Denied and rejected claims
Claims turned away for coding, eligibility, or submission errors that never receive meaningful follow-up.
Anchored Revenue
Revenue Cycle Management
Your Revenue Deserves More Than a Billing Department.
Revenue Advocacy. Full-Cycle Accountability. Complete Visibility.
From unpaid claims and payer headaches to the everyday demands of managing billing, we help healthcare organizations take control of their revenue cycle. Our team brings hands-on billing expertise, persistent follow-through, and the operational perspective to address problems beyond the claim itself.
The revenue challenge
Revenue Shouldn't Get Lost Between the Cracks.
Revenue problems rarely begin and end with a claim. Missed follow-ups, authorization gaps, payer delays, and disconnected workflows can quietly affect collections. We help identify where revenue is getting stuck and what needs to happen next.
Aging accounts receivable
Outstanding balances that drift past 60, 90, and 120 days while staff focus on today's work.
Authorization and eligibility gaps
Services delivered outside authorization, expiring approvals, and coverage surprises that surface as denials.
Payer delays and underpayments
Slow responses, payments below contracted rates, and claims that require repeated escalation to move.
Credentialing and configuration issues
Enrollment problems and system setup errors that quietly block reimbursement for months.
Limited revenue visibility
Leadership without reliable reporting on collections, denials, aging, or payer performance.
A different kind of RCM partner
We Don't Just Work Your Claims. We Advocate for Your Revenue.
Behind every unpaid claim is a reason. We believe those accounts deserve more than another status check. Our team investigates what's holding reimbursement up, follows through with payers, and looks for the operational issues that keep the same problems coming back.
Account-Level Revenue Advocacy
We investigate reimbursement barriers, pursue payer resolution, and maintain accountability for the accounts within our scope.
Financial Visibility & Accountability
We give leadership meaningful insight into collections, receivables, denials, and payer performance.
Operational Expertise Beyond Billing
We understand how intake, authorizations, credentialing, scheduling, documentation, and technology affect reimbursement.
Our RCM solutions
The Right Revenue Support. At Every Stage.
Whether you need a team to manage your revenue cycle or additional support recovering outstanding payments, we'll build an engagement around the work your organization needs.
Comprehensive Revenue Cycle Management
Connected revenue cycle management that brings claims, collections, payer follow-up, and agreed administrative functions together under one accountable team.
Let’s find the right fit
Solutions Built Around Your Business
From your first billing workflows to a multi-site revenue operation, we’ll shape support around your claims, payer mix, team, and priorities. Tell us what’s getting stuck and what you’d like your revenue cycle to do better.
Let’s TalkComprehensive support
What's Included in Comprehensive RCM
Claims & Billing
- Claim preparation and submission
- Claim scrubbing and corrections
- Rejection management
- Payment posting and reconciliation
- Secondary claims coordination
Denials & Revenue Recovery
- Denial investigation and appeals
- Payer follow-up and escalation
- Underpayment investigation
- Aged A/R management
- Root-cause analysis
Authorization Support
- Authorization tracking
- Renewal monitoring
- Utilization monitoring
- Authorization-related denial investigation
- Submission and renewal coordination when contracted
Credentialing & Enrollment
- Credentialing coordination
- Payer enrollment applications
- Enrollment status tracking
- Rendering-provider configuration support
- Medicaid enrollment coordination when contracted
Patient & Family Collections
- Patient responsibility tracking
- Statements and balance follow-up
- Copay and coinsurance workflows
- Payment reconciliation
Reporting & Revenue Intelligence
- Collections reporting
- A/R aging
- Denial trends
- Payer performance
- Recovery tracking
- Operational recommendations
Our connected approach
Capri Revenue360
Every Step Accounted For.
Revenue doesn't begin when a claim is submitted, and it doesn't end when payment arrives. Our approach connects the administrative, payer, and financial processes that influence reimbursement.
Eligibility & Benefits
Insurance eligibility, benefit verification, coordination of benefits, and patient responsibility workflows.
Revenue360 connects the work across your revenue cycle. Individual components and targeted projects are available separately.
Specialized revenue solutions
Built Around the Care You Deliver.
Different specialties come with different payer rules, billing requirements, and reimbursement challenges. Our approach accounts for the work behind the care.
ABA Revenue Cycle Management
Specialized support for ABA organizations navigating CPT codes, BCBA/RBT rendering requirements, authorizations, payer rules, Medicaid, TRICARE, and reimbursement challenges.
Explore ABA RCM →Therapy Revenue Cycle Management — Speech, Occupational & Physical Therapy
Revenue cycle services for speech-language pathology, occupational therapy, and physical therapy practices — evaluations, treatment billing, visit limits, documentation, authorizations, denials, and collections.
Explore Therapy RCM →Psychology & Mental Health Revenue Cycle Management
Specialized support for psychology, counseling, psychotherapy, psychiatry, and outpatient mental health practices — behavioral health payer requirements, telehealth, testing services, credentialing, denials, and collections.
Explore Mental Health RCM →Medical Billing & Revenue Cycle Management
Comprehensive billing and revenue cycle support for physician groups, outpatient medical practices, and specialty providers — claims, reimbursement, payment posting, denials, A/R management, and financial reporting.
