Coding, prior auth,
and denials, handled.

Certified coders, prior-authorisation specialists, denial management, and AR follow-up. Embedded in your EHR within thirty days. Measured against days-in-AR and clean-claim rate, not headcount.

The problem

Revenue cycle is the silent margin leak.

A 6% denial rate, 48 days-in-AR, and a 91% clean-claim rate are typical mid-market numbers. They are also the difference between a healthy practice and one quietly grinding through working capital.

The constraint is rarely the EHR. It is staffing. Certified coders are scarce, prior-auth specialists are scarcer, and denial management is the work that gets deferred when the in-house team is stretched.

Famaash provides credentialed RCM staff embedded in your existing tools. No EHR replacement. No data migration. Just the staffing layer that compounds.

How we run it

Four layers, one revenue cycle.

Coding, prior auth, denials, and AR follow-up, staffed under our entity, working in your systems, reporting against your numbers.

01

Certified coding

CPC, CCS, and CRC-certified coders for E&M, surgical, and specialty coding. Audit-ready documentation review.

02

Prior authorisation

Specialty-specific prior-auth specialists, with payor portals and phone follow-up. Median turnaround under 48 hours.

03

Denial management

Denial root-cause analysis, appeal authoring, and payor-specific denial pattern reporting. Recoverable AR pursued first.

04

AR follow-up

Patient AR, payor AR, and write-off discipline. Days-in-AR reported weekly, escalation lanes for high-balance accounts.

Anchor results

A multi-specialty group, 18 service lines.

Days-in-AR
34
Down from 51
Clean-claim rate
97%
Up from 91%
Denial recovery
+38%
Quarter over quarter
Methodology

Thirty days from BAA to embedded coders.

IDays 1 to 14

BAA & baseline

  • BAA before any data flows
  • Days-in-AR baseline established
  • Denial pattern audit
  • Coder credential alignment
IIDays 15 to 30

Embed

  • Coders live in your EHR
  • Prior auth queue staffed
  • Denial backlog triaged
  • AR follow-up cadence set
IIIDay 31 onward

Quarterly cadence

  • Weekly days-in-AR reporting
  • Quarterly denial pattern review
  • Coder accuracy audited monthly
  • Annual payor-mix review
Related healthcare capabilities

Continue exploring the practice.

The healthcare audit

See where your pipeline
is leaking.

A four-question audit benchmarked against the Famaash anchor engagement. Numbers in your inbox the same day.