CAHs, get your MA money back.
Critical access hospitals are underpaid by Medicare Advantage plans.
Keep your biller. We pick up the MA claims they don't get to, big or small.
Medicare Advantage plans deny hospital claims about twice as often as traditional Medicare.
appealed Medicare Advantage denials get overturned. Yet only about 1 in 9 is ever appealed.
Medicare Advantage share of Medicare patients in the typical CAH's county, 2016 to 2023.
They automated denials. We automated the comeback.
Rejected on arrival
MA plans run claims through automated reviews that deny them within moments. We answer every denial with an appeal built for that plan's rules.
Too many to fight by hand
83% of rural billing leaders say each claim takes more manual work than a year ago. Our software drafts MA appeals fast, so none get left behind.
Paid late, paid less, taken back
Billing MA costs hospitals about 25% more than traditional Medicare, a large health system told Congress in 2026. Plans pay below contract, pay slowly, or claw money back. We check every payment and chase the gap.
RHTP funds are built for the long run.* Your MA claims are due now.
Rural hospital administrators say the RHTP isn't reaching them yet.
“I've been doing this for 37 years, and the last five have been the hardest.”
15 minutes. No pitch.
We're early, and we want to hear what makes getting paid hard for you.