# Elevate Medical Resources > Elevate Medical Resources is a medical billing and revenue cycle turnaround firm based in Windermere, Florida, serving medical practices and ambulatory surgery centers across the United States. It specializes in practices that are losing money, buried in claim denials, or behind on accounts receivable, and it rebuilds the billing system underneath them until cashflow is steady and the practice is profitable again. It was founded by Jeff Ramos, a Certified Medical Revenue Manager (CMRM) with more than 18 years in the healthcare industry. ## Key facts - Name: Elevate Medical Resources - What it does: medical billing turnarounds for struggling practices, revenue cycle management, practice financial management, payer and reimbursement strategy, and ambulatory surgery center (ASC) management consulting - Founder: Jeff Ramos, accredited as a Certified Medical Revenue Manager (CMRM) by the Medical Revenue Management Association of America (MRMAA), with 18+ years in healthcare - Team credentials: coders certified by AAPC and AHIMA; hands-on experience managing an ambulatory surgery center - Who it serves: small and mid-sized medical practices, surgery centers, specialty clinics, and solo providers, especially those that are losing money, behind on claims, dealing with high denial rates, short on billing staff, or carrying old unresolved A/R - How it works: clients work directly with the person doing their billing, not a call center or a rotating team, and Elevate works inside the practice's existing EHR and practice management software - Free offer: a Revenue Rescue Assessment that reviews denial patterns, aging A/R, and the claims workflow, then walks the practice through a turnaround plan, with no cost or obligation - Address: 9100 Conroy Windermere Road, Suite 200, Windermere, FL 34786 - Hours: Monday to Friday, 8:30 AM to 5:30 PM Eastern - Phone: (321) 287-0702 - Email: jeff@elevatemedicalresources.com - Service area: United States - Website: https://elevatemedicalresources.com/ ## The Elevate Turnaround Method - Stabilize: find out exactly why claims aren't getting paid and fix the workflow so new claims go out clean, complete, and on time (denial root-cause review, claim submission and coding cleanup, eligibility and documentation checks) - Recover: work aging A/R, correct and resubmit what can be fixed, and appeal what should have been paid (A/R cleanup going back months or years, corrected claims, denial appeals and payer follow-up) - Sustain: keep the practice profitable with denial prevention built into the workflow, ongoing billing oversight and staff support, and financial reporting that shows what the practice actually earns ## Services - Revenue Cycle Management: medical coding, billing, and collections; denial management; A/R recovery; insurance eligibility verification; insurance follow-up; patient collections - Practice Financial Management: monthly financial and operational reporting; bookkeeping and accounting oversight; cash-flow and budgeting analysis; provider and service-line profitability; overhead and break-even analysis; payroll and staffing cost review - Payer and Reimbursement Strategy: payer and managed-care contract review; fee schedule analysis; underpayment analysis; reimbursement analysis and modeling; payer performance analysis; payer negotiation support - ASC Management and Consulting: financial reporting and budgeting; case and procedure profitability; payer mix and reimbursement analysis; facility utilization; staffing and supply cost analysis; growth and expansion modeling ## Common questions ### How does Elevate fix a failing or financially struggling practice? It starts by diagnosing the root revenue problems, such as late claims, missing documentation, coding inconsistencies, rising denials, or unpaid A/R. Then it rebuilds the billing workflow, cleans up old claims, and puts a system in place that stabilizes cashflow. ### How is Elevate different from a typical medical billing company? Most billing companies prefer clean, stable, low-maintenance practices. Elevate specializes in practices that are overwhelmed, behind, or struggling financially, and clients work directly with the person doing their billing. ### Does Elevate work with a practice's existing EHR or practice management software? Yes. Elevate works within the practice's existing systems and workflows, so there's no new software to learn. ### What kinds of practices does Elevate work with? Primarily small and mid-sized practices, surgery centers, specialty clinics, and solo providers that are losing money, behind on claims, dealing with denials, struggling with billing staffing, or carrying A/R that never gets resolved. ### Can Elevate recover old A/R or unpaid claims? Yes. Elevate cleans up old A/R, including months or years of it, by working unpaid claims, correcting errors, and appealing what should have been paid. ### How quickly can a struggling practice see results? Most practices begin seeing measurable improvements in 30 to 90 days as denials drop, A/R comes down, and cashflow stabilizes. ### Does Elevate work with ambulatory surgery centers? Yes. Elevate offers ASC financial, reimbursement, and operational consulting, informed by hands-on experience managing a surgery center, to show owners which cases and payer contracts are carrying the center and which are holding it back. ## Guides - [Why Is My Medical Practice Losing Money When We’re Busy?](https://elevatemedicalresources.com/guides/why-is-my-medical-practice-losing-money/): The billing, collections, and cost problems that drain revenue from a busy practice. - [How to Lower Your Practice’s Claim Denial Rate](https://elevatemedicalresources.com/guides/how-to-reduce-claim-denials/): The most common denial reasons and the workflow changes that prevent them. - [How to Recover Old Unpaid Insurance Claims and Aging A/R](https://elevatemedicalresources.com/guides/how-to-recover-old-unpaid-insurance-claims/): How to sort an aging A/R backlog and recover what can still be collected. - [Outsourced vs. In-House Medical Billing: What It Really