The go-live was clean. The claims were not.
You configured the templates, migrated the data, trained the staff, and closed the engagement. Six weeks later the practice calls you — not the biller — because cash is down and everyone assumes it was the software. We would like to take that call instead.
- check_circleEHR-agnostic
- check_circleNo competing implementation practice
- check_circleWorks in your client’s system
- check_circleWritten scope boundary
What an EHR consultant gets from this partnership
MedPrecision takes the revenue cycle that begins where your implementation ends — claim scrubbing and submission, denial management, A/R follow-up, payer enrollment and payment posting — working inside the EHR you just installed rather than migrating the practice off it. Partners receive an integration guide written for their specific platform, a co-branded go-live billing readiness checklist, and a written scope boundary in the referral agreement confirming MedPrecision does not sell implementation, configuration, workflow design or optimization services against them.
- We work inside Epic, athenahealth, AdvancedMD, DrChrono, Kareo/Tebra, eClinicalWorks, NextGen, Practice Fusion and more
- Standard API integrations complete in 5–7 business days, no setup fee
- Scope boundary written into the agreement, not promised on a call
- Legacy A/R scoped as its own project, not buried in a monthly percentage
Five ways the claim flow breaks after a clean go-live
None of these are implementation failures. Every one of them gets attributed to the implementation, because the consultant is the last person who touched the system.
- 1
Charge capture maps to nothing
The encounter form and superbill get rebuilt during implementation, then nobody re-maps the charge master to the new fee schedule. Charges post, claims go out, and the underpayment shows up eight weeks later as a contractual adjustment nobody questions.
- 2
ERAs land somewhere no one is watching
The clearinghouse connection is configured for claim submission but remittance routing is left on the legacy path or unassigned. Payments post manually or not at all, and the A/R report stops meaning anything.
- 3
Clearinghouse enrollment lags go-live
Payer-by-payer EDI enrollment and ERA/EFT agreements are treated as a formality and started in the go-live week. The system is live, the claims are held, and the practice blames the software you just installed.
- 4
Nobody owns the rejection queue
Front-end rejections are not denials and do not appear in denial reporting. Without a named owner they sit in the clearinghouse queue until timely filing closes the window.
- 5
The old A/R is orphaned
Balances in the legacy system are out of scope for the migration and out of scope for the practice’s remaining biller. They age quietly through 90 and 120 days while everyone watches the new system.
The co-branded readiness checklist we build with you is aimed squarely at this list — a set of billing checks your team can run at go-live so the failure never reaches week six. It starts from our medical billing audit checklist and gets rewritten around your implementation methodology.
What connecting us to your client’s platform actually takes
Published so you can plan a handoff against it rather than ask us. These are our standard timelines by integration method.
| Method | Platforms | Timeline | Fee |
|---|---|---|---|
| Documented partner API | athenahealth, Kareo (Tebra), AdvancedMD, eClinicalWorks v11+, DrChrono, CareCloud | 5–7 business days | No setup fee |
| HL7 v2.x interface | NextGen, Allscripts Professional, Greenway | 10–14 business days | No setup fee on standard builds |
| Custom sFTP batch | Legacy and non-standard systems | 2–3 weeks | Scope quoted separately |
| FHIR R4 / SMART-on-FHIR | Epic Community Connect, Cerner Oracle Health | 3–4 weeks | Gated by OAuth 2.0 client registration with host hospital IT |
Each integration is mapped to four data flows: ADT demographics push, charges and coding pull, ERA and payment posting back to the PM system, and patient statement coordination. Practices on systems outside this list get a 2–3 week custom HL7 or sFTP build at separately quoted scope. Full detail is on our EHR and software integrations help-center entry.
The boundary, in writing
Every consultant asks the same question in the first ten minutes: are you going to come back for my work? Here is the line we will sign.
verified Yours
- System selection, configuration and build
- Data migration and validation
- Workflow design and template development
- Staff training and adoption
- Post-go-live optimization engagements
- The ongoing advisory relationship with the practice
medical_services Ours
- Charge entry, coding and claim scrubbing
- Claim submission and clearinghouse management
- Rejection and denial work, appeals
- A/R follow-up and payment posting
- Payer EDI enrollment, ERA/EFT setup, credentialing
- Legacy A/R recovery as a scoped project
What EHR consultants ask us first
Name your platform
Tell us which system you implement most and we will write the integration guide for it — yours to brand and send, referral or no referral.
Start a partner conversation arrow_forwardWill you try to move my client off the EHR I just implemented?
No — the opposite. MedPrecision is deliberately EHR-agnostic and works inside the practice’s existing practice-management and EHR system rather than asking anyone to migrate. We have active workflows inside Epic, athenahealth, AdvancedMD, DrChrono, Kareo/Tebra, eClinicalWorks, NextGen and Practice Fusion, among others. If the system supports secure remote access under a BAA, we can operate in it. A billing vendor that needs your client on a different platform is a billing vendor that will eventually undo your engagement.
Do you sell implementation or optimization services that compete with mine?
MedPrecision publishes one EHR setup service page covering system setup, data migration, FHIR/HL7 interoperability and clearinghouse connection. In a partnership we scope ourselves out of it: you own configuration, workflow design, training and optimization, and we take the claim flow that starts after go-live. We will put that boundary in the referral agreement in writing, because it is the single question every consultant asks and a verbal answer is worth nothing.
What does the integration actually require from me?
Naming the platform and introducing the practice. From there we handle payer EDI enrollment, ERA/EFT agreements, clearinghouse routing and the interface build. Standard API integrations with athenahealth, Kareo (Tebra), AdvancedMD, eClinicalWorks v11+, DrChrono and CareCloud complete in 5 to 7 business days and carry no setup fee. A custom HL7 or FHIR interface for a non-standard system is quoted separately before any work begins.
Can I hand my client something before I involve you at all?
Yes. The billing vendor evaluation scorecard on this site scores any billing vendor — including us — against 27 weighted criteria. Send it to a client who is choosing between options and let them run it. If they score somebody else higher, that is a real answer and you gave them a real tool. Nothing on it is gated and no email is captured.
What happens to the balances sitting in the legacy system?
Legacy A/R is a separate, project-based engagement rather than an afterthought inside a monthly percentage: timely-filing triage, appeals on what is still appealable, and a written position on what is genuinely uncollectable. It is worth scoping during the implementation rather than after, because the appealable window on the oldest balances closes while the migration is still in progress.
Platform billing support
Clearinghouse & claims
Tell us which platform you implement most
We will write the EHR-to-billing integration guide for that specific system — how charges, ERAs, ADT feeds and statements move between it and an outsourced biller, with the real timeline. Co-brand it, send it to your client list, and owe us nothing.
- check_circleNo contract
- check_circleNo setup fees
- check_circleReply within 1 business day