The Website use cookies to improve user experience, analyze traffic and performance and to assist marketing campaign to deliver personalized content. You can either select ‘Accept All’ or customize your preferences by clicking on ‘Cookie Settings’.
The Website use cookies to improve user experience, analyze traffic and performance and to assist marketing campaign to deliver personalized content. You can either select ‘Accept All’ or customize your preferences by clicking on ‘Cookie Settings’.
Privacy Information
We work within your business hours and existing EHR and follow your protocols for multiple payer requirements and documentation standards to ensure complete, high-quality patient care.
We follow an end-to-end process for inbound and outbound communications, secure authorizations, and confirm that every referral packet is complete, including medical records and diagnostic documentation, and then return the complete records to the referring provider.
We submit, track to approval, and escalate when payers stall, staying ahead of recurring and one-time medication prior authorizations.
We handle records requests, incoming faxes, document management, chart prep, and triage refill requests so providers only see what needs a clinical decision.
We track MIPS measures year-round, including BP control, depression, tobacco screening, and A1c in diabetes, among others, to configure reporting by measure, provider, and timeframe, with ACO and HEDIS alignment.
We fix the root causes of downcoding, preventive bundling, eligibility lapses, and resubmission errors. We handle appeals thoroughly and support them with clinical documentation.
We follow up on aging claims starting at 30 days and continue through to completion, with ongoing reporting on denial issues so nothing gets lost in the queue.
Our staff triages every call in real time for sick visits, refills, results, referrals, billing, scheduling, and more. Every call deserves to be answered.
We manage the full credentialing and re-credentialing lifecycle, so a lapsed credential never stops payments.
We give you dashboards tuned to primary care, with E/M distribution, preventive capture rates, denial rates, clean claim rates, and A/R aging, so you can see whether your visit mix is billed at its full value.
Our certified coders review every superbill before submission, accurately leveling E/M, applying modifier -25, and capturing wellness visits, immunizations, and chronic care management.
Family practices operate at scale. Small inefficiencies multiply quickly and impact both revenue and patient experience. Here’s where things typically break, and how DrCatalyst fixes them.
Our certified coders inspect superbills by default, checking every claim against payer rules and NCCI edits before submission. This protects your MIPS quality measure capture from blood pressure control and depression screening to A1C and medication documentation.
Chasing authorizations, faxing records, and managing refills burn out experienced clinic staff. Outsourcing this tedious work improves morale and gives your team a far better return on their time in the office.
Staff turnover and a key employee out sick can hold up billing or other processes at a small practice. DrCatalyst provides business continuity and redundancy, multiple levels of supervision, and a trained team behind your account.
DrCatalyst team manages the referral process from start to finish. Our specialists track every incoming and outgoing referral, chase paperwork, and close the loop, reducing the burden on your clinical team.
We verify insurance eligibility automatically before every visit and again on arrival, catching plan changes and lapsed coverage. This helps in preventing denials and keeps the surprise factor and rework low for your front desk staff.
Automated platforms often hand a percentage of revenue cycle tasks back to the clinic. DrCatalyst performs these tasks completely, closing the gap that quietly drains reimbursement.
We identify patients who are due for preventive and wellness visits, reach out, and get them onto the schedule. It prevents missed visits, protecting both patient care and the revenue tied to them.
Family practices see many patients daily. Our team supports high-volume billing and other processes without compromising accuracy.
DrCatalyst’s team moves quickly and the results are showing much, much faster than our previous credentialing company. We are extremely pleased; keep up the good work!
Adriana Hernandez
VP, Compliance, Revenue Cycle & MSO, STeM Management LLC
Colorado
Our DrCatalyst team has been such a great help! Our credentialing is running smoothly especially since this is all new to us.
Jennifer Perez
Office Manager NeoKids LLC
Louisiana
We’ve never had this quality of work before. The DrCatalyst team is extremely good; they are doing a fabulous job. They are quick and on the top of everything.
Dr. Hargrove
Medical Director Clinica Medica General
California
DrCatalyst has never let me down. It’s a great partnership opportunity.
Tushar Patel
MD Children’s Medical Centers of Fresno
California
We have grown to five DrCatalyst staff within six months – all members have become a part of our team in such a positive way, our staff enjoys communicating with them. Thank you all for all you do!!
Michelle Castilleja
Clinical Director Northeast Endocrinology
Texas
The payment posting and A/R team at DrCatalyst have been doing an amazing job with their tasks. We are very happy with their work ethic and appreciate what they have done and continue to do for our practice.
Vikram Shah
Billing Specialist, Children’s Medical Clinic
California
Your claim resolution and diligence allowed for a large number of claims to be worked and removed from Aging AR with receipt of payment for these services. We could not have done this without you!!!
Heather Richmond-Munyon
Practice Manager Milan Eye Center
Georgia
I can honestly say the teamwork exhibited by DrCatalyst is unmatched by any other billing team I have worked with in the past twenty-five plus years.
Diane Johnson
DPM, Owner
Pennsylvania
We are very pleased with the coding work you all have been doing. We sincerely appreciate all of their assistance and knowledge.
Felix Sigal
DPM Owner LA Foot Pain
California
I appreciate DrCatalyst for helping us transfer records! You are helping our WP location staff tremendously!
Tammy Ortiz
Director of Billing Global Neuro and Spine Institute
Florida
DrCatalyst’s contribution has made a very positive impact on our practice. I would highly recommend DrCatalyst for RCM services.
Rene Steven
Practice Administrator
Wisconsin
DrCatalyst has a dedicated team assisting your account, a partnership highly recommended for your RCM requirements. They are professional, responsive, and always consistent with providing support and feedback in a timely manner.
Zacharia Facaros
DPM Owner
Pennsylvania
We highly recommend DrCatalyst to organizations and independent physicians, particularly those in specialized fields or small practices.
Patrick Caplis
CEO Solvera Health
Illinois
We give your business the edge with unmatched features working seamlessly together, delivering precision and efficiency like no one else.
Written protocols Liability Insurance 3+ Levels of Supervision 5 point IT protection HIPAA BAA included Comprehensive reports & KPIs 3rd party HIPAA compliance certification
Measure the top RCM KPIs every medical practice needs. These include days in A/R, clean claim rate, denial rate, net collection ra...
Billing costs 3–25% of revenue. Compare in-house vs. outsourced medical billing on cost, control, and scalability, and learn when ...
Confused by claim rejection vs. denial? Learn the difference between claim rejection and claim denial, their common causes, and ho...