Frequently asked, directly answered.

No. Cosentus is EHR-agnostic and integrates directly with Epic, Athenahealth, eClinicalWorks, AdvancedMD, ModMed, nxGen, ClarityStack, HALOMD and most other major systems. Your clinical workflow stays exactly where it is — we connect to the EHR you already use, pull charges, push claims, and surface analytics back into your dashboard. If you want a purpose-built option, Medcloud (our cloud PM platform) is available, but it is never required to work with us.

Most clients see measurable improvement within 3–6 months and up to 30% revenue growth within 12 months. Clean-claim rate and denial-recovery improvements typically show in the first 60 days because those workflows are where our Ai agents and specialty-trained coders make the largest immediate impact. The exact pace depends on your payer mix, the state of your existing AR, and how clean your charge capture is at intake. Every account gets a named client success manager who reports against these benchmarks weekly.

Yes. Cosentus is SOC 2 audited and HIPAA compliant, with PHI encrypted in transit and at rest, role-based access enforced for every team member, and a documented breach-response programme. All data handling is independently audited annually, and Business Associate Agreements are signed before any PHI changes hands. The security programme covers our offshore operations centres on the same standard as our US sites — no weak link by geography.

Our deepest specialty practices are Anesthesia (via our Accreda division), Orthopedics, Pain Management, Ambulatory Surgery Centers, and Behavioral Health. We also serve Urgent Care, OBGYN, Ophthalmology, Endoscopy, General Surgery, ENT, Dermatology, and more — 20+ specialties in total. Each specialty has its own team that knows the payer nuances, modifier rules, and documentation requirements specific to that case mix. You will not get a generalist queue.

Pricing is a percentage of net collections — you pay only on dollars actually collected, not on claims submitted. There are no setup fees, no per-claim charges, and no surprise add-ons. The exact percentage depends on your specialty, monthly volume, and the scope of services (billing-only vs full comprehensive RCM vs full practice management). We quote the rate during the Free Revenue Analysis so the number is grounded in your real numbers, not a list price.

Four stages, typically 30–45 days end-to-end. (1) Discovery: deep-dive into your payer mix, denial patterns, and current AR. (2) System integration: we connect to your EHR and clearinghouse, no data migration required. (3) Parallel run: we shadow your existing workflow so claims keep flowing while we learn your practice. (4) Go-live: your named client success manager takes ownership, with weekly check-ins, a monthly operational review, and a quarterly business review.

Every denial is categorised by root cause, appealed with clinical rationale by specialty-trained denials experts, and tracked in your real-time dashboard with the appeal stage visible. Our appeal success rate is over 95%. Just as importantly, denial patterns are fed back into the workflow — if a payer denies a CPT-modifier combination repeatedly, that pattern is corrected upstream so the same denial does not recur. Prevention is faster than recovery, and that is where the long-term revenue gains come from.

No long-term lock-in. Contracts run 12 months with a 60-day exit clause; your data, credentialing files, and payer enrolments remain yours throughout. We do not hold a practice hostage to keep the account. That said, customer retention sits at 99% — once practices see the dashboard transparency, the named team, and the cash improvement, they tend to stay. The exit clause exists for risk mitigation, not because we expect anyone to use it.

Three things. One: we are privately and independently owned — no private equity pressure to chase quarterly margin at the expense of your collections. Two: teams are organised by specialty, so the people working your account know every payer nuance and clinical detail of your case mix. Three: the Real + Artificial Intelligence model means Ai scales the high-volume work while a named human team retains accountability for judgement calls — coding, denials, payer negotiation. You get the same lead every week, not a rotating queue.