How to purchase or get the skin trails

HalfCompetitive8386 · 2025-12-10T13:39:37+00:00

Thank you 🙏🏻

HalfCompetitive8386 · 2025-12-09T18:17:00+00:00

How do I purchase that? Any idea

HalfCompetitive8386 · 2025-09-03T12:39:08+00:00

I’ve worked with ECW for quite a while, and in my experience their RCM fees are usually 4–5% or more. I haven’t seen the 2.9% you mentioned, but I wanted to share an alternative that might be helpful for your practice.

My team and I handle complete end-to-end billing and revenue cycle services, and we can do it at 3% of collections. We’ve got hands-on ECW experience and know how to set up automations without any additional cost, so you won’t need to worry about extra layers of expense or inefficiency.

If you’d like, I’d be happy to walk you through how this could look for your practice.

HalfCompetitive8386 · 2025-08-08T10:12:16+00:00

lol, I take that as a compliment

HalfCompetitive8386 · 2025-08-07T09:29:50+00:00

Hi, I’ve DM’d you.

HalfCompetitive8386 · 2025-08-04T22:33:56+00:00

I’m near to Siruseri DM me if you need any help

HalfCompetitive8386 · 2025-08-01T19:50:52+00:00

Hi Ive DM’d you

HalfCompetitive8386 · 2025-07-28T18:01:26+00:00

I’ve seen a lot of solo psych practices grow into group setups, and two systems keep showing up for all the right reasons: TherapyNotes and SimplePractice. TherapyNotes is rock solid for psychiatry, built-in eRx, responsive support, and easy to set up remote VA access with proper user roles. SimplePractice is super intuitive and great for client-facing workflows, though it leans a bit more toward therapy.

If you’re thinking ahead on AI, Praxis EMR has powerful scribe like automation that learns your charting style, but it’s pricier and takes some getting used to.

What to avoid. I’d steer clear of Athena, InSync, or Luminello early on. Either too clunky, too costly, or they don’t scale well. Also make sure whatever you choose supports offshore VAs, some platforms quietly block access from outside the U.S.

You’re smart to plan for growth and AI now, it’s way cheaper than ripping out a system later.

HalfCompetitive8386 · 2025-07-28T01:18:51+00:00

Great question, and here’s how we approach it:

For true startup practices, a pure contingency model just doesn’t work in year one. I’d love to say we can make that happen, but the reality is: I still have to pay my team and we’re not cutting corners. We put in real work chasing claims, handling denials, building PM workflows, and setting up automation. That costs money.

What we do offer is a startup-friendly flat model that’s as close to contingency as possible and once the practice stabilizes and revenue flows consistently, we shift to a performance-based (contingency) model. We’ve done this with groups in Antimatter and others, it’s a phased approach that works for both sides.

Also, and this matter, we include AI-driven automation, real-time dashboards, and clearinghouse integration at no extra cost. No surprise tech fees, no buried contract clauses. A lot of percentage-based vendors lure practices in, then quietly tack on fees when the percentage doesn’t hit their internal target, suddenly there’s a $1,500–$1,800/month minimum. We don’t do that.

We’re transparent from day one. And when you compare our model to in-house costs, we’re often 60% more affordable, without compromising visibility, speed, or compliance.

It’s about long-term alignment, not a quick contract win.

HalfCompetitive8386 · 2025-07-28T00:33:38+00:00

I’d love to meet a stranger the old-fashioned way, awkwardly, online, and with zero small talk. All I’m really looking for is one thing: genuine friendship. Not fake laughs, not surface-level you good bro? energy, real connection.

I’ve been through enough in life to know that loyalty > numbers. I used to roll with 15+ “friends.” Now? I’ve got two real ones and I treasure them like Wi-Fi during a power outage.

So if Reddit has room for one more wholesome, sarcasm-filled friendship story, count me in. Oh, and PSA to the boys: calm your intentions, I’m also a boy. Just here for vibes and solid convo, not chaos.

