Clear communication
Straightforward explanations, useful updates and follow-through that supports decisions.
RCM and revenue operations
Take control of your revenue — without giving up your EHR.
ROOT works inside the systems your practice already uses. Every claim, denial and credentialing task gets a named owner, a reason and a next action — and you see the same numbers we do.
- No forced EHR replacement
- Named exception owners
- Weekly cash reconciliation
- HIPAA-aligned processes
Sample workspace illustration: five claims with status, owner, amount and next action, plus a queue of three exceptions being assigned to named people.
Where revenue leaks
Find your bottleneck. See the next move.
Select an operational concern to explore how ROOT traces stalled revenue, credentialing delays, and system change.
Where is my money?
Trace claims, denials and accountable owners across clearinghouses and payer work queues.
Why are enrollments stalled?
Validate missing documents, CAQH and PECOS requirements, and payer effective dates.
Can I keep my software?
Plan safer operational change around existing EHR/PM systems without forced replacements.
How it works
What actually changes when ROOT takes over the work?
Three moves, repeated every week. Nothing about your clinical workflow has to change.
Reveal
We baseline your open claims, denials, aging A/R and enrollment gaps so you can see exactly where revenue is waiting.
Assign
Every exception gets a named owner, a reason and a due date. Nothing sits in an anonymous backlog.
Reconcile
Each week, cash collected is reconciled against open work — on a dashboard you and ROOT both read.
Services
Who handles each part of my revenue cycle?
RCM, A/R recovery, credentialing, prior authorization, practice setup, virtual support, reporting and DIRT intelligence.
Specialty revenue operations
Does ROOT know how my specialty bills?
Each specialty bills differently. We start from the payer rules, codes-in-context and documentation habits your specialty actually lives with.
Specialty RCM
Internal / Family Medicine
Longitudinal E/M, preventive visits and chronic-care reporting for mixed adult panels — with documentation that supports the claim, not a clinical protocol.
Specialty RCM
Cardiology / Vascular
Device, diagnostic and interventional claim edits, plus prior-authorization sequencing against payer policy — not a cath-lab playbook.
Specialty focus
Infectious Disease
Administrative revenue operations for ID groups: authorization, infusion and OPAT billing pathways, J-code unit hygiene and medical vs pharmacy benefit routing.
Specialty RCM
Orthopedics
Surgical globals, implant tracking, imaging coordination and post-op therapy handoffs treated as claim logistics.
Specialty RCM
Behavioral Health / Psychiatry
Program structure, clinician credential matching and therapy coverage rules — administrative, not a clinical model of care.
Specialty RCM
Pain Management
Procedure authorization, laterality/modifier hygiene and coverage policy research before the scheduled intervention.
Specialty RCM
Podiatry
Office procedures, surgical claims and diabetic-foot documentation intensity treated as revenue operations, not wound protocols.
Specialty RCM
Anesthesia / ASC
Time units, concurrency, anesthesia modifiers and ASC facility/professional splits — administrative billing, not intraoperative care.
Specialty RCM
Wound Care
Documentation-intensive modalities, supply sequencing and authorization order — not a clinical wound pathway.
Specialty RCM
Otolaryngology / ENT
Office procedures, diagnostics and surgical claims with procedure-specific payer policy — administrative, not operative technique.
Shared visibility
Will I see the same numbers you see?
Yes. Your team and ROOT work from one shared view of claims, denials, credentialing and cash — so weekly reviews start from facts, not from a report you have to trust.
- One dashboard for your team and ours
- Every open item shows its owner and next action
- Cash reconciled weekly against open work
DIRT intelligence
Purposeful intelligence. Traceable next actions.
DIRT is the intelligence built into ROOT’s service. It turns claims, denials and payer activity into a short list of next actions with owners.
Technology ecosystem
Can I keep my software?
ROOT works alongside the EHR/PM platforms, clearinghouses and enrollment portals practices already rely on. Access is confirmed with each practice during scoping.
