From Cedars-Sinai to county clinics in South LA, Revenue Synergy handles the full range of California payer complexity — Medi-Cal plans, Covered California products, and employer PPOs.
LA County has over 10 million residents and the highest Medi-Cal enrollment in California. L.A. Care is the nation's largest publicly operated health plan. IPA and capitation arrangements are much more common than in most U.S. markets.
We support providers across LA's major systems, from academic centers to county hospitals.
L.A. Care and Health Net dual-plan delivery means claims often route through an IPA or medical group before hitting the plan; we understand delegation.
Many LA physicians are contracted through IPAs (e.g. Heritage, Regal) that carve out services differently than the parent plan; billing errors are common without deep local knowledge.
California DMHC prompt pay rules and AB 72 surprise billing laws affect revenue timing and dispute processes. We manage both.
Every market has its own billing pain points.
L.A. Care and Health Net dual-plan delivery system means claims often route through an IPA or medical group before hitting the plan; billing teams must understand delegation.
Many LA physicians are contracted through IPAs (e.g. Heritage, Regal) that carve out services differently than the parent plan; billing errors are common.
Silver, Gold, and enhanced Silver CSR plans each have unique cost-sharing and patient responsibility rules that affect collections.
California DMHC prompt pay rules and AB 72 surprise billing laws affect revenue timing and dispute processes.
A complete revenue cycle solution built for LA's payer mix.
Dedicated billing teams for 22+ medical specialties.
Complex cardiac procedure coding.
Surgical and non-surgical orthopedic billing.
Mental health billing with parity compliance.
Interventional pain coding.
Endoscopy billing.
Technical/professional component billing.
High-volume E/M coding.
Facility and surgeon billing.
Common questions from LA healthcare providers.
Revenue Synergy supports healthcare providers across the country.
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