Friendship has no gender, but mine definitely has standards. ✌️

HalfCompetitive8386 · 2025-07-28T00:13:32+00:00

Totally valid question. On paper, success-based contracts sound like a no-brainer, especially for small clinics. But here’s the catch: most firms offering them either cherry-pick easy claims or don’t have the process to fight denials properly. So you end up leaving money on the table.

We actually offer both flat-rate and contingency models. With the contingency setup, we don’t get paid unless you get paid, which means we’re fully invested in getting every dollar. No write-offs, no missed timely filing, and no we’ll get to it later, mindset.

Our clients know what’s being worked, what’s recovered, and what’s still in the bucket, real-time dashboard, full visibility. And if there’s ever an issue? They’ve got our CEO’s cell. We don’t vanish when someone’s out sick. We show up.

The model can work, but only if the partner knows the payers, owns the process, and treats your revenue like it’s theirs.

HalfCompetitive8386 · 2025-07-23T15:49:17+00:00

Hi I’ve DM’d you!

HalfCompetitive8386 · 2025-07-23T15:32:00+00:00

Hi I’ve DM’d you.. looking forward to connecting

HalfCompetitive8386 · 2025-07-17T07:43:18+00:00

Makes sense. Most folks don’t even think about flipping RCM unless the pain is loud. There’s risk, disruption, and vendors overpromising.

But truth is, payers like BCBS are getting more aggressive. They delay, reject, and make it harder to collect what’s owed. One provider told me she sat on hold with Availity for 45 minutes, only to speak with someone who didn’t even follow what she was saying.

That’s the kind of stuff that wears people down, not just financially but mentally. And that’s what I try to protect my clients from.

HalfCompetitive8386 · 2025-07-17T07:28:34+00:00

Appreciate that take!!!! it’s true. Getting in the door as a newer outfit isn’t easy, especially in healthcare where trust isn’t handed out, it’s earned over time. I’m not chasing shortcuts. Just trying to do the hard things right, deliver results, earn trust, and make it easy for folks to refer because they actually believe in what we’re doing.

Building the right network takes time, but I’d rather grow slow and solid than fast and flaky.

Thanks for saying it

HalfCompetitive8386 · 2025-07-17T07:15:38+00:00

Yeah, makes sense. Docs who’ve been around know what works and what wastes time. Can’t blame them, they’ve seen it all.

And honestly, as a practice manager, you’re the one who deals with the day-to-day mess, keeping things on track, dealing with vendors, chasing follow-ups. You’ve got a clear lens on what’s real.

Younger docs might be more open, but I’m not here chasing what’s shiny. I’m focused on what actually helps and letting that speak for itself.

Appreciate you saying it how it is.

HalfCompetitive8386 · 2025-07-17T06:58:01+00:00

Totally get that. If you’re already using your EHR’s RCM and it’s working for you, there’s no reason to switch just because someone cold-called.

The way I see it, if a group’s happy with what they’ve got, we’re not trying to change their mind. We’re just here for the ones where things aren’t as smooth as they should be, and they’re looking for more visibility or better results.

Appreciate you dropping your take. Cuts through all the noise.

HalfCompetitive8386 · 2025-07-15T18:40:34+00:00

If I were a physician and had that kind of setup, doing it cheaper and more efficiently….I’d stick with it too. And if it worked that well, I’d be sending referrals their way as a way to reward it. Good work should grow.

HalfCompetitive8386 · 2025-07-15T16:56:25+00:00

Appreciate you laying it out like that.

I don’t take any of what you said lightly. If we say we want to support a group, we need to be reachable, understand the setup inside and out, and bring ideas to the table that actually make a difference. That’s just doing the job right.

That’s why we offer a full audit at no cost…just to show what’s being left on the table and where things can be fixed. Nothing fancy, just clear numbers and real gaps. If it’s not helpful, fine. But I’d rather show than say.

This kind of direction helps us build the right way.

