The whole back office, run by people who've worked inside one.
Brenner Medical Management offers three service lines that fit together: end-to-end revenue cycle management (with deep ophthalmology specialty depth), referral base building for practices that want a more systematic approach to growing the network that feeds them, and full-service practice management for owners who want a single firm running both the billing and the business itself. Pick one or all three.
End-to-end RCM, run weekly — not when it gets ugly.
Practices come to us when their AR is climbing, their denials are stacking, or their previous billing service stopped picking up the phone. We rebuild the cycle from the inside out.
Coding & Charge Capture
Certified coders reviewing every encounter — E&M leveling that matches your documentation, eye codes (92xxx) used correctly, ancillary testing modifiers applied where they belong. We don't upcode and we don't undercode. We code what you did.
Claims Submission
Clean claims out within 24 hours of charge entry. Real edits at the clearinghouse — not "submitted and prayed for." First-pass acceptance is the metric that pays you fastest, and it's the one we watch hardest.
Payment Posting & Reconciliation
ERA and EOB posting daily. Contractual adjustments reconciled against your fee schedules. Variance flagged so you can see when a payer is paying you less than they're contracted to.
AR Follow-Up
Aging worked on a weekly cadence by aging bucket and payer. We chase 30-day balances before they slip into 60, and we work the 90+ bucket aggressively before timely-filing kills your shot at it.
Denials Management
Every denial worked, appealed when winnable, and tracked by reason code. Pattern reporting goes back to your front desk and clinical team monthly — because most denials get prevented at check-in or in the chart, not in the appeal.
Patient Statements & Self-Pay AR
Statements that read like a human wrote them. Self-pay AR worked respectfully but firmly. Bad-debt referral only when it's actually the right call.
Reporting You Can Actually Use
Monthly close-out with the metrics that matter: days in AR, first-pass acceptance, denial rate by reason, net collection percentage. Plus a written commentary on what moved and why. No dashboards-for-dashboards' sake.
The wedge we built the firm around.
Ophthalmology — especially retina — has the most expensive drug spend in outpatient medicine and some of the strictest payer rules attached to it. A single mis-coded Eylea HD claim is a four-figure denial. Get the modifier wrong on a fluorescein angiogram and you've written off a week's worth of testing revenue.
This is the lane we built the firm in. The pages of payer policy updates, the J-code changes that drop with no warning, the prior-auth pitfalls — we live in them so your team doesn't have to.
That doesn't mean we only take retina. It means the rigor we apply to retina also catches problems you'd miss across cornea, glaucoma, general ophthalmology, and the professional-fee work that comes off procedures performed at ASCs.
What that looks like in practice
- Eylea, Eylea HD, Vabysmo, Susvimo — J-code and unit precision, refill timing, buy-and-bill reconciliation
- Biosimilar substitution policies tracked per payer, per state
- Modifier 25 documentation that survives a payer audit
- OCT, fluorescein, ICG, fundus photo modifier logic done right
- MIPS quality measures selected for retina — not the CMS defaults that don't fit
Most practices don't know who stopped sending — or why.
A specialty practice runs on referrals. Optometrists, primary care physicians, internists, and other ophthalmologists make the decision about where patients go — and most of them make it based on relationships, responsiveness, and word of mouth, not on who has the best website.
The problem is that practices rarely have a clear picture of their referral network. They know who their biggest senders are. They don't know who used to send and stopped, who's in the geography and sending elsewhere, or what's actually driving the decisions that get made in someone else's waiting room.
We fix that. We build the picture from the ground up — who's in your referral universe, who's active, who's lapsed, who's an opportunity — and then we go to work on it systematically. Not a one-time mailer. A real program.
What the program includes
- Referral network mapping — who's sending, volume trends, geographic coverage, and lapsed sources identified by name
- Gap analysis — ODs and PCPs in your catchment area who should be sending and aren't, with a prioritized outreach list
- Outreach program design and execution — structured touchpoints, communication cadence, and materials that don't look like they came from a generic marketing firm
- Rep-style liaison visits — in-office relationship calls with referring providers and their staff, handled with the same discipline as a pharmaceutical rep but without the product pitch
- Referral tracking and reporting — monthly visibility into what moved, who came back, and where the next opportunity is
New providers earning by month three — not month nine.
Credentialing delays cost real money. A new associate sitting on the sidelines for six months because Aetna lost the application twice is a problem we've fixed enough times to know how to prevent it.
We handle initial credentialing for new providers, recredentialing tracking so nothing lapses, CAQH maintenance, payer enrollment for new locations and TINs, and Medicare PECOS updates. We chase the payers so your office manager doesn't have to.
Full-service practice management for owners who'd rather see patients.
For practices that want one firm running both the billing and the business itself, we offer full-service management — everything below, scoped to what you actually need. Some clients hire us for the whole back office. Others pick a handful of the lines that hurt the most. Either works.
Financial Operations
Day-to-day accounting, accounts payable, accounts receivable, monthly close, and clear financial reporting. So the practice's books actually reflect what's happening in the practice — and so you have the numbers in hand when you need to make a decision.
Payroll & Benefits Administration
Bi-weekly or semi-monthly payroll, benefits enrollment and renewal, retirement plan administration, time-off tracking, and the quarterly and year-end IRS paperwork nobody enjoys.
HR & Staffing
Hiring support, employee onboarding, performance review structure, handbook maintenance, and the awkward conversations that come with running a people-business. Done in line with how the practice actually wants to operate — not from a generic HR template.
Credentialing & Provider Enrollment
Initial credentialing for new providers, recredentialing tracking, CAQH maintenance, payer enrollment for new TINs and locations, and Medicare PECOS updates. We chase the payers so your office manager doesn't have to.
Vendor & Supplier Management
Negotiating contracts with vendors — EHR, lab, supplies, equipment leasing, malpractice carriers, IT — and renegotiating when the terms get fat. We know where the leverage usually is.
Operations & Workflow Design
Front desk redesign, scheduling optimization, intake process review, and the patient-flow fixes that change the day-to-day. We start by sitting in the practice for a day — not by sending a questionnaire.
Performance Reporting
Monthly management reports with the metrics that actually matter — production per provider, AR days, collection percentage, contribution margin, no-show rate, new-patient mix — plus a written read on what moved and why.
Risk Management
Malpractice review, incident tracking, and the operational policies that catch problems before they become claims. Annual risk review with action items, not a binder that sits on a shelf.
Thirty days. No cost. A real look at where the leakage is.
We'll review your aging, your denial mix, and your top five payer patterns — and write up what we see. If it's a fit to keep going, we will. If not, you keep the audit.