Revenue integrity & ASC360™ that make underpayments impossible to ignore.
BmoreKarefulBilling LLC helps pain management, orthopedics, and high-acuity specialty practices protect Medicaid, Medicare Advantage, and commercial revenue using real revenue intelligence—not just basic billing.
Revenue integrity for Medicaid, MA, and specialty payors.
We sit between your clinical reality and payor rules to make sure your work is documented, coded, billed, and defended correctly.
Risk Score Integrity
Align documentation and coding so risk scores accurately reflect your population.
- Chart review & HCC capture audits
- RAF leakage identification
- Provider documentation coaching
Medicaid & MA Compliance
Align encounters and billing with state Medicaid, MA, and plan-specific rules.
- Encounter structure & routing checks
- Policy-based denial analysis
- State & plan-specific documentation rules
Denial Recovery & Prevention
Fix recurring issues that are eroding your margin—by code, payor, and policy.
- Root-cause denial trend analysis
- Underpayment identification & recovery strategy
- Playbooks for staff to prevent repeat issues
ASC360™ — Pain & Ortho revenue intelligence for ASCs and OBLs.
ASC360™ is a dedicated model for Pain Management and Orthopedic surgery. It focuses on high-yield CPT families where payors underpay, deny, or quietly change rules.
What makes ASC360™ different.
Instead of only asking “was the claim paid?”, ASC360™ asks “was it paid correctly based on codes, contracts, LCDs, and site of service?”
How centers use ASC360™
Most clients use ASC360™ in parallel with their internal billing team or existing vendor.
- Validate payments against expected logic.
- Prepare data-driven payor conversations.
- Inform staffing, workflows, and technology decisions.
👉 Email: bmorekarefulbill@yahoo.com
Simple, transparent ways to work together.
Start with a focused audit, or plug BmoreKarefulBilling into your ongoing revenue operations.
Revenue Integrity Support
For practices and ASCs that need ongoing guidance.
- Monthly denial & underpayment review.
- Targeted education for front-end & clinical teams.
- Regular reporting for leadership & boards.
ASC360™ Subscription
Best for high-volume pain & ortho ASCs and OBLs.
- Monthly ASC360™ analytics & dashboards.
- Payor trend analysis & contract insights.
- Executive-ready summary each quarter.
Audits & Recovery
Scope defined around your data and goals.
- Focused code family & payor audits.
- Underpayment recovery projects.
- Short-term engagements with defined deliverables.
Start your intake.
Share a few details about your practice, payors, and pain/ortho mix. We’ll respond within 24 hours with next steps.
Contact BmoreKarefulBilling LLC.
Ready for a data-driven conversation about your revenue, risk scores, and payor behavior?
Email: bmorekarefulbill@yahoo.com
Phone: 410-279-1464
Location: Baltimore, MD (serving multi-state providers virtually)