No. 01
Claims Submission
Clean claims, first pass, in your practice management system. We work inside your PMS, not around it, and we close the queue before we close the day.
Volume XI · A Practice Operations Quarterly
The billing partner medical
practices actually recommend.
Ledger Health runs the revenue cycle for independent clinics, specialty groups, and rural hospitals that would rather see patients than argue with payers. We handle the claim, the appeal, and the awkward invoice — on your letterhead, in your voice, on your terms.
Services
Four disciplines. One quiet number at the end of the month.
No. 02
Denial Management
Every denial gets read, coded, and answered. We categorize by payer behavior, then rewrite the workflow so the same denial does not visit twice.
No. 03
Practice Analytics
A monthly report your practice manager will actually read. Payer mix, days in AR, denial reasons, and the one chart that tells you what to fix next.
No. 04
Patient Billing
Statements that read like a letter, not a threat. Phone support staffed by people who know your practice, your prices, and your payment plans.
The House Style
We work the way a good practice reads its own charts.
Ledger Health was founded on a stubborn premise: that revenue cycle work is craft, not commodity. Every account we take on is assigned to a named lead, and that lead stays with you through onboarding, the first ninety days, and every payer contract renegotiation after. There is no ticket queue. There is no offshore hand-off. There is one number, one email, and one person who knows your Tuesday from your Thursday.
The industry average denial rate hovers north of eleven percent, and most groups treat it as weather — something to be endured. We treat it as signal. Across our book of thirty-four practices, we have posted a 27% average denial reduction within the first two quarters of engagement, and we publish the methodology openly to any prospective client who asks.
Our clients are the kind of clinics that still know their patients by first name. Family medicine in small towns. Orthopedic specialists in second-tier metros. Behavioral health groups that would rather spend an hour with a patient than eleven minutes coding one. We built Ledger for them, and we price it so they can afford us before they need us.
The result is unglamorous and, we think, correct: 96.4% first-pass acceptance, days in AR under thirty-two, and a monthly close that lands on the second business day, every month, without ceremony. If any of that reads like a promise you have heard before, we would like the chance to show you the receipts.
Testimonial
Ledger closed the month on the second, sent a report we could read, and cut our denials nearly in half by Christmas. I do not remember what our last billing vendor was called, and that is the highest compliment I can pay them.
Dr. Helen Marchetti, MD