Our Healthcare Services
At CLEAR Management Group, we help healthcare organizations improve financial performance, strengthen compliance, and streamline operations through specialized consulting and outsourced healthcare management services.
Unlike traditional consulting firms, our team becomes an extension of your organization. We work directly with ambulatory surgery centers (ASCs), physician practices, anesthesia groups, pain management clinics, GI centers, sleep labs, ophthalmology centers, orthopedic practices, and specialty healthcare organizations to solve operational challenges that directly impact profitability.
Whether you need medical billing, revenue cycle management, insurance verification, prior authorization, ERISA appeals, ASC accreditation, or healthcare business consulting, our California-based team delivers practical solutions backed by decades of real-world healthcare experience.
Medical Billing & Revenue Cycle Management
Every claim represents revenue your organization has earned—but collecting every dollar requires much more than simply submitting claims.
CLEAR Management Group provides comprehensive medical billing and revenue cycle management (RCM) services that help healthcare organizations maximize reimbursement, reduce denials, improve collections, and accelerate cash flow.
Our team manages every phase of the revenue cycle, including:
- Patient registration review
- Insurance verification
- Charge entry
- Medical coding support
- Electronic claims submission
- Payment posting
- Denial management
- Accounts receivable follow-up
- Underpayment recovery
- Contract reimbursement analysis
- Patient billing
- Revenue reporting
Unlike many billing companies, we specialize in both in-network and out-of-network reimbursement strategies, helping providers identify revenue opportunities that are frequently overlooked.
We Serve
- Ambulatory Surgery Centers (ASC)
- Pain Management Practices
- Spine Surgery Practices
- Orthopedic Surgery
- Plastic Surgery
- Gastroenterology
- Ophthalmology
- Dermatology
- Sleep Labs
- Anesthesia Groups
- Physician Practices
Our goal is simple:
Increase collections while reducing the administrative burden on your staff.
Accreditation & Compliance Consulting
Preparing for accreditation shouldn’t feel overwhelming.
CLEAR Management Group helps healthcare organizations successfully prepare for:
- AAAHC Accreditation
- Quad A Accreditation
- Medicare Certification
- State Licensing
- CMS Readiness
- Life Safety Surveys
- Regulatory Compliance Reviews
- Mock Surveys
- Policy & Procedure Development
- Quality Improvement Programs
With more than 25 years of healthcare consulting experience, we understand exactly what surveyors expect.
Our consultants help organizations build compliance programs that improve patient safety while reducing stress during inspections.
Whether you’re opening a new surgery center or preparing for reaccreditation, our experts guide you through every step of the process.
ERISA Appeals & Insurance Reimbursement Advocacy
Insurance companies deny, reduce, and underpay millions of dollars in healthcare claims every year.
Many providers accept these payments without realizing they may have legal grounds to challenge the reimbursement.
CLEAR Management Group specializes in:
- ERISA Appeals
- Insurance Appeals
- Underpayment Recovery
- Denial Management
- Silent PPO Review
- Contract Payment Audits
- Out-of-Network Reimbursement
- Medical Necessity Appeals
- Payment Dispute Resolution
Our team develops customized appeal strategies using each patient’s specific plan documents, Explanation of Benefits (EOB), verification findings, and applicable federal regulations.
Rather than relying on generic appeal letters, we build evidence-based appeals designed to maximize reimbursement opportunities while holding payers accountable.
Healthcare Marketing Services
Growing a healthcare organization requires more than referrals.
Our healthcare marketing services help physicians and surgery centers increase visibility, generate qualified patient leads, strengthen physician relationships, and improve long-term growth.
Marketing services include:
- Healthcare Website Design
- Search Engine Optimization (SEO)
- Google Business Profile Optimization
- Content Marketing
- Physician Referral Marketing
- Social Media Management
- Healthcare Branding
- Reputation Management
- Digital Advertising
- Lead Generation
Every strategy is built specifically for healthcare organizations and designed to comply with healthcare marketing best practices.
Our goal is to help practices attract the right patients while building a stronger online presence.
Insurance Eligibility & Benefits Verification
Revenue cycle success begins before the patient ever arrives.
Our Eligibility & Benefits Verification team helps healthcare organizations verify insurance coverage before services are performed, reducing delays, denials, and unexpected reimbursement issues.
Our verification process includes:
- Active Insurance Verification
- Benefit Confirmation
- Prior Authorization Requirements
- Referral Requirements
- Medical Necessity Review
- Out-of-Network Benefits
- Deductible Verification
- Coinsurance Review
- Out-of-Pocket Responsibility
- Coverage Limitations
- Plan Exclusions
- Secondary Insurance Coordination
Our detailed verification process gives providers the information they need to make informed scheduling and financial decisions while improving clean claim rates.
Prior Authorization Services
Prior authorization requirements continue to grow, creating administrative burdens that delay patient care and reduce productivity.
CLEAR Management Group provides comprehensive prior authorization services that help healthcare organizations secure approvals quickly while reducing staff workload.
Our authorization specialists coordinate directly with insurance carriers to obtain approvals, submit required clinical documentation, monitor authorization status, and communicate updates throughout the process.
We support authorizations for:
- Ambulatory Surgery Centers
- Pain Management
- Spine Procedures
- Orthopedic Surgery
- Gastroenterology
- Ophthalmology
- Plastic Surgery
- Sleep Medicine
- Specialty Physician Practices
By combining benefit verification with authorization management, we help providers reduce surgical delays and improve reimbursement outcomes.
Why Healthcare Organizations Choose CLEAR Management Group
Healthcare organizations partner with CLEAR Management Group because we provide more than outsourced services—we become a strategic extension of their team.
Our integrated approach combines:
- Revenue Cycle Management
- Medical Billing
- Insurance Verification
- Prior Authorization
- ERISA Appeals
- Accreditation Consulting
- Compliance Support
- Healthcare Operations
- Financial Reporting
- Business Consulting
This allows providers to work with one experienced partner instead of coordinating multiple vendors.
Whether you’re opening a new surgery center, improving collections, preparing for accreditation, or recovering lost reimbursement, our team provides the expertise needed to strengthen both financial and operational performance.
Partner With CLEAR Management Group
Healthcare organizations face increasing pressure from changing reimbursement models, complex regulations, staffing shortages, and growing administrative demands.
CLEAR Management Group helps organizations overcome those challenges through proven operational support, healthcare consulting, and revenue optimization strategies that improve financial performance while allowing providers to focus on patient care.
If you’re looking for a trusted partner in medical billing, ASC revenue cycle management, accreditation consulting, ERISA appeals, prior authorization, insurance verification, or healthcare business consulting, we’re ready to help.
Ready to Strengthen Your Practice?
Contact CLEAR Management Group today to learn how our healthcare consulting and revenue cycle management experts can help your organization increase reimbursement, improve compliance, reduce administrative burdens, and position your practice for long-term success.