Most practices lose 15–20% of revenue to billing mistakes, slow follow-up, and payers who bet you won't push back. We make sure you get paid — every claim, every time.
Most practices wait 45+ days. Ours don't.
That's how much more our clients typically bring in within the first three months.
The industry average is 82%. We get paid on the first try, almost every time.
If a payer owes it, we collect it. Nearly every dollar, every time.
3.7 points above the national standard. Clean claims mean faster payment.
Most practices see 5–10% denials. Ours see less than 2%. That's money in your pocket.
Every touchpoint of your revenue cycle, covered.
Capture the right information before the claim is ever created.
Accurate demographic capture and appointment management — clean data from the very first touchpoint.
Real-time insurance verification before every visit — eliminate coverage surprises and claim rejections.
Seamless referral coordination that keeps care transitions billing-compliant and payer-ready.
Proactive auth management to prevent delays and ensure procedures are approved before they happen.
Accurate coding and clean claim submission — the core of a healthy revenue cycle.
AAPC & AHIMA certified coders applying ICD-10, CPT, and HCPCS codes with specialty-specific precision.
Timely and accurate charge capture ensuring every service rendered translates into a billable claim.
Electronic submission to all major payers within 24 hours of service with real-time status tracking.
Same-day rejection resolution with root cause analysis to stop repeat errors from recurring.
Close the loop on every dollar — from payment posting to final collection.
Accurate ERA/EOB posting with balance reconciliation and secondary billing initiation.
Systematic denial tracking and resolution — we fight for every dollar payers try to withhold.
Clinical documentation support and payer-level appeal filing to overturn unjust denials.
Proactive AR management with aging reports and payer-specific escalation paths.
The operational backbone your practice needs — without adding headcount.
Zero disruption to your practice, guaranteed.
We analyze your current setup, find the revenue leaks, and deliver a detailed written report — at no cost, no strings attached.
A tailored plan built around your specialty, payer mix, and practice size. No cookie-cutter approaches, no wasted motion.
We integrate with all major EHR platforms and handle the full technical setup. Most practices are live within 72 hours.
Monthly performance reports, denial trend analytics, and a dedicated account manager who answers the phone.
We started SMadicale because we kept watching great practices bleed revenue through preventable billing problems — not because the doctors weren't skilled, but because the billing systems around them were broken, understaffed, or outsourced to firms that never picked up the phone.
We built something different: a boutique RCM firm that combines enterprise compliance with the responsiveness of a partner who knows your name.
Specialty-specific coders, payer knowledge, and modifier expertise — from day one.
Most practices are — find out exactly where in 24 hours. Free. No commitment.
Get My Free AuditSwitching to SMadicale cut our denial rate in half within 60 days. Their team actually calls us back — something our last vendor never did once in two years.
We were sitting on $280K in aging AR when we came to SMadicale. Within 4 months, they'd recovered 94% of it. I wish we'd found them sooner.
As a mental health group, our billing is complicated. SMadicale's coders actually understand our codes. Clean claim rate went from 87% to 97% in the first month.
The commitments behind every claim, every call, every client relationship.
Every client gets a named account manager — not a ticket queue. Someone who knows your practice and answers when you call.
Monthly performance reports whether the numbers are great or need work. You always know exactly what's happening.
No 3-year lock-in contracts. No penalty clauses. We earn your business month over month — the only loyalty that means anything.
Generalists lose money on modifier nuance. Our coders specialize in your field — they know the payer quirks and audit risks.
HIPAA, SOC 2 Type II, HITRUST — these aren't badges. They're the minimum standard. Your data is handled like it's our own.
We measure by revenue recovered, denials prevented, and the time we give back to you and your staff.
Everything you need to know about enrolling with payers across multiple states without losing claim revenue.
How to negotiate reimbursement rates and fee schedules — and what most practices get wrong on renewals.
When and how to apply the JB modifier — with real claim examples and common denial scenarios.
Free audit. No contracts. No disruption to your practice.
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