Revenue Integrity,
Powered by AI.
Proven Across Two Decades.
Specialty-focused RCM for Orthopedics, Pain Management, Anesthesia, Comprehensive Therapy & also Multispecialties, with human-guided automation that reduces denials, accelerates cash flow, and never leaves compliance to chance.
- HIPAA Certified
- HBMA Member
- SOC2 TYPE II
- Founded 2016
Free audit shows your real figures — no obligation.
HIPAA Certified
HBMA Member
SOC2 Type II
Founded 2016
By the numbers
Performance you can audit,
not assume.
Industry average: 85–90%
Fewer rejections, faster reimbursement
Target: <25 days post-automation
Built for your specialty
RCM Built for High-Complexity
Specialties
Generic billing companies handle your claims. We understand your specialty’s coding nuances, payer behaviors, and documentation requirements; because we’ve lived them.
Common Billing Challenges
- Medical documentation gaps leading to claim downgrades
- Bundling and bilateral procedure coding errors
- PCP referral and prior authorization failures
How Clientele Handles It
Specialty coders with 5–12+ years of orthopedic billing experience manage your documentation review, modifier application, and auth workflows, before a claim ever touches the clearinghouse.
Common Billing Challenges
- Add-on CPT codes billed without updated prior authorization
- Bundling denials for procedure combinations
- Communication gaps between MA and provider post-authorization
How Clientele Handles It
We embed authorization tracking into your workflow so that add-on procedures are never billed without coverage confirmation. Our coders flag bundling risk before submission.
Common Billing Challenges
- CRNA modifier usage errors (AA, QX, QY, QZ)
- Cross-walk coding and inclusive code denials
- Prior authorization for complex procedures
How Clientele Handles It
Anesthesia-specialized coders who understand time-unit billing, base units, and payer-specific CRNA modifier rules. Every claim is reviewed for cross-walk accuracy before submission.
Common Billing Challenges
- Functional limitation reporting requirements
- RTM and RPM billing compliance and documentation
- Treatment plan renewal and authorization cycles
How Clientele Handles It
Full RTM and RPM billing support alongside traditional therapy billing. We manage your documentation timelines and authorization renewals so therapists can focus on patients.
Clientele AI — Automation that works the way your practice does.
We're building end-to-end AI automation for the entire revenue cycle — not a bolt-on tool, but a fully integrated platform designed from the ground up for specialty healthcare practices.
- Module 1 — Insurance Eligibility Verification
Real-time eligibility checks with automated discrepancy alerts, eliminating eligibility-related denials at the front door.
Coming across 2026
- Patient & Provider Mobile Apps (iOS & Android)
- Real-time eligibility checks
- Prior Authorization Management
- Claims Scrubbing & Submission
- Microsoft Nuance Ambient AI notes
- 24/7 appointment booking
- Provider chat & refill requests
- AI-Assisted ICD & CPT Coding
- Payment Posting & Denials Automation
- Real-time Executive Dashboards
SOC2 Type II compliance in progress — expected Q3 2026.
The Clientele Method
A four-step model. No mystery, no
jargon.
01
Assess
We conduct a deep-dive audit of your current billing workflows, denial patterns, payer mix, and revenue gaps. No assumptions only your data.
02
Configure
Our team maps your specialty’s coding requirements, payer rules, and authorization workflows into the Clientele AI platform and human oversight model.
03
Deploy
Your dedicated RCM team goes live. Clientele AI handles automation; AAPC-certified professionals review all complex cases. Zero workflow disruption.
04
Optimize
Real-time dashboards surface denial patterns, A/R aging, and revenue trends. Monthly performance reviews ensure continuous improvement.
EMR Integrations
Integrated with the systems your
practice already uses.
No rip-and-replace. Clientele RCM connects directly with 11+ leading EMR and practice management platforms.
eClinicalWorks
Meditech
Medisoft
Allscripts-Veradigm
Practice Fusion
Office Ally
AdvancedMD
Cerner
GE Centricity
ModMed
ChartPerfect
+
Don’t see your EMR? We’ve likely worked with it. Ask us →
From the practices we serve
Outcomes, in their words.
From our Revenue Cycle Intelligence Desk
Insights on AI, Compliance &
Specialty Billing
Hello world!
Welcome to WordPress. This is your first post. Edit or delete it, then start writing!
Ready to stop leaving
revenue on the table?
Let's assess your current RCM workflows and show you exactly where you're losing money at no cost, no obligation.