EHR / practice management
- AdvancedMD
- eClinicalWorks
- athenahealth
- NextGen Healthcare
- Tebra
- DrChrono
- CareCloud
- Practice Fusion
- ModMed
- Epic
- Oracle Health
EHR / practice management: AdvancedMD, eClinicalWorks, athenahealth, NextGen Healthcare, Tebra, DrChrono, CareCloud, Practice Fusion, ModMed, Epic, Oracle Health. Mention of a vendor does not imply endorsement, certification, a commercial relationship or a working API connection.
Clearinghouses
- Waystar
- Office Ally
- Change Healthcare
- TriZetto Provider Solutions
Clearinghouses: Waystar, Office Ally, Change Healthcare, TriZetto Provider Solutions. Mention of a vendor does not imply endorsement, certification, a commercial relationship or a working API connection.
Payer and enrollment workflows
- Availity
- CAQH
- PECOS
- NPPES
Payer and enrollment workflows: Availity, CAQH, PECOS, NPPES. Mention of a vendor does not imply endorsement, certification, a commercial relationship or a working API connection.
Mention of a vendor does not imply endorsement, certification, a commercial relationship or a working API connection.
New York
New York payers
Public listings of New York health plans, by program type.
Medicaid MCO
Healthfirst
Medicaid MCO
MetroPlusHealth
Medicaid MCO
Fidelis Care
Commercial
EmblemHealth
Medicaid MCO
Anthem Blue Cross and Blue Shield
Medicare Advantage
UnitedHealthcare
Commercial
Aetna
Commercial
Cigna
Marketplace
Oscar
Medicaid MCO
Molina / Affinity
Commercial
MVP
A listing is not a ROOT contract, network status, or payer partnership.
What clients appreciate
Trust built through consistent work.
Clear communication, attention to detail and dependable follow-through across revenue-cycle engagements.
Attention to detail
Careful analysis of denials, outstanding accounts and payer-related obstacles.
Commitment to the work
Ownership, consistency and practical solutions for busy practice teams.
Plans
What does it cost to start?
Free consultation, fixed-fee diagnostics, ongoing managed RCM and scoped project engagements. Fees and exclusions confirmed in writing.
Free
Free account & consultation
Business workspace preview and a consultation request. No patient information.
$2,500
Revenue Diagnostic — $2,500
Fixed-fee assessment. Additional work is quoted separately. Checkout is not live.
Scoped
Managed RCM — scoped
Recurring operations with written inclusions, exclusions and owners.
Scoped
DIRT Intelligence — scoped
The sample workspace uses fictional data; your own data connects only after you authorize it.
Per provider
Credentialing — per provider
Enrollment readiness tracking. No live payer connectivity is claimed.
Custom
Custom MSO partnership
Qualified opportunity and proposal through a separately approved channel.
Questions
What do practice leaders ask before switching?
Straight answers about software, ownership, visibility and cost.
Can I keep my software?
Yes. ROOT works inside the EHR, practice management system and clearinghouse you already use. We are not asking you to replace anything, and your clinicians keep their daily workflow.
How does ROOT get access to our systems?
Through individual user accounts that your administrator creates and can revoke at any time. Access scope is agreed in writing during onboarding.
How long does it take to get started?
It depends on your payer mix, system access and backlog. We agree a start plan with dates during scoping, and exception work begins as soon as access is in place.
Where is my money?
Every open claim shows where it sits — submitted, pending, denied or paid — with a named owner and the next action. You see it on the same dashboard ROOT uses.
What is named exception ownership?
Every unpaid claim, denial and credentialing task is assigned to a specific person on the ROOT team, with a reason and a due date. Nothing sits in an anonymous queue.
Consultation
Start with a business conversation
Tell us where revenue feels stuck. The consultation is free and there is no obligation. Please do not include patient information.