CORE Ascent

Fully managed back office + executive reporting for multi-clinician practices

Full-cycle billing (with appeals & A/R), payroll processing, expanded compliance, and Monthly Close Packets—so leaders operate with clarity while clinicians focus on care.

Flat fee: $1,100 per clinician / month

What’s Included

Includes everything in CORE Foundations, plus:

Billing & Revenue Cycle Management (Full Cycle)

  • Claims submission within 48 hours of each session
  • Payment posting & reconciliation within 72 hours of ERA/EOB receipt
  • Denial appeals filed within 5 business days of payer response (tracked)
  • A/R oversight: weekly aging review, payer follow-ups, targeted worklists
  • Month-end close completed by the 10th business day (see Close Packet)
  • Practice access to a licensed EHR & billing system (included—no extra subscription)

Payroll & HR Support

  • Payroll processing & reconciliation every cycle via licensed payroll/HR system
  • Onboarding & records for employees/contractors (licenses, credentials, W-9/W-4, agreements)
  • Offer templates, onboarding checklists, and policy acknowledgments

Compliance Framework (Expanded)

  • CORE Compliance Binder (expanded): training log, BAA/vendor log, incident log, quarterly access review, change tracking
  • Quarterly access & vendor reviews scheduled, documented, and logged
  • Annual HIPAA risk analysis with remediation plan

Reporting & Advisory

  • Monthly Close Packet (by the 10th business day): billing KPIs (clean claim rate, denial snapshot, collections reconciliation, A/R aging) + compliance snapshot (training status, BAA/vendor changes, incidents, access reviews)
  • SLA-based operational reporting across billing & compliance workflows (process KPIs)

Tech Provided (included)

  • Licensed EHR & billing system
  • Licensed payroll/HR system
  • CORE compliance tools (Binder, logs, forms) + Monthly Close Packets in HIPAA-compliant storage
Schedule a 20-minute consult Need just the basics? See Foundations

Who it’s for

Established groups (typically 6–10 clinicians) that want a dependable, fully managed back office, audit-ready compliance, and executive-level reporting—without hiring multiple admin roles.

How it creates value

  • Hands-off revenue cycle: submissions, posting, appeals, and A/R follow-ups on defined timelines
  • Payroll done right: processing, reconciliation, and records are handled and auditable
  • Compliance stays current: reviews and logs scheduled, documented, packaged
  • Executive visibility: Monthly Close Packets and SLAs make performance transparent

Time savings (per clinician / week)

Category Typical admin burden (if handled by clinician) Hours saved
Billing & RCM (full cycle) Submissions, posting, denial appeals, A/R follow-ups 12 hr
Payroll & HR support Processing & reconciliation, onboarding/records upkeep 4 hr
Compliance framework Binder upkeep, quarterly access/vendor reviews, HIPAA RA 4 hr
Reporting & advisory Close Packet prep, dashboards, review support 3 hr
Total 23 hr/wk

Assumptions: weekly averages for clinicians with a ~20-client caseload inside practices of 6–10 clinicians. Actual savings vary by payer mix, visit volume, and setup.