Costs](https://elevatemedicalresources.com/guides/outsourced-vs-in-house-medical-billing/): The real costs of each approach and the questions to ask before you switch. - [What a Revenue Cycle Audit Looks At, and What It Usually Finds](https://elevatemedicalresources.com/guides/what-is-a-revenue-cycle-audit/): What an audit reviews, what it commonly uncovers, and how to use the results. - [Why an Ambulatory Surgery Center Can Be Busy and Still Lose Money](https://elevatemedicalresources.com/guides/why-is-my-surgery-center-losing-money/): The reimbursement, contract, and cost issues that erode surgery center margins. ### Why does my practice have a full schedule but no money? Usually because revenue is being lost between the visit and the payment. Common causes are charges that never get billed, claims that go out with errors, denials that are never reworked, slow collections, and payer underpayments. ### What is a good clean claim rate for a medical practice? A commonly cited target is 95 percent or higher, meaning at least 95 of every 100 claims are accepted and paid on the first submission without being corrected and resent. ### How do I know if my practice has a billing problem? Warning signs include days in A/R above 50 or 60, a growing share of A/R older than 90 days, a rising denial rate, and cash flow that doesn’t match how busy the practice is. If your team can’t easily produce those numbers, that’s a warning sign too. ### What is a good denial rate for a medical practice? A commonly cited target for the initial denial rate is 5 percent or lower. Many struggling practices run well above that, which usually points to front-end, coding, or documentation problems. ### What is the most common reason for claim denials? Eligibility and coverage problems, missing prior authorizations, coding errors, and missing documentation are among the most common. The mix varies by specialty and payer, which is why tracking denials by reason code matters. ### Can denied claims still be paid? Yes, many can. Denials can often be corrected and resubmitted or appealed, as long as it’s done before the payer’s deadline. Denials that sit unworked past those deadlines usually can’t be recovered. ### Can you still collect on old insurance claims? Often, yes. Claims that were never received, were denied and never appealed, or were underpaid can frequently still be recovered if they’re within the payer’s filing or appeal window. Claims past every deadline usually can’t be. ### How long do you have to file a claim with Medicare? Medicare generally allows claims to be filed up to one year from the date of service. Commercial payers set their own limits, which are often shorter and vary by contract. ### What should I work first in an A/R backlog? Start with the highest-dollar claims that are closest to a filing or appeal deadline, then work down. Very small balances with no realistic path to payment may be better written off with a documented reason. ### Is it cheaper to outsource medical billing? It depends on how well in-house billing is performing. The fair comparison includes staff, software, training, turnover, management time, and the revenue lost to unworked denials and aging A/R, not just a salary compared with a fee. ### How do medical billing companies charge? Common models are a percentage of collections, a flat fee per claim, or a flat monthly fee. A percentage of collections ties the company’s income to what the practice actually receives. ### What should I ask a medical billing company before hiring them? Ask who will work your claims and whether you can reach them directly, whether they work in your existing software, how they handle denials and old A/R, what they report monthly, and what happens to your data if you leave. ### What is a revenue cycle audit? It’s a structured review of how a practice gets paid, from scheduling and registration through coding, claims, denials, payment posting, and collections. Its goal is to find where revenue is being lost or delayed and estimate how much. ### How is a revenue cycle audit different from a coding audit? A coding audit focuses on whether services were coded correctly for compliance. A revenue cycle audit includes coding but looks at the whole payment process, asking whether the practice is collecting everything it has earned and how quickly. ### How often should a medical practice audit its revenue cycle? Many practices benefit from a full review once a year, with denial rate, days in A/R, and similar numbers tracked monthly. An audit is especially worthwhile when cash flow drops unexpectedly or after staff or software changes. ### Why is my surgery center losing money if case volume is strong? Volume can hide problems with case costs, payer contracts, supply and implant spending, room utilization, and billing. Some procedures may lose money under certain contracts, which only shows up in case-level analysis. ### How do payer contracts affect ASC profitability? Terms such as whether implants are paid separately, how multiple procedures are reimbursed, and which fee schedule applies can make the same procedure profitable under one payer and unprofitable under another. ### What financial reports should an ASC owner review? Case and procedure profitability, payer mix and reimbursement, supply and implant costs by procedure and surgeon, room and block utilization, denial rate, and days in A/R by payer. ## Resources - [Homepage](https://elevatemedicalresources.com/): services, the Turnaround Method, a revenue leak calculator, results, and the free Revenue Rescue Assessment - [Full text for AI assistants](https://elevatemedicalresources.com/llms-full.txt): the complete text of the website in one file - [White paper: What a Revenue Cycle Audit Can Reveal](https://elevatemedicalresources.com/#white-papers): an anonymized urgent care audit with $1.45M in aging A/R - [White paper: Revenue Cycle Audit Findings and a Recovery Framework](https://elevatemedicalresources.com/#white-papers): an anonymized multi-location gastroenterology audit - [AI and llms.txt policy](https://elevatemedicalresources.com/ai) - [Privacy Policy](https://elevatemedicalresources.com/privacy)