We built the audit physicians actually read.
ApprovedToPaid exists for one reason: too much earned revenue disappears after the claim is approved, and no one in the practice is accountable for finding it. We are the analysts who make that number visible — and recoverable.
The money was earned. Someone should go get it.
We started ApprovedToPaid after watching well-run practices treat underpayments as a cost of doing business. Denials had owners. Coding had owners. The quiet gap between a contracted rate and the amount that actually landed had none.
So we built a discipline around it. Not another outsourced billing shop, but an intelligence layer that reads your remittances the way a CFO would — contract by contract, code by code — and reports the leak in language your physician-owners can act on.
Principles our clients can hold us to
Evidence over opinion
Every claim we make is traceable to a remittance line and a contracted rate. If we can’t show you the source, we don’t report it.
Executive-level clarity
Our deliverables are written for the people who sign the checks. No jargon wall, no 40-tab spreadsheet handed over without a story.
Recovery, not just reporting
Finding the leak is table stakes. We stay through appeals, rework, and the upstream fixes that keep it from reopening.
Two specialties, two very different leak profiles
Orthopedic groups lose revenue in implant carve-outs, modifier logic, and surgical bundling. Behavioral health practices lose it in downcoded time-based sessions and mental-health parity violations payers rarely flag. We read each specialty on its own terms — and every leaked dollar is a partner distribution that didn’t happen.
100%
focused on orthopedic and behavioral health practices
20+
orthopedic and behavioral health service lines mapped to payer fee schedules
0
disruption to the billing operations your team runs today
Austin, TX
home base, serving practices nationwide
Put a number on what you’re leaving behind
Start with the complimentary Revenue Leak Assessment. You’ll see the figure, the sources, and the path — before any engagement.