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HIPAA Compliant

Specialized Revenue Cycle Management

Medical billing services that don't just process claims. We engineer revenue.

Our team runs medical billing, denial work, A/R follow-up, coding support, credentialing and payer setup for independent physician practices and specialty groups. You'll see where every claim stands, from charge entry to payment.

Operating since 2015 · US-based client contact · Revenue-cycle specialists

Specialized service lines

Six disciplines. One accountable workflow.

Medical Billing

We take your charges through review, 837P claim submission, clearinghouse rejections, ERA posting and follow-up.

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Denial Management

We read the CARC and RARC codes, correct or appeal the claim, then fix the cause so it doesn't repeat.

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A/R Follow-up

Open balances sorted by aging bucket, payer, value and timely filing limit, each with a next action.

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Medical Coding

CPT, HCPCS and ICD-10-CM checked against the note, modifiers like 25 and 59 reviewed, questions sent to your providers.

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Credentialing & Enrollment

CAQH ProView, NPI and payer applications prepared, followed up with Medicare, Medicaid and commercial plans, and tracked to the effective date.

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Payer Contracting

We inventory your agreements, review fee schedules and terms, and plan each contract's rollout before claims go out.

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Client Testimonials

Trusted by the providers who choose to grow.

VOSKPO is efficient and up to date with changing healthcare needs. The weekly billing reports are very helpful, and their end-of-month predictions have been close to the real numbers.

Verified physician client

Independent practice

VOSKPO is one of our foundational vendors, helping us shore up the delivery of our practice, project and business processes. We would not have been able to scale as quickly this year — maintaining and onboarding new contracts — had we not partnered with them.

Verified operations client

Healthcare operations leader

From the blog

Latest insights.

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Small Practices Can Be Scored Together for 2027 MIPS. The Election Closes December 31 and Holds for the Whole Year.
Compliance

Small Practices Can Be Scored Together for 2027 MIPS. The Election Closes December 31 and Holds for the Whole Year.

Solo practitioners and practices with 10 or fewer MIPS eligible clinicians can combine with other small practices and be scored as one virtual group for the 2027 performance year. CMS opened the election on October 1, and it closes December 31, 2026. Once made, the choice holds for the whole year, and everyone in the group shares one score.

5 min readRead article
Medicare Appeals Get a New Price of Entry in 2027. Most Practices Lose the Money Long Before It Matters.
Denial Management

Medicare Appeals Get a New Price of Entry in 2027. Most Practices Lose the Money Long Before It Matters.

CMS has set the 2027 dollar thresholds for Medicare appeals: $200 for a hearing before an administrative law judge and $2,000 for federal court, from January 1, 2027. The numbers barely moved. What decides most practice appeals is earlier: the 30-, 60- and 120-day clocks, and whether small denials are grouped so they can reach a judge at all.

5 min readRead article
Medicare Overpaid Optometrists for Nursing Home Visits. In OIG's Sample, Not One High-Level Visit Held Up.
Compliance

Medicare Overpaid Optometrists for Nursing Home Visits. In OIG's Sample, Not One High-Level Visit Held Up.

CMS used its October 15, 2026 MLN Connects newsletter to tell optometrists to bill nursing facility services correctly. Behind the reminder is an OIG audit in which all 399 high-level nursing facility visits billed by 15 optometrists failed Medicare's rules. Any eye-care practice that sends clinicians into nursing homes should check its own claims now.

5 min readRead article

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Your free revenue review starts here.

Free Revenue Review

Start with a clear review of your revenue cycle. At no cost.

You share what you can, and we'll use it to identify the material questions, the evidence available, our assumptions and your next actions. What we find, and how quickly, depends on the scope and quality of that information.

  • Denial and payer patterns in the information you share
  • A/R aging, plus the follow-up questions that still need an owner
  • Any coding, documentation, enrollment or contract gaps that are relevant to the scope of the review
  • Prioritized findings, open questions and next actions

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Get started

Start with a clear look at what needs attention.

The Free Revenue Review shows you the material questions, the evidence available and your next actions before any paid work begins.