-74.
ASC details →Pain Management
Medicare LCD facet block caps, epidural steroid injections (ESI), radiofrequency ablation relief logs, and bundled fluoroscopy edits.
Pain management details →Gastroenterology (GI)
Screening-to-diagnostic colonoscopy conversions (modifiers -33/-PT), multiple endoscopy base-code deductions, and sedation coding.
GI details →Dermatology & Mohs
Modifier -25 defense on same-day biopsies and cryotherapy, Mohs micrographic staging, excision plus margin rules, and pathology.
Dermatology details →Behavioral Health
Time-based psychotherapy code tracking (90832–90837), psychiatric E/M add-ons (+90833), and third-party carve-out payer routing.
Behavioral health details →Urgent Care & Walk-In
HCPCS urgent care S-code contracts (S9088 vs S9083), CLIA-waived testing with modifier -QW, and real-time eligibility sweeps.
Urgent care details →Multi-Specialty & Labs
Support for Neurology, Ophthalmology, ENT, OB/GYN, Pediatrics, Primary Care, and independent diagnostic testing facilities.
All specialties →How an engagement works with us
A streamlined, compliant transition with zero software disruption and zero upfront cost.
- Discovery & BAADay 1: Initial call, practice analysis, and mutual execution of our Business Associate Agreement before sharing data.
- 10-Point AuditPrompt review: We analyze de-identified aging reports and provide a written recovery roadmap and fee quote.
- Secure IntegrationWeek 1–2: We configure secure user access directly inside your existing EHR/PM system. No software migration.
- Workflows LiveWeek 2–3: On-time clean claim submissions begin, denial appeals are submitted within payer deadlines, and old A/R triage starts.
- Weekly ReportingWeek 4+: Plain-language weekly KPI reporting tracking days in A/R, clean claim rate, and net collections.
How much is sitting in your oldest bucket?
Calculate potential cash trapped in aging balances. Timely-filing deadlines make older claims increasingly unrecoverable if left unworked.
Estimated in the 90+ bucket
Commercial payers enforce timely-filing windows as short as 90 calendar days. Our audit identifies which balances are immediately recoverable.
Audit my A/R nowHIPAA security and system compatibility
We work inside your existing practice management infrastructure under strict federal Business Associate standards.
Work Inside Your Existing EHR
There is no software to install and no data migration required. Our billers work directly in your EHR/PM system, including athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, DrChrono, Prompt, ModMed, and Nextech.
BAA-First Compliance Standard
We execute a formal BAA before receiving any PHI. We enforce role-based minimum necessary access, AES-256 bit encryption, and full audit logging. Review our full policies in our Legal & Compliance Notice.
Frequently asked questions by physicians and practice administrators
How do your fees work?
We charge exclusively a percentage of verified revenue collected and deposited into your account. We charge $0 upfront, $0 for setup, and no monthly base fee. The exact percentage is quoted in writing after your diagnostic audit.
Do we have to change our EHR or clearinghouse?
No. We integrate into your existing setup, working directly inside your current EHR, practice management software, and clearinghouse.
Is patient data protected before we sign an agreement?
Yes. We sign a Business Associate Agreement (BAA) before receiving any Protected Health Information. The initial 10-point audit can also be performed from a de-identified A/R summary with zero patient identifiers.
What is your claim submission and appeal turnaround?
We submit clean claims on time adhering to strict payer timely filing deadlines. Denials and rejections are triaged and appealed promptly within payer deadlines.
Can you recover claims that were previously written off?
Yes, depending on each payer's contractual timely-filing and appeal windows. Our audit identifies workable balances and files corrected claims or appeals with medical documentation.
When and where is your team available?
Our dedicated account specialists support practices during standard US business hours (Monday through Friday, 9:00 AM to 6:00 PM Eastern Time).
Schedule a Call or Request a Complimentary Practice Audit
Whether you have general questions about our billing services or want a complimentary 10-point A/R review, choose the option below that best fits your practice. Please do not submit patient information through web forms.
Request your audit
Share a de-identified A/R aging summary only. A mutual BAA is executed before any PHI is shared.
Schedule a 15-minute call
Book a direct meeting with our advisory team for general inquiries, service evaluations, or exploratory strategy sessions.