Explore Medical Billing →Working together
Clear Responsibilities. Clear Expectations.
Before we begin, we'll define what we're responsible for and what reporting you'll receive. No guessing about what's covered or who's handling the next step.
Defined Scope
Your agreement outlines the services, responsibilities, and volumes included.
Support Matched to Your Operation
Your claims volume, payer mix, team, and priorities shape the engagement.
No Surprise Add-Ons
Material changes to scope are discussed and approved before additional charges apply.
Clear Accountability
We establish ownership, reporting expectations, and communication processes during onboarding.
Your proposal sets out responsibilities, communication, and engagement terms. Third-party software, clearinghouse, or payer charges remain separate where applicable.
In-house vs. outsourced RCM
Your Billing Department Costs More Than Payroll.
Salaries are only one part of managing revenue internally. Explore your current staffing, benefits, and overhead before deciding which responsibilities you want a partner to take on.
Compare responsibilities and cost categories
| Category | In-house billing | Capri support |
|---|---|---|
| Billing staff salaries | Fixed payroll for each team member, regardless of monthly volume. | An experienced team manages the billing responsibilities you choose to entrust to Capri. |
| Benefits and payroll overhead | Employer taxes, benefits, and other employment costs. | Your retained staff and their employment costs remain with your organization. |
| Recruitment and turnover | Hiring, onboarding, and coverage gaps when staff leave. | Capri manages its own team within the agreed responsibilities and coverage. |
| Training and supervision | Payer and workflow training plus management time. | Capri oversees its team; your leadership reviews reporting and approves decisions. |
| Claims, denials, and receivables | Managed within your team’s capacity. | Connected claims, denial investigation, payer follow-up, and receivables support. |
| Reporting and systems | Internal tools, reporting, and software subscriptions. | Clear revenue reporting while working within supported practice-management systems. |
Understand Your In-House Billing Costs.
Use your own figures to estimate the resources behind your current billing operation.
- Estimated annual in-house cost
- $131,000
- Estimated monthly in-house cost
- $10,917
What Would You Like to Take Off Your Team’s Plate?
Share your priorities with us. We’ll discuss the responsibilities, reporting, and level of support that make sense for your organization.
Discuss Your NeedsEducational estimates based on your inputs, not a Capri proposal or guaranteed savings. Retained staff, software, and other operating costs remain separate. Inputs stay in your browser unless you choose to attach them to an assessment.
Optional: share these in-house figures with our team.
Revenue visibility & reporting
Know Where Your Revenue Stands.
You shouldn't have to wonder what's been collected, what's outstanding, or why claims aren't moving. Our reporting is designed to give leadership a clearer picture of revenue performance and the work happening behind the numbers.
The Capri Revenue Clarity Assessment
Where Is Your Revenue Getting Stuck?
Tell us a little about your practice, your current billing operation, and the challenges you're facing. We'll help identify where a closer look could make a difference.
An automated questionnaire is not a completed professional audit, expert review, or financial projection. It is a preliminary starting point for a conversation with our team.
The Capri Revenue Clarity Assessment
Approximately 3–5 minutes · Five steps
Your questions
Frequently Asked Questions
What collection rate can we expect?
Our goal is to collect the revenue your practice is entitled to, not simply submit claims. We monitor collections, investigate underpayments, pursue denials, and identify issues affecting reimbursement. We'll establish performance goals based on your payer mix, existing receivables, and current billing performance rather than promise a one-size-fits-all collection rate.
How quickly will our claims be submitted and paid?
We prioritize timely claim submission, consistent follow-up, and early identification of payment delays. Actual reimbursement timelines depend on your payers, documentation, and claim requirements. We'll establish clear turnaround expectations and monitor claims that aren't moving as they should.
Will we have visibility into our revenue and billing performance?
Absolutely. You'll receive reporting on collections, outstanding A/R, denials, payer trends, and recovery activity. We want you to know what's been paid, what's outstanding, what's holding things up, and what we're doing about it. Reporting frequency and format are established during onboarding.
Will you train our staff and help improve our workflows?
Yes. Billing problems often begin long before a claim reaches the payer. We work with your team to identify issues in intake, authorizations, documentation, and other revenue-related workflows. Training and implementation support can be incorporated into your engagement so improvements extend beyond the billing department.
Can you help recover old or denied claims?
Yes. We investigate aging receivables, denied claims, underpayments, and unresolved payer issues. We can include recovery work in a comprehensive RCM engagement or structure a targeted project if you already have an internal billing team.
Do we need to change our EHR or replace our billing team?
Not necessarily. We can work within supported EHR and practice-management systems and collaborate with existing staff. We'll assess your current setup and recommend changes only when they would meaningfully improve the operation.
Connected Practice Support
For independent BCBAs: Capri Practice Partners →
Supporting Practices Across State Lines.
Our team works remotely with healthcare organizations across the country, with on-site support considered when an engagement calls for it.
Explore Nationwide Services →Let's talk revenue
Your Revenue Deserves a Clearer Path Forward.
Whether you're dealing with unpaid claims, growing billing demands, or a revenue cycle that needs stronger oversight, we'll help you determine the right next step.