Our Difference

Billing Companies Process Claims.
We Examine Them.

The reason denials recur isn't a billing software problem. It's a judgment problem — someone submitted a claim without understanding whether the documentation actually supported what was coded. Proton was built to close that gap. When a claim goes out from this operation, a clinician has reviewed the note behind it.

"Revenue loss in independent practice rarely looks like a system failure. It looks like a $47 underpayment on an ERA nobody benchmarked. A biologic claim denied for missing clinical indicators. A SOAP note that billed level 4 but documented level 3. None of it appears as a single line on a report. It compounds, invisibly, until you audit." — Dr. Sherien Khan · Physician Co-Founder, Proton RCM

We bring clinical expertise, deep US revenue cycle knowledge, and proven operational leadership to every claim we review.

0+
RCM Services
0
RCM Phases
0+
EHR Platforms

Why Practices Choose Proton RCM

Physician at the Helm

Clinical leadership drives every denial decision at Proton. When a payer denies for medical necessity, a physician reads the note — not the remark code. That difference recovers claims other billers write off.

The RCM Team That Reads the Note Before the Denial

Most billing companies respond to denials after they happen. Our clinical leadership reads the documentation before submission — catching medical necessity gaps, modifier errors, and coding mismatches at the source, not in the appeal queue.

Revenue Is the Only Metric

Every workflow decision is evaluated against one question: does this maximize compliant reimbursement? Not throughput. Not efficiency. Revenue — the kind that actually lands in your account.

Built Inside US Payer Reality

Forged working directly within US physician practices, NP and PA workflows, across multiple states, specialties, and payer environments. Not trained on US billing. Built inside it.

Compliance Before Access

The Business Associate Agreement is signed before any team member sees a single patient record. Not because it's required — because it's the only way this operation runs.

Who We Are

A team built around
one thing: your collections.

Proton RCM was built by people who have worked inside US medical billing operations — not around them. Our team combines active clinical expertise, hands-on revenue cycle experience across multiple specialties and payer environments, and the operational infrastructure to run it at scale. Every claim we touch is reviewed by someone who understands what's being billed and why it should be paid.

Clinical Insight

Physician-level understanding of documentation, medical necessity, and what payers actually require — applied to every denial and appeal before it leaves our desk.

Billing & Coding Expertise

Active US RCM operations spanning ICD-10/CPT coding, AR management, denial resolution, and full-cycle billing across 12+ EHR systems in live payer environments.

Operational Discipline

Structured onboarding, documented workflows, and systems-led management — so nothing falls through the cracks and you're never chasing your own billing team for answers.

Physician Founded Clinical Leadership HIPAA Compliant Processes ICD-10 / CPT Certified Full Revenue Cycle AR & Denial Management 12+ EHR Systems Prior Authorization US-Based Management
>95%
First-pass claim rate
<5%
Denial rate
<35
Days in AR
+20%
Average revenue uplift
HIPAA Compliant
Full BAA Before Engagement
US-Based Management
Direct Oversight, Always
ICD-10 & CPT Certified
Clinical Coding Authority
BAA Before Engagement
Zero-Gap Compliance
Documentation Gaps Caught Early
Clinical insight identifies gaps before they become denied claims — at the root cause, not after the fact.
Maximum Compliant Reimbursement
Clinical notes converted into precise ICD-10/CPT coding — compliant, defensible, and optimized for every specialty.
Industry Benchmarks Exceeded
Denial rates drop, AR resolves faster, clean claim rates exceed industry benchmarks by 20–30%.