Why choose us

A billing partner you can actually see working.

Most billing companies are a black box. We give you one accountable team, specialists in your field, and a portal that shows you exactly where everything stands.

30%

More revenue collected

Clients see an average 30% lift in collections within the first six months.

60%

Lower admin cost

Replace in-house billing overhead with a dedicated, specialist team.

24/7

Visibility

Track credentialing, documents and messages in your secure client portal.

100%

U.S.-based account management

One named account manager who knows your practice.

Benefits

Built for the way independent practices work.

Specialty expertise

Billers and credentialing specialists trained in 40+ specialties.

HIPAA-aligned security

Encrypted document storage, role-based access and SSL everywhere.

Transparent reporting

Monthly KPI reports and a live portal, not a black box.

No long-term lock-in

Month-to-month agreements. We earn your business every month.

Fast onboarding

Most practices are fully onboarded in under two weeks.

One accountable team

Billing, credentialing and front desk under one roof.

Side by side

In-house billing vs. RCM Karma

What it really takes to run billing and credentialing yourself, compared with handing it to a dedicated team.

 In-house billingRCM Karma
CostSalaries, benefits, software and trainingOne percentage-of-collections fee
CoverageStops when staff are sick or on leaveA full team with built-in backup
Specialty expertiseDepends on who you hireBillers trained in 40+ specialties
Denial follow-upWhen there's timeAppeals filed within 48 hours
Credentialing visibilitySpreadsheets and email threadsLive status in your client portal
ReportingAd hoc, if at allMonthly KPI review with your account manager
CommitmentHiring and severance riskMonth-to-month, no setup fees

Client stories

Don't take our word for it.

Credentialing used to take us months of back-and-forth. With RCM Karma we could see every application's status in the portal, and two new providers were in network before their start date.
AH
Dr. Amelia HartMedical Director, Riverside Family Medicine
Our denial rate dropped from 14% to under 4% in two quarters. The monthly reports finally make sense to our partners.
MD
Marcus DelgadoPractice Administrator, Summit Orthopedics
The virtual front desk covers our phones, reminders and insurance checks. It's like hiring three people for the cost of one.
PN
Priya Nair, NPOwner, Lakeview Behavioral Health

90-day guarantee

Our performance guarantee

If we don't increase your collections within the first 90 days, you don't pay our fee for that period. No long-term contracts and no setup fees.

  • Results in 90 days
  • No long-term contract
  • No setup fees
See if you qualify

Find out what your practice is leaving on the table.

Our free practice analysis reviews your claims, denials, A/R and credentialing status, then shows you exactly where revenue is slipping. No obligation, results in 5 business days.