If we don't hit the numbers we commit to in writing within your first 90 days, you walk, no penalty, no termination fee, no hard feelings. That is how confident we are in your outcomes. Most RCM vendors lock you in for 12 to 36 months. We earn every renewal.
The dirty secret of the revenue cycle industry is that most vendors protect themselves with multi-year lock-ins, stacked auto-renewals, and termination-for-cause clauses so narrow they are practically unreachable. That model exists because the average RCM vendor cannot reliably deliver on their pitch deck.
We took a different path. We invested in dedicated pods, AI-assisted scrubbing, specialty-trained coders, and a quality system that is measured in production, not in slideware. When the delivery model works, you do not need legal handcuffs to retain clients.
The 90-Day KPI Exit Guarantee is our way of putting that conviction in writing. It is the single clearest signal we can send: if we do not perform, we do not deserve your business.
Every guarantee is only as real as the numbers behind it. These are the six contractual KPIs we agree to in your service agreement, baselined against your data during onboarding and scored at day 90.
First-pass acceptance across all payers, measured at the clearinghouse. Our multi-layer scrubbing catches demographic mismatches, NCCI conflicts, modifier issues, and payer-specific formatting errors before submission.
Average age of outstanding receivables across all payer classes. Anything over 28 days signals either clean claim issues upstream or AR follow-up slippage, both inside our ownership.
Initial denials as a percentage of total submitted claims. Our AI denial predictor flags high-risk claims pre-submission; our denial team resolves and appeals anything that slips through within defined turn times.
Your specialty's MGMA and HFMA benchmark is the floor. We target 97%+ for most specialties and calibrate contractually against your baseline data pulled in onboarding week one.
Same-business-day response to provider-office inquiries and 24-hour resolution on routine billing questions. Measured monthly against a transparent ticketing log that you can audit.
A structured 30-day and 90-day CSAT survey scored by the practice administrator, lead biller, or CFO. If you are not a promoter by day 90, the guarantee triggers.
From onboarding through measurement, every step of the guarantee is documented in your service agreement. Here is exactly what happens.
We pull your existing billing data, payer mix, and aging reports, benchmark them against your specialty's MGMA and HFMA medians, and document each of the six KPIs with specific numeric targets inside your service agreement. Nothing is verbal. Nothing is implied. Every number is written.
Your dedicated pod takes over billing, coding, AR, and denial workflows. Performance is tracked in a shared dashboard you can access 24/7. Weekly KPI check-ins with your account manager surface any drift early, while daily huddles inside our pod catch operational issues before they hit your numbers.
At day 90, we deliver a formal KPI report card signed by your account manager and our VP of Operations. Every KPI is scored pass/miss against the contractually documented target. You get the raw data, the interpretation, and a written attestation.
If any of the six KPIs were missed, you can activate the exit clause by written notice within 30 days of receiving the report. We then provide a 30-day transition runway: full data export, continued billing coverage, vendor handoff support, and a waiver of any remaining fees. You keep everything we built.
A side-by-side look at how most RCM vendors structure their contracts versus how we structure ours.
Straight answers on how the 90-Day KPI Exit Guarantee works in practice.