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Revenue Cycle Management for Specialty Providers

We don't just bill —
we optimize.

Precision Revenue Group recovers the revenue your current billing setup is leaving on the table. Specialty-focused. Data-driven. A named person who picks up the phone.

≥95%
Net collection rate target
≤5%
Denial rate target
≤45
Days in AR target
Where most practices stand today vs. PRG targets
Average denial rate (specialty)15–30%
Average days in AR52 days
Revenue left uncollected8–12%
PRG denial rate target≤ 5%
PRG days in AR target≤ 45 days
PRG net collection target≥ 95%
See Your Revenue Opportunity →
Free · No obligation · 30-minute call
The Problem

These are not billing problems.
They are revenue leakage problems.

15–30%
of claims denied on first submission
Payers exploit documentation gaps and coding errors, returning your revenue months later — or never. Specialty practices are hit hardest.
52 days
average days in AR for specialty practices
Every day in AR is a day your money isn't working for you. Cash flow suffers when outstanding claims sit uncollected for weeks.
8–12%
of collectible revenue left on the table
Undercoding, missed charges, and poor denial follow-up silently drain revenue from even well-run practices. Most don't know what they're missing.
These problems are solvable — and they're exactly what we were built to fix.
What We Do

Full-cycle RCM built for specialty practices

We handle every step of your revenue cycle — billing, posting, AR, and denials — so you can focus on patients, not paperwork.

View All Services →
📋
Medical Billing & Claims
Charge entry, coding review, and clean claim submission within 24 hours. Clean claim rate target: ≥ 95%.
📊
AR Follow-Up & Collections
Proactive daily follow-up on every outstanding claim. Nothing falls through the cracks.
🛡️
Denials Management & Appeals
Root-cause denial analysis, professional appeals, and trend reporting to prevent the same denial twice.
💡
RCM Consulting
Revenue audits, payer contract review, workflow redesign. We find what others miss.
Specialties We Serve

We go deep, not wide — expertise where the revenue cycles are most complex

Pain Management
Orthopedics
Podiatry
General Surgery
Ambulatory Surgery Centers
Cardiology
Neurology
+ More
How It Works

From assessment to revenue in 21 days

A structured process that eliminates guesswork and gets your revenue moving fast.

1
Free Assessment
We analyze your billing and show you exactly where revenue is leaking — specific dollar amounts.
2
Custom Proposal
A tailored fee structure and 90-day roadmap specific to your specialty and payer mix.
3
Sign & Onboard
MSA, BAA, and SOW executed. System access set up. First claims in 21 days.
4
Optimize & Report
Monthly reports by Day 10. Quarterly Business Reviews. Ongoing revenue recovery.
Free — No Obligation

See how much revenue your practice is leaving behind

We'll analyze your collections rate, denial rate, and AR aging — and show you the exact dollar opportunity in a 30-minute call. No pitch. Just data.

What We Do

Revenue cycle services
built for specialty medicine

Every service PRG offers is designed around one outcome: maximizing the revenue your practice has already earned.

Service 01

Medical Billing & Charge Entry

We receive charges, review them for coding accuracy, scrub claims before submission, and get clean claims to payers within 24 hours. Nothing sits. Nothing gets missed.

  • Charge entry from provider documentation within 24 hours
  • CPT and ICD-10 coding review with modifier application
  • Claim scrubbing and error resolution before submission
  • Electronic submission to all major payers
  • Eligibility verification and prior authorization support
  • Clearinghouse rejection management and resubmission
PRG Performance Commitments
Clean claim rate≥ 95%
Charge entry lag≤ 3 business days
Same-day entry rate≥ 80%
Timely filing denialsZero
Rejection rate≤ 2%
Service 02

Accounts Receivable Follow-Up

We work your AR daily using a priority framework. Claims 31–60 days get portal checks. Claims 61–90 get phone escalation. Claims over 90 get immediate supervisor escalation.

