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Who We Serve

CLEAR Management Group partners with physician-owned practices and surgical facilities that want greater clarity, control, and consistency in their revenue cycle.

With experience supporting hundreds of medical practices nationwide, CLEAR has recovered millions of dollars in lost revenue by combining education, enforcement, and strategic medical billing and coding expertise. We work with providers who are tired of reactive billing and are ready for a proactive, data-driven approach to reimbursement.

Our services go beyond transactional billing. We empower physicians and administrators to understand payer behavior, defend their claims, and navigate complex reimbursement challenges with confidence. Through specialty-driven expertise and structured enforcement under applicable law, revenue cycle management, we help our partners strengthen cash flow, reduce denials, and build long-term financial stability.

CLEAR aggressively protects and recovers revenue for practices and facilities that value transparency and accountability, so providers can focus on their patients, not payers.

Ambulatory Surgery Centers

Ambulatory Surgery Centers require precision, speed, and defensibility to remain profitable in an increasingly payer-driven environment. CLEAR Management Group partners with ASCs to protect facility revenue through advanced medical coding, disciplined claim management, and ERISA-driven appeal strategies designed to withstand payer scrutiny.

Our ASC-focused billing and coding services align surgical documentation with payer expectations, build ERISA-driven appeals that strengthen leverage, and ensure claims are defensible from initial submission through final resolution.

Business Challenges We Address

Ambulatory Surgery Centers routinely face:

  • Bundled and downcoded payments that fail to reflect the true complexity of care
  • Systemic underpayments that go unchallenged or unresolved
  • Denied and underpaid claims that are never fully defended through the appeals process
  • Operational strain caused by delayed reimbursement and inconsistent payer responses

CLEAR brings structure, accountability, and enforcement to the ASC revenue cycle—so facilities can operate with confidence, predictability, and financial control.

Anesthesia Providers

Anesthesia revenue is highly sensitive to time units, modifiers, concurrency, and payer processing rules. Even small errors lead to material losses.
CLEAR defends every payable unit through anesthesia-specific coding, time validation, and ERISA-driven appeals.

Sleep Labs

Sleep study reimbursement depends on medical necessity language, authorization accuracy, and payer-specific coverage criteria.
CLEAR closes documentation and eligibility gaps to reverse denials and unlock recoverable revenue.

Dermatology

Dermatology revenue is driven by accurate lesion measurement, pathology linkage, and modifier use.
CLEAR enforces correct valuation for biopsies, excisions, and procedural dermatology services.

ENT

ENT reimbursement hinges on procedure bundling rules and payer policy interpretation.
CLEAR challenges improper bundling and forces justification for reduced diagnostic and surgical payments.

Gastroenterology

GI procedures are often underpaid due to bundling, frequency edits, and modifier suppression.
CLEAR uses data-backed coding and appeals to restore appropriate reimbursement for endoscopic care.

General Surgery

Surgical revenue is lost through global period disputes, modifier denials, and post-op payment reductions.
CLEAR strengthens documentation and appeal execution to protect full surgical reimbursement.

OBGYN

OBGYN billing complexity stems from episode-of-care overlaps, global maternity packages, and surgical modifiers.
CLEAR improves payment consistency by aligning coding with payer policy and clinical intent.

Orthopedics

Orthopedic claims are impacted by implant reimbursement, modifier usage, and post-op care classification.
CLEAR identifies systemic underpayments and recovers revenue tied to surgical complexity.

Pain Management

Pain management revenue is sensitive to CPT selection, frequency edits, and evolving payer rules.
CLEAR adapts coding strategies in real time to prevent denials and protect ongoing cash flow.

Podiatry

Podiatry reimbursement often hinges on medical necessity documentation and diagnosis-to-procedure alignment.
CLEAR strengthens records and appeals to recover payment on routinely undervalued care.

Spine

Spine surgery reimbursement depends on accurate acuity documentation, procedure classification, and appeal leverage.
CLEAR applies expert coding and ERISA advocacy to defend complex spine claims.

Urology

Urology revenue is affected by procedure bundling, modifier suppression, and payer-specific reductions.
CLEAR enforces accountability through structured appeals that restore appropriate valuation.

Vascular

Vascular procedures are underpaid due to misclassification and technical complexity assumptions.
CLEAR ensures proper coding and valuation for high-risk, technically demanding vascular care.

Outsource Medical Billing With Confidence

CLEAR Management Group acts as a revenue enforcement partner, not a transaction processor. Our specialty-specific coding, payer intelligence, and ERISA-driven appeals are designed to recover underpayments, reduce denials, and increase realized revenue.

Get a free analysis and discover how smarter medical billing and coding can change the way your practice gets paid.

Testimonials

What people say about us