High Denial Rates
Denials delay reimbursement, increase administrative workload, and disrupt cash flow. We identify the root causes behind recurring denials and work to resolve them before they become ongoing revenue-cycle problems.
Rooted in Healthcare · Since 2010
YOUR PRACTICE Our EXPERTISE
More Than Billing. Complete Practice Management.
The Challenge Specialty Practices
FACE EVERY DAY
Slow Collections
Outstanding claims and aging accounts tie up revenue your practice has already earned. Consistent follow-up, accurate payment posting, and proactive A/R management help keep your revenue cycle moving.
Undercoded Procedures
Coding and documentation directly affect reimbursement. Missed details, coding inconsistencies, and incomplete documentation can lead to denials, delays, or lost revenue. Apex helps identify these gaps before they become recurring problems.
OPERATIONAL BREAKDOWNS
Revenue-cycle problems often begin long before a claim is submitted. Scheduling errors, eligibility issues, missing authorizations, and disconnected workflows can create delays throughout the entire practice.
ADMINISTRATIVE OVERLOAD
Physicians and clinical teams shouldn’t have to spend their time chasing authorizations, resolving billing issues, or managing inefficient administrative processes. Apex provides the operational support that keeps the business side of the practice moving.
LIMITED VISIBILITY
Practice owners need more than reports—they need to understand what is happening behind the numbers. Apex provides greater visibility into the issues affecting revenue, workflows, and overall practice performance.
WHO WE ARE
More Than Billing.
A Partner In Your Practice.
Apex Practice Management Group is a full-service healthcare management company providing comprehensive revenue cycle, billing, and operational support to medical practices.
We understand that the financial performance of a practice is connected to everything that happens before and after a claim is submitted—from scheduling, eligibility and authorizations to documentation, coding, billing, denials, payment posting, and accounts receivable.
That’s why our approach goes beyond traditional medical billing.
We work as an extension of your practice—connecting the people, processes, and revenue cycle behind stronger operations and better financial performance.
0+ YEARS
Healthcare Revenue Cycle Experience
END-TO-END
Revenue Cycle Support
FULL-SERVICE
Practice Management Solutions
HANDS-ON
Operational Partnership
Our Specialties
Our specialties include:
- Surgery Centers
- Surgical Practices / Surgeons
- Anesthesiologists / Anesthesia Groups
- Family Practice
- Podiatrists
- ENT Specialists
- Gastroenterology
- Reconstructive Surgeons
- WC Provider Groups
- Psychiatry
- Internal Medicine
- Psychology
- Neurology
- Pediatrics
- Chiropractic
- OB-GYN
- Orthopedics
- Ophthalmology
Why Apex
Why LA County physicians choose us:
- Deep knowledge of LA payer mix (L.A. Care, Medi-Cal, Anthem, Blue Shield)
- Specialty-specific billing expertise
- Responsive local team — we answer the phone
- No hidden fees, transparent reporting
OUR SERVICES
Our Complete
Service Suite
We offer billing as a starting point — and a full practice management partnership as the goal.
Billing & Coding
Full revenue cycle: claim submission, denial management, resubmission, payment posting, and patient statements.
Learn more
Prior Authorization
We handle all authorization requests, peer-to-peer reviews, and appeals so your staff can focus on patients.
Learn more
Eligibility Verification
Real-time verification before every visit — eliminate surprises and reduce walk-away balances.
Learn more
Results Coordination
We track, retrieve, and communicate patient results so nothing falls through the cracks.
Learn more
Call Center
Professional inbound/outbound patient communications — scheduling, reminders, follow-ups.
Learn more
Check-In / Check-Out
Front desk management: copay collection, intake verification, checkout summaries.
Learn moreSwipe to see all 6 services
OUR PROCESS
How We Work —
Your Onboarding Journey
A clear, low-risk path from a free billing audit to a full practice partnership.
1
Free Billing Audit
Free Billing Audit We review 90 days of claims, AR, and fee schedule. We present findings at no charge with zero obligation.
2
Custom Proposal
Custom Proposal Based on audit findings, we propose a tailored service plan with projected revenue recovery and our fee.
3
90-Day Trial Launch
90-Day Trial Launch We onboard your practice within 5–7 business days. No long-term contract — results speak for themselves.
4
Credentialing & Setup
Credentialing & Setup We handle any payer credentialing gaps, EHR integration, and workflow setup with your team.
5
Active Billing & AR
Active Billing & AR Full billing begins. Daily claim submission, weekly denial follow-up, monthly reporting to you.
6
Quarterly Reviews
Quarterly Reviews We meet every 90 days to review KPIs, address issues, and discuss expanding services as needed.
The Apex
Difference
Experience, accountability, and comprehensive support at every stage of your practice.
0+
YEARS
Healthcare Revenue Cycle Experience
END-TO-END
Revenue Cycle Management
FULL-SERVICE
Practice Management Support
HANDS-ON
Dedicated Operational Partnership
SPECIALTY-FOCUSED
Experience Across Complex Medical Specialties
TRANSPARENT
Reporting, Communication & Accountability
THE APEX IMPACT
From Reactive Processes
to Proactive Practice Management
At Apex, we go beyond resolving individual billing issues. We help practices identify operational weaknesses, establish effective workflows, and take a more proactive approach to revenue cycle management.
-
Before: Recurring claim denials and delayed reimbursementsAfter: Proactive denial management and root-cause analysis
-
Before: Aging accounts receivable and inconsistent follow-upAfter: Structured A/R follow-up and payment reconciliation
-
Before: Missed or delayed prior authorizationsAfter: Organized authorization tracking and payer coordination
-
Before: Disconnected administrative and billing workflowsAfter: Integrated workflows across practice operations and billing
-
Before: Limited financial visibility and unresolved revenue issuesAfter: Clear reporting, accountability, and continuous improvement
PRICING
Simple, Transparent Pricing —
You Only Pay When We Collect
We work on a percentage-of-collections model. No monthly minimums. No setup fees. No risk.
/ 01
% of collections
5–7%
of collections
Billing Only
Any Specialty
5 services included
HoverTap
/ Billing Only — Includes
- Full claim submission & follow-up
- Denial management & resubmission
- Payment posting & reconciliation
- Monthly reporting dashboard
- Dedicated billing specialist
5–7%
of collections
Request a consultation
/ 02
% of collections
7–9%
of collections
Billing + Auth
Surgical & Procedure-Based Practices
5 services included
HoverTap
/ Billing + Auth — Includes
- Everything in Billing Only
- Prior authorization management
- Peer-to-peer review handling
- Auth tracking & reporting
- Eligibility pre-verification
7–9%
of collections
Request a consultation
/ 03
Custom
Custom
package
Full Management
Full Practice Partnership
5 services included
HoverTap
/ Full Management — Includes
- Everything in Billing + Auth
- Eligibility verification
- Lab/results coordination
- Call center operations
- Check-in / check-out management
Custom
package
Request a consultation
WHY CHOOSE US
How We
Compare
| Criteria | In-House Staff | Generic Biller | Apex |
|---|---|---|---|
| LA County payer expertise | Sometimes | Rarely | Always |
| Specialty-specific coding expertise | Depends on staff | Generic | Dedicated |
| Prior auth management included | Extra headcount | Add-on fee | Included |
| Denial management & appeals | Limited capacity | Basic | Proactive |
| Monthly transparency reporting | Internal only | Varies | Standard |
| You pay only on collections | Fixed salary + benefits | Fixed fee + % | % only |
| No long-term contract required | N/A | Usually 1–2 yr | 90-day trial |
| Scalable as practice grows | Hire more staff | Limited | Automatic |
Begin the Process
STOP WAITING.
START TODAY.
Tell us about your practice and our team can discuss where Apex may be able to help.
REQUEST A CONSULTATIONHere's exactly what happens next
- 1 Schedule a 20-minute call or office visit — we come to you
- 2 We conduct your Free Billing Audit (90 days of data, no disruption to your practice)
- 3 We present findings with a written report and our proposal within 5 business days
- 4 If you like what you see, we launch your 90-day trial within 5–7 business days