  • Daily AR aging report review with priority-based follow-up
  • Insurance follow-up via payer portal and provider services
  • Every payer contact documented with rep name and outcome
  • Patient statement generation and balance follow-up
  • Escalation to payer supervisors for 91+ day claims
  • Monthly AR reporting with days in AR trend analysis
PRG Performance Commitments
Days in AR target≤ 45 days
AR > 90 days≤ 15% of balance
First contact rate (31–60 day)≥ 95%
Documentation rate100%
Service 03

Denials Management & Appeals

Every denial gets evaluated for appeal potential before any write-off is considered. Industry data shows 60–70% of denied claims are recoverable on appeal.

  • Denial identification and categorization by type
  • Root-cause analysis to identify systemic patterns by payer
  • Professional appeal letters with supporting documentation
  • Appeal tracking with 30, 60, and 90-day follow-up triggers
  • Monthly denial trend reporting to prevent recurring denials
  • Quarterly denial prevention report for your leadership
PRG Performance Commitments
Denial rate target≤ 5%
Appeal submission rate≥ 95%
Appeal overturn rate≥ 60%
Denial response time≤ 5 business days
Service 04

RCM Consulting

Beyond billing: we audit your revenue cycle, identify structural opportunities, review your payer contracts, and redesign workflows that are costing you money.

  • Revenue opportunity audit — quantify what you're leaving on the table
  • Payer contract review and renegotiation strategy
  • Charge capture and coding workflow analysis
  • EHR and practice management system optimization
  • Credentialing support and payer enrollment
  • ASC facility billing setup and revenue optimization
Consulting Engagement Types
Revenue opportunity auditProject-based
Payer contract reviewProject-based
Monthly retainerOngoing advisory
Hourly consulting$150–$300/hr
Pricing

Flexible, transparent pricing

Fees calculated on net collections only. We get paid when you get paid. No hidden fees. No long-term lock-in.

Full RCM
4–8%
of net collections
  • Medical billing & charge entry
  • Payment posting
  • AR follow-up
  • Denials management
  • Monthly reporting
Get Started
Most popular for specialty practices
Consulting Only
$150–300
per hour or project fee
  • Revenue cycle audits
  • Denial pattern analysis
  • Payer contract review
  • EHR optimization
  • Credentialing support
Get Started
For in-house billing teams

All engagements include a signed BAA and MSA. 90-day notice to cancel. No collections, no fee.

Specialties We Serve

We go deep, not wide.

Generic billing companies fail specialty practices because specialty billing isn't generic. We built PRG around the practices with the most complex revenue cycles.

Phase 1 Specialties

Our core specialty focus

The specialties where PRG has deepest expertise and where the revenue opportunity is highest.

🩹
Pain Management
Interventional · High complexity · High denial rate
"Interventional procedure denial rates have increased 22% since 2022. We specialize in exactly this."
  • Prior authorization failures for interventional procedures
  • Medical necessity denials requiring clinical documentation appeals
  • Medicare LCD compliance for pain management services
  • Opioid prescribing documentation scrutiny
  • Complex modifier usage for fluoroscopy-guided procedures
🦴
Orthopedics
Implants · Global periods · Modifier complexity
"Implant billing errors and global period mismanagement cost orthopedic practices $15K–$40K per month."
  • Implant pass-through billing and invoice reconciliation
  • Global surgical package management (0, 10, and 90-day)
  • Multiple procedure reduction optimization
  • Assistant surgeon billing (modifier 80/82)
  • Medicare vs. commercial reimbursement differences
🦶
Podiatry
Medicare LCD · Routine foot care rules
"The difference between a covered and denied diabetic nail care claim is one documented finding. We know which one."
  • Medicare Routine Foot Care exclusion navigation
  • Diabetic foot care LCD compliance and documentation
  • Class findings documentation for covered nail care
  • Coding for wound care and reconstructive procedures
  • Covered vs. non-covered podiatric service distinctions
⚕️
General Surgery
Global periods · Multi-procedure · Co-surgeon
"Co-surgeon and assistant surgeon billing alone recovers $15K–$30K per month for most general surgery practices."
  • Global period tracking and separate E/M visit billing
  • Co-surgeon (modifier 62) and assistant surgeon billing
  • Multiple procedure reduction rules and modifier 51
  • Hospital outpatient vs. ASC facility billing coordination
  • Same-day procedure bundling rules
🏥
Ambulatory Surgery Centers
Facility + professional · Implant pass-through
"ASC payer contracts for facility fees are almost always underpriced without active management."
  • UB-04 facility billing separate from CMS-1500 professional claims
  • Implant and supply pass-through billing and documentation
  • ASC-specific payer contract review and renegotiation
  • HCPCS and ASC grouper rate optimization
  • Carve-out procedure identification and billing
Year 2 Expansions
Coming soon
"Don't see your specialty? Contact us — we may still be the right fit."
  • Cardiology — device billing, high-dollar claims
  • Behavioral Health — carve-out payers, documentation-heavy
  • Neurology — EEG/EMG, complex E&M coding
  • Gastroenterology — endoscopy, ASC-heavy practice
  • Rheumatology — infusion billing, specialty drugs
Why PRG

