How It Works Our Approach About Results FAQ Book a Call
Practice growth & revenue solutions

Capture every dollar
your practice has earned.

Practice launch. Revenue cycle consulting. AR recovery. Full-service billing. We combine seasoned healthcare operators with AI-powered workflows to create measurable financial results.

The business side of healthcare — so you can focus on patient care
HIPAA compliant
Works with any EHR
No long-term contract
First results in 30 days
Transparent pricing
The Problem

Three places revenue
quietly slips through.

Modern billing has gotten too complex for one or two people to keep up with. The work that gets dropped is almost always the same — denial appeals, aged AR, underpayment reviews.

10–15%
of net revenue typically left uncollected in small practices
Industry benchmarks have shown this gap for years. It's not unique to your practice — but the size of it tends to surprise owners who haven't seen the numbers.
6 in 10
denied claims are never resubmitted
Not because the appeals would fail — most would succeed. But because nobody has time to write them. A senior practice advisor paired with AI drafting tools can work through them in a fraction of the time.
3–5%
of revenue typically left on the table in payer contracts
Reimbursement rates drift. Contracts get signed once and rarely revisited. We benchmark your rates against payer averages, surface systematic underpayments, and flag contracts worth renegotiating.
Find Your Path

Every provider's journey is different.
Where are you right now?

We serve providers at every stage. Choose the situation that fits yours.

New Provider Launch Package

There's no playbook for starting a practice. Until now.

Most providers who've opened a practice will tell you the same thing: they wish they'd had someone to call who actually knew the business side. The billing systems nobody explained. The credentialing delays nobody warned you about. The contracts signed without leverage because you didn't know what good looked like.

We've watched this frustration play out over and over — providers kicking themselves for what they had to learn the hard way. We built this package so that doesn't have to be your story.

Practice launch planning — billing system selection, EHR setup guidance, and credentialing support from day one.
RCM workflow setup — build the right billing processes before bad habits form and the backlog starts.
Payer credentialing strategy — which payers to prioritize, what rates to expect, where to push back.
Ongoing advisory access — a senior practice advisor you can call when something doesn't make sense.
Flat monthly retainer · Month-to-month · No long-term commitment
Talk to a practice advisor →
Established Practice Consulting Package

You've built something real. Let's make it financially stronger.

Most established providers know they're leaving money somewhere — they just can't pinpoint where. Payer rates that haven't been renegotiated in years. Denial patterns nobody's fixed at the source. Billing workflows that worked at two providers but are cracking at six.

We come in as a consulting partner — not a billing vendor — and look at the full financial picture of your practice. Then we help you fix what's broken at the source so it stops happening. We're not here to replace your staff. We're here to optimize what you already have.

Revenue cycle audit — full review of where you're leaking and by how much.
Denial pattern analysis — identify root causes and fix them, so the same denials stop happening month after month.
Payer contract renegotiation — benchmark your rates and recover what you're owed going forward.
Staff & workflow optimization — your team stays. We make them more effective, not redundant.
Flat monthly retainer · Month-to-month · No long-term commitment
Start the conversation →
AR Recovery

Most providers already know their AR is a problem. Few realize how big.

15–25% of a typical practice's AR sits in 90+ day buckets. Most of it is still collectible. It doesn't get worked because it's tedious, time-consuming, and easy to deprioritize when new claims keep coming in. We specialize in exactly this kind of cleanup.

1
Week 1
We get into your system.

A 30-minute call to understand your practice. We review remittance data, look at top denial categories, and get appropriate user access to your billing system.

2
Week 1–2
We start with what's most recoverable.

Your 90+ day AR gets worked first — that's where most of the money is. High-confidence denials get appealed immediately.

3
Week 3–4
Recovery becomes routine.

Weekly denial work and AR follow-up settle into rhythm. AI handles drafting; a senior practice advisor handles all judgment calls.

4
Monthly
You see what changed and why.

A monthly review of what we recovered, what we appealed, what payers are paying differently, and what's next.

Percentage of collections · Aligned incentives · We only win when you do
Book a recovery call →
Our Approach

Three places revenue quietly leaks. We work all three.

