60%
MGMA Stat, March 2024 (n=235)Rising denials
Three in five medical groups report denial rates rising year over year.
Medical billing & RCM for independent practicesCollect Every Dollar You've Earned.
Collect Every Dollar You've Earned.
Cut Denials Before They Happen.
Specialty-assigned billing for independent practices with 35-40 providers. We work inside the EHR you already use. You see what we collect, and you know the price before you sign anything.
- HIPAA Compliant
- BAA on Day One
- No Setup Fees
- No Long-Term Contract
- US-facing team
- 24-hour processing
The problem
Revenue leaks quietly, one claim at a time.
13.5%
MGMA DataDive, 2021 · 42 CFR 405.942Aged AR nobody works
Claims sit past 120 days until they time out. By then Medicare's first-level appeal window has closed too.
25 min
CAQH Index 2024No revenue visibility
You learn about a collection problem weeks late, because checking where one claim stands is still the most time-consuming task in the revenue cycle.
13 weeks
BCBS of Texas · Ohio Rev. Code 3963.06 · La. R.S. 22:1009Providers not enrolled
New hires see patients before payers will pay for them. Effective dates are not backdated.
Services
The full revenue cycle, handled by people who know your specialty.
Front-end
Get paid-ready before the visit
Confirm coverage and enrollment so clean claims start at the front desk.
- Insurance Eligibility & Benefits Verification
- Provider Credentialing & Payer Enrollment (CAQH, PECOS, commercial payers)
Mid-cycle
Code and submit it right the first time
Certified coders and pre-submission scrubbing to protect first-pass rate.
- Medical Coding (ICD-10, CPT, HCPCS) by certified coders
- Charge Entry & Claim Scrubbing
- Electronic Claims Submission via clearinghouse
Back-end
Collect every dollar owed
Every payment posted and every denial worked, down to the last patient balance.
- Payment Posting (ERA / EOB)
- Accounts Receivable Follow-up (30/60/90-day protocol)
- Denial Management & Appeals
- Patient Statements & Balance Follow-up
Visibility
Know where your revenue stands
The numbers that matter, reported the same way every month.
- Monthly KPI Reporting: net collections, denial rate, days in AR, first-pass rate
- Read-only KPI Dashboard Access
Available as a full end-to-end package or à la carte (credentialing and AR cleanup can be engaged separately).
How it works
From first look to steady collections in four steps.
Free billing assessment
We review a sample of your claims and AR and show you what we find.
Custom plan and BAA
A scoped plan, a quoted rate, and a signed BAA before any data moves.
14-day onboarding
You keep your existing EHR/PM. There is no software switch and nobody has to be retrained. Claims already in flight keep moving while we take over.
Ongoing billing
Daily claims work with a monthly performance review you can act on.
Specialties
Coders assigned by specialty, not by queue.
Each practice is matched with coders who work your specialty's codes and payer rules every day.
- Orthopedics
- OB/GYN
- Dermatology
- Podiatry
- Primary Care
- Behavioral Health
- Physical Therapy
- Urgent Care
- Internal Medicine
- Pediatrics
- + more
Works with your systems
- eClinicalWorks
- athenahealth
- Tebra (formerly Kareo)
- AdvancedMD
- NextGen
- Office Ally
- DrChrono
- Practice Fusion
- + more
We work inside the system you already use, so nothing has to be migrated.
Why us
The terms most billing vendors won't put in writing.
| Typical billing vendor | Execil | |
|---|---|---|
| Setup fees | Common | None |
| Contract | Multi-year | Month-to-month |
| Pricing | Opaque | % of collections, quoted upfront |
| Reporting | Monthly PDF | Live / monthly KPI dashboard |
| Your data | Lives in the vendor's system | Stays in your EHR, on your accounts |
| Switching | Weeks of parallel running | 14 days, no gap in submissions |
| Team | Pooled generalists | Specialty-assigned team |
| Account manager | Ticket queue | Named US-hours contact |
Setup fees
Typical billing vendorCommonExecilNone
Contract
Typical billing vendorMulti-yearExecilMonth-to-month
Pricing
Typical billing vendorOpaqueExecil% of collections, quoted upfront
Reporting
Typical billing vendorMonthly PDFExecilLive / monthly KPI dashboard
Your data
Typical billing vendorLives in the vendor's systemExecilStays in your EHR, on your accounts
Switching
Typical billing vendorWeeks of parallel runningExecil14 days, no gap in submissions
Team
Typical billing vendorPooled generalistsExecilSpecialty-assigned team
Account manager
Typical billing vendorTicket queueExecilNamed US-hours contact
Who we're built for
A strong fit if
- You're an independent practice with 35-40 providers
- Denials are rising or AR is aging
- You want real visibility into collections
- You're adding providers who need credentialing
Less of a fit if
- You need the facility's own billing (UB-04) for a hospital or surgery center
- Your practice is mostly cash-pay
- You want to keep a full in-house billing team
Results
What changes when the cycle is worked.
Execil is new, so there are no client outcomes to publish here yet. We will publish them once they are measured and the client has approved sharing them, not before.
What we report, every month
Net collections
What actually arrived, against what was billable. This is the number your fee is calculated on.
Denial rate
The share of claims denied, with the reason codes behind them, so you can see the cause and not just the total.
Days in AR
How long money sits before it reaches you, and how much of it has aged past 120 days.
First-pass acceptance
The share of claims accepted on first submission, before anyone has to rework them.
FAQ
Common questions
Do you work inside our existing EHR?
Yes. We work inside your existing EHR/PM, so there is no software switch and no retraining.
How long does onboarding take?
Fourteen days from a signed BAA to steady-state claim submission, in most cases.
Is there a long-term contract?
No. The engagement is month-to-month, and there are no setup fees.
How is pricing structured?
A percentage of collections, quoted upfront before any work begins.
Will we lose control of our billing?
No. We work inside your EHR under accounts you create and can revoke. Every claim, note and payment stays in your system, and the read-only KPI dashboard shows the same numbers we work from. If you leave, there is nothing to hand back.
What happens to claims already out when we switch?
They keep moving. We pick up your open AR and the existing work queue on day one, so submissions never stop while onboarding runs.
How is patient data protected?
A BAA is signed before any data moves, and patient records stay in your systems rather than moving into ours.Read the HIPAA Statement
Can you take on aged AR cleanup only?
Yes. Credentialing and AR cleanup can be engaged separately from full billing.
Free · No obligation
Get a Free Billing Assessment
Send us a sample of recent claims and your AR aging. We'll show you where revenue is leaking and what it would take to fix it.
- Written findings within 5 business days
- Reviewed by a coder in your specialty
- BAA signed before any data is shared