athenahealth Billing &
RCM Specialists.
Maximize your athenahealth investment with expert-level configuration and revenue optimization.
Optimize my athenahealth Revenue
How We Work Inside athenahealth
Custom Rules Engine in athenaOne
We configure athenaOne's claim rules engine to catch coding errors, missing modifiers, and payer-specific requirements before claims are submitted — reducing rejections at the source.
Automated Eligibility & Auth Workflows
We leverage athena's built-in eligibility API with an expert oversight layer, ensuring every patient's coverage is verified and prior authorizations are tracked to prevent avoidable denials.
Denial Workflow Optimization
Our team works the athena denial worklist daily, prioritizing high-value claims, identifying denial patterns by payer, and implementing permanent fixes to stop recurring issues.
We Work Directly in athenahealth —
No Data Migration
Your data stays in your EMR instance. We operate inside your existing system.
Review athenaOne Configuration
Audit your current rules engine setup, payer enrollment status, and charge capture workflows to identify revenue leakage points.
Map Payer-Specific Rules
Configure claim edits and payer rules directly in athenaOne to match your top payers' submission requirements.
Optimize Charge Capture
Work with your clinical team to ensure all billable encounters flow into athena without gaps or delays.
Manage Denial Worklist Daily
Monitor and resolve denials within athena's workflow tools, appealing claims and tracking resolution rates by payer.
Report via athena Dashboards
Deliver weekly performance reports using athenaOne's native analytics — no external tools required.
Specialties We Support on athenahealth
Ready to get more out of athenahealth?
Get a complimentary RCM assessment from our athenahealth billing specialists.
Optimize my athenahealth Revenue