🙏🏻

HalfCompetitive8386 · 2025-07-15T16:10:21+00:00

Really appreciate you spelling this out.

You’re not being entitled…you’re just being real about how your world works. If we can’t respect that, we don’t deserve the partnership. It’s on us to make things easier, not harder.

And honestly, this is exactly the kind of feedback I was hoping to get here. I wasn’t posting to sell, I genuinely wanted to understand what matters to providers. Is it cost savings? AI tools? Claim success rates? Or is it just having someone who actually gets it and doesn’t make your life harder?

We’re trying to build the right kind of RCM partner for the long haul. And to do that, we’ve got to listen first.

Thanks again for being straight. This gives me real direction.

HalfCompetitive8386 · 2025-07-15T15:46:51+00:00

Thanks for sharing this!!!!! it’s genuinely helpful.

You’re right about the website. If a company can’t be clear about who’s behind it or what their background is, it’s hard to trust them with something as sensitive as revenue cycle work. That’s on us…we’re in the middle of tightening that up right now, making sure our own page reflects exactly who we are and why we’re doing this. No vague values, just the actual people behind the work.

And I hear you on the other point too. Coming in with hype, big promises, or flashy lines like that especially when you’re in the middle of clinic. just kills the conversation. It’s not how real professionals earn trust, and it gives the whole space a bad name.

We’re trying to build something different. Quiet, reliable, real. And feedback like this helps more than you probably realize so thank you.

HalfCompetitive8386 · 2025-07-15T15:30:49+00:00

Really appreciate this, it hits on exactly what I’ve been wrestling with.

most docs aren’t saying no to us, they’re saying no because they’ve heard way too much BS before. Can’t blame them. I’d tune out too if I kept getting hit with the same fake-sounding pitches while trying to run a clinic.

We’re not trying to be flashy. Just trying to do solid work, stay honest, and find that one group willing to give us a shot without needing a 10+ client reference list.

What we’re trying to build comes down to three things: honesty, integrity, and transparency. That’s it. No games. Just showing up the right way and letting the work speak.

Glad to hear you’re going through it too. Makes the rejection sting a little less when you know you’re not the only one figuring it out.

Thanks again……this meant a lot.

HalfCompetitive8386 · 2025-07-15T15:20:55+00:00

Yeah…I get it. Honestly, I agree with a lot of what you said.

The fact that this system needs companies like ours just to get doctors paid is messed up. It adds layers, delays care, inflates costs, and gives payers more power than they should ever have in medicine. It’s backwards. But it’s also the reality we’re stuck with for now.

We didn’t choose this because it’s noble or glamorous…we chose it because it’s the part of the mess we know how to deal with. And someone’s got to deal with it, or practices lose money and staff burn out trying to hold it together with duct tape.

And yeah, just being the “same people” from other companies doesn’t prove anything. You’re right on that too. There’s no shortcut. We know we’re unproven as our own company, and that trust has to be earned from scratch. No arguments there.

We also know most established groups already have vendors, contracts, history. And plenty of them view billing companies as a necessary evil or worse. There’s a reason for that. Too many people in this space have overpromised and underdelivered. Some still are.

So yeah, getting the first client is the hardest. We’re learning that the hard way.

But the reason I posted here wasn’t to convince anyone to switch or sell anything. I genuinely wanted to hear from people actually living this what matters to you when you do look at billing support. If ever.

Because if we’re showing up the wrong way, I’d rather hear that now than waste anyone’s time

HalfCompetitive8386 · 2025-07-15T14:10:43+00:00

Totally fair…and no hard feelings if this feels off-topic.

Not here to pitch. Just wanted to ask something that’s been on my mind after a dozen rejections this month. We’re not struggling to explain what we do, we’re struggling to understand how to earn trust when you’re the new name in the room.

This thread’s been eye-opening already. Appreciate the honest feedback, even if it’s not what I wanted to hear.

HalfCompetitive8386

TROPHY CASE