The questions practice managers actually ask.

We already have an in-house biller. Why would we add a third party?

Most in-house billers are excellent at commercial and Medicare and learn OWCP in their spare time. OWCP has its own portal, fee schedule, modifier rules, and a different time-limit on every dispute path — bill adjustments and corrected resubmissions, fee-schedule appeals, formal hearings, and claimant-side reconsiderations all run on separate clocks. Miss the right one and the money is gone. We don't replace your biller. We sit alongside them on the federal book of business so the rest of your office can run as it always has.

What does it cost? Is it a percentage, a flat fee, or something else?

Engagements are structured one of two ways. For most clinics it is a percentage of net collections on the federal book, billed monthly with the A/R report. For consulting and recovery-only engagements, it is a flat scope fee. We do not charge setup fees and we do not lock clinics into multi-year contracts. The first month is on a 30-day evaluation.

How long does it take to see denial recovery on aged claims?

Bill-level adjustments and corrected resubmissions typically return a decision within 30–45 days of filing. Fee-schedule appeals and formal hearings run on longer clocks. We route each denial to the correct track and work the oldest, highest-dollar bills first. Most clinics see the first recovery wire within 60 days of onboarding, with the bulk of aged-denial recovery landing in months three through six.

Are you HIPAA-compliant? How is patient data handled?

Yes. We sign a BAA on day one, route all PHI through encrypted clearinghouse channels, and never email chart data. Our staff are trained quarterly on HIPAA and OWCP-specific PII handling, and the firm carries cyber liability insurance commensurate with the volume of records under management.

Do you only work with chiropractic, or other federal-injury specialties too?

OWCP-credentialed specialties only. In practice that means chiropractic, physical therapy, pain management, orthopedics, occupational medicine, and DOL/DOT evaluation practices. We do not take general primary-care or commercial-only practices.

What does onboarding actually look like in week one?

Day one: BAA, secure portal access, WCMBP credentials handoff, and a 30-minute call with your providers and front-desk lead. Day two through five: read of the last 90 days of denials, an A/R aging review, and a documentation audit on twenty representative chart notes. End of week one: a written diagnostic with the three most expensive errors we've found and the order we will fix them.

We're in another state. Do you work nationally or only regionally?

Nationally. OWCP and DOL are federal programs filed through the OWCP Medical Bill Processing Portal (WCMBP), which means the workflow is identical across states. We currently bill for clinics in 18 states.

What happens if we want to leave? Are records portable?

Everything is yours. On notice we hand back claim files, A/R history, payer credentials, and the active denial pipeline within ten business days, with a transition call to whoever you are moving to. No exit fee, no withheld data.