The backlog
Aged AR recovery
Claims already submitted, already aging, mostly still collectible.
We pull your AR aging report and triage by recoverability — payer, age bucket, denial reason. The 90–180 day range usually holds the most recoverable money, and rarely gets worked because it's tedious. AI ranks the worklist by likely return; a senior practice advisor handles each one.
15–25% of a typical small practice's AR sits in 90+ day buckets. Most of it is still recoverable.
The flow
Active denial management
Every new denial worked the week it arrives.
New denials are classified, root-caused, and appealed the week they arrive. AI drafts the payer-specific appeal letter; a senior practice advisor reviews and sends. On consulting engagements, we fix recurring denial patterns at the source. On AR recovery, we focus on maximizing every recoverable dollar.
The leverage
Payer contract review
The line item most practices forget to look at.
Reimbursement rates drift quietly over years. We benchmark your contracts against payer averages, surface systematic underpayments, and flag the agreements worth renegotiating. Often the single biggest revenue lever in the engagement.
Active AR Recovery
Working
412 of 1,847 claims worked 22%
$48,720 recovered ~6 weeks remaining
BC
Bay Clinic · 142 claims
UnitedHealth · 90+ days
$18,200 recovered
FM
Five Mountain · 86 claims
Aetna · 60–90 days
Appeals sent
MM
Mango Medical · 64 claims
BCBS · 30–60 days
In progress
KW
K'au Wellness · 120 claims
Medicare · 90+ days
Queued
Why Us

Built differently from the billing service you've probably tried.

  Typical billing service Pacific Revenue Partners ★
Who does the work
× Junior staff chasing easy claims
Senior practice advisor with 20+ years in healthcare operations
How they get paid
× Per-claim fees — easy claims get worked first
Retainer or percentage-based — pricing aligned to your situation, not the easiest claims
Your existing staff
× Outsourcing often means reducing in-house headcount and losing institutional knowledge
We work alongside your team and optimize what you have — no staff changes required
What they touch
× New denials only; aged AR gets written off
90+ day AR, complex appeals, payer contract review
Reporting
× A monthly invoice and a one-line summary
A monthly review of what changed and why
Setup
× Switch your system, retrain your team, 60–90 days
Authorized access to your existing system. Working by week one.
Time to first results
× 60–90 day onboarding before claims start working
First appeals filed within 7 days
About

Founded in Hawaii.
Built for independent practices.

Pacific Revenue Partners was founded in Hawaii, where independent practices face some of the hardest healthcare economics in the country — rising costs, payer consolidation, geographic isolation, and now the abrupt return of fee-for-service billing across the state. We built this firm because the providers we know personally don't have time to figure out the financial side on their own, and they shouldn't have to hire someone from the mainland to help.

Sarabeth Basoukas built her revenue cycle career here. Fifteen years across the largest community health center in Hawaii, multi-location clinics on Hawaii Island, and independent practices that needed help recovering money their billing teams couldn't get to. She's worked every major payer in the state, navigated every major billing platform, and seen what works for small practices because she's done it.

Our focus
"We know the providers, the payers, and the operational realities of small clinics here better than anyone you could hire from outside the state."
We're starting in Hawaii because we know the landscape best. As we grow, we'll bring that same depth to practices across the Pacific.
Pacific Revenue Partners · Founded in Hawaii
Hawaii-founded
Built by someone who knows the providers, payers, and operational realities of clinics here — not hired from the mainland.
Community health roots
Fifteen years across Hawaii's largest community health centers, multi-location clinics, and independent practices statewide.
Pacific-first focus
Starting where we know the landscape best, expanding to practices across the Pacific as we grow.
Revenue Estimate

See what your practice is likely leaving behind.

Three questions. We'll send you a practice-specific estimate of your revenue gap and what we think we could recover.

1
2
3
No system access required · Instant · Free
FAQ

Common questions.

We need authorized user access to your billing system — the specific scope depends on the engagement. For AR recovery work, we need the ability to file corrected claims and submit appeals. For consulting engagements, the scope may be more limited. We'll walk through exactly what access we need on the discovery call, and we sign a BAA before any data is shared. Most practices can get us set up in under an hour.
Yes. We sign a BAA with every client before any data is shared. All work is done in compliance with HIPAA regulations. We're happy to walk you through our security practices on the discovery call.
We work with any billing system that supports authorized user access — including athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, and most others. If you're unsure, ask us on the call and we'll confirm in minutes.
We document every claim we work — what we attempted, the payer's response, and our recommendation. Some claims genuinely aren't recoverable (timely filing expired, patient coverage lapsed). We'll tell you which ones those are and why, so you can update your write-off process going forward.
A biller handles claim submission and basic follow-up. We specialize in the work billers don't have capacity for — complex denial appeals, aged AR, payer contract analysis. We also bring AI tooling that makes the tedious work fast, and a senior practice advisor who's worked these exact payers before. Most clients run us alongside their existing billing team, not instead of them.
No. We operate month-to-month. We ask for 30 days' notice if you want to wind down, but there's no minimum term or cancellation fee. We think the engagement should earn itself every month.
Results

Work that moved the number

Hawaii Island Community Health Center
62 days in A/R. Down to 28 in nine months.

HICHC was leaving millions in billed revