Most practices lose 15–20% of revenue to billing mistakes, slow follow-up, and payers who bet you won't push back. We make sure you get paid — every claim, every time.
Most practices wait 45+ days. Ours don't.
That's how much more our clients typically bring in within the first three months.
The industry average is 82%. We get paid on the first try, almost every time.
If a payer owes it, we collect it. Nearly every dollar, every time.
3.7 points above the national standard. Clean claims mean faster payment.
Most practices see 5–10% denials. Ours see less than 2%. That's money in your pocket.
Pick a phase. See exactly what we handle for you.
Get the right information before the claim is ever created. No surprises later.
We capture patient details accurately the first time — so claims don't get kicked back later.
We check coverage before every visit. No more billing surprises for you or your patients.
We track and process referrals so care transitions don't create billing gaps.
We get approvals before procedures happen — not scramble for them after a denial.
Accurate codes. Clean claims. Faster payment.
AAPC & AHIMA certified coders who know your specialty — and the codes that get paid.
Every service you provide gets captured and billed. Nothing falls through the cracks.
Claims go out within 24 hours. We track every one until it's paid.
Rejected same day, fixed same day. We find the root cause so it doesn't happen again.
We don't stop at submission. We collect every dollar you're owed.
Payments posted accurately and fast. We catch underpayments so you don't leave money behind.
Payers deny claims hoping you'll give up. We don't. Every denial gets worked until it's resolved.
We write and file appeals with clinical backing. Most of ours get overturned.
Old unpaid claims don't get forgotten. We chase aging AR so your cash flow stays healthy.
Extra hands for your practice — without hiring extra staff.
No disruption. No long setup. Just results.
We look at how you're currently billing, find where revenue is leaking, and show you exactly what we'd fix. No cost, no obligation.
We don't use templates. Your plan is built around your specialty, your payer mix, and how your practice actually works.
We work with all major EHR systems and handle the setup ourselves. Most practices are up and running within 72 hours.
Monthly reports, denial trend reviews, and a real account manager you can call. We don't disappear after onboarding.
Too many great practices lose money every month — not because they're bad at medicine, but because their billing is broken. Claims go out wrong. Denials pile up. Nobody follows up. We fix that.
We're a small, focused team. You get a real account manager, not a call center. We pick up the phone. We know your name. That's the whole idea.
Our coders specialize by discipline — cardiology coders for cardiologists, not generalists.
You probably are. Let us show you where — free, in 24 hours.
Get My Free AuditSwitching to SMadicale cut our denial rate in half within 60 days. Their team actually calls us back — something our last vendor never did once in two years.
We were sitting on $280K in aging AR when we came to SMadicale. Within 4 months, they'd recovered 94% of it. I wish we'd found them sooner.
As a mental health group, our billing is complicated. SMadicale's coders actually understand our codes. Clean claim rate went from 87% to 97% in the first month.
Simple commitments. We keep them.
You get a named account manager. Call them directly. They know your practice, they answer, and they get things done.
You get a monthly report whether the numbers are good or need work. No spin. Just the truth about where things stand.
Month to month. If we're not delivering, you can leave. We'd rather earn your business than lock it in.
Your cardiologist doesn't see a general practitioner. Your billing shouldn't use a general coder either.
HIPAA, SOC 2, HITRUST. We take security seriously — not because it's a selling point, but because it's the right thing to do.
Not claims submitted. Revenue collected, denials prevented, and time saved for you and your team. That's it.
Everything you need to know about enrolling with payers across multiple states without losing claim revenue.
How to negotiate reimbursement rates and fee schedules — and what most practices get wrong on renewals.
When and how to apply the JB modifier — with real claim examples and common denial scenarios.
Free audit. No contracts. Takes 15 minutes of your time.
Schedule a 15-min Call