What sets us apart

1
Specialty-first expertise
We don't serve every practice type. We go deep on specialties with complex coding and payer behavior — where generic billers get it wrong.
2
Outcomes-based partnership
Our fees are tied to your collections. When we recover more revenue for you, we grow together. Our incentives are completely aligned with yours.
3
A named person, not a ticket number
You get a dedicated account manager who knows your payer mix, your providers, and your practice by name. No call centers.
4
HIPAA-first compliance
Documented compliance program, BAA with every client, encrypted systems, and annual staff training. Compliance is foundational here.
FeaturePRGLarge NationalOffshore
Specialty expertisePartial
Dedicated account manager
RCM consulting included
HIPAA-first complianceVaries
Transparent monthly reportingPartial
US-based teamPartial
No long-term lock-in
About PRG

Built for the practices
that generic billing ignores

Precision Revenue Group was founded to solve the most expensive problem in specialty healthcare: revenue that practices have already earned but never collect.

[IN]
[Your Name]
Founder & Revenue Cycle Strategist · Precision Revenue Group, LLC

[Replace this with your personal story. Include your years of RCM experience, which specialties you've worked with, what you saw in the market that made you start PRG, and your philosophy about billing and provider relationships. This page converts warm referrals — make it personal.]

Based in
Louisiana · Serving providers nationally
Our Story

Why we built PRG

Specialty providers face a billing environment that generic RCM companies aren't equipped to navigate. Pain management practices deal with aggressive payer audits on interventional procedures. Orthopedic groups lose thousands every month to implant billing errors. Podiatrists watch legitimate Medicare claims get denied for documentation gaps a knowledgeable biller would have caught at charge entry.

The national billing companies promise everything and deliver average results. The offshore companies are cheaper and deliver what you'd expect.

PRG exists in the gap: a specialty-focused firm that knows the payer policies, the coding nuances, and the appeal strategies specific to the practices we serve. Not because we read about them — because we've worked in them.

Work With Us →
How We Work

Our operating principles

Outcomes over activity
We don't measure success by claims submitted. We measure it by net collection rate, denial rate, and days in AR.
Transparency in everything
Monthly reports by Day 10. Quarterly business reviews. Real-time access to your billing data. You always know what we're doing and why.
Compliance is non-negotiable
HIPAA-compliant infrastructure. BAA with every client. Encrypted systems. Annual staff training. We protect your patients' data.
Relationships over transactions
We want to be your revenue partner — not your vendor. That means knowing your practice, your providers, and your goals.
Compliance & Infrastructure

Built to protect your practice

Every engagement includes these protections — not as add-ons, but as the baseline.

🛡️ HIPAA Business Associate Agreement
🔒 End-to-end encryption
✅ HIPAA-compliant email & file sharing
📋 Annual HIPAA staff training
🔍 Monthly OIG exclusion checks
📄 Formal master services agreement
🏥 Cyber liability insurance
⚖️ Professional liability (E&O) insurance
Resources

Specialty RCM insights
you won't find elsewhere

Guides, benchmarks, and analysis built for the billing challenges specific to your specialty. No generic content — everything is specialty-specific and immediately actionable.

Free Guides

Download and use today

Enter your name and email to receive any guide. No spam. Unsubscribe anytime.

Guide · Orthopedics
The Orthopedic Billing Playbook: Implants, Global Periods, and Modifier Mastery
The 5 most expensive orthopedic billing errors and exactly how to prevent each one. Includes PRG's modifier decision matrix.
Download free guide
Guide · Pain Management
Top 5 Medicare LCD Denials for Interventional Pain — and How to Prevent All Five
Interventional pain denial rates have risen 22% since 2022. This guide covers the 5 most common LCD-related denials.
Download free guide
Guide · Podiatry
Medicare Routine Foot Care: The Complete Guide to Covered vs. Non-Covered Services
The documented finding that makes the difference between a covered diabetic nail care claim and a denial.
Download free guide
Benchmark Report · All Specialties
2025 Specialty Practice AR Benchmarks: Where Does Your Practice Stand?
Days in AR, denial rates, and net collection rates by specialty. Know how your practice compares to the top quartile.
Download free report
Checklist · ASC
ASC Revenue Cycle Checklist: 12 Places Your Facility Is Leaving Money Behind
Facility billing gaps, implant pass-through errors, and payer contract opportunities for physician-owned ASCs.
Download free checklist
Tool · All Practices
Free Revenue Opportunity Calculator: See Your Practice's Dollar Gap in 5 Minutes
Enter your denial rate, days in AR, and collection rate. The calculator shows your exact annual recoverable revenue.
Try the calculator
Specialty Insights

From the PRG billing desk

Orthopedics
Why Orthopedic Practices Rank in the Bottom Quartile for Clean Claim Rates
Three billing patterns consistently appear in orthopedic practices with clean claim rates below 90%. Here's what they are and the specific fixes that move the needle.
PRG Billing TeamComing soon
Pain Management
The 2025 Payer Landscape for Interventional Pain: What's Changed and What It Means for Your Claims
Payer medical necessity policies for spinal cord stimulation, epidural steroid injections, and facet blocks have shifted. Here's how to document around it.
PRG Billing TeamComing soon
General Surgery
Global Period Management: The Billing Gap That Costs Most Practices $20K+ Per Month
The 90-day global period is one of the most consistently mismanaged concepts in surgical billing. Here's how practices lose money on it.
PRG Billing TeamComing soon
ASC
Physician-Owned ASC Payer Contracts: Why Yours Is Almost Certainly Underpriced
ASC facility contracts are rarely reviewed with the same rigor as physician contracts. The average physician-owned ASC is leaving 12–18% on the table.
PRG Billing TeamComing soon
Book Your Assessment

Let's start with a free
revenue assessment

No pitch. No pressure. We analyze your billing performance and show you exactly how much revenue PRG can recover — specific dollar amounts.

What to expect on the call
A 30-minute conversation focused entirely on your practice's revenue performance — not on selling you anything.
📍
Location
Louisiana · Serving providers nationally
📞
Phone
(___) ___-____
✉️
Email
info@precisionrevenuegroup.com
🌐
Website
precisionrevenuegroup.com
After you submit the form:
1
PRG responds within 1 business day to schedule your 30-minute discovery call
2
We review your denial rate, AR aging, and collection rate before the call
3
You receive a custom Revenue Opportunity Assessment showing your exact dollar gap
4
If it's a fit, we present a custom proposal — no obligation to proceed
Book your free assessment
Complete the form and we'll respond within 1 business day.
By submitting this form, you agree to be contacted by Precision Revenue Group. No PHI should be submitted here. Your information is kept strictly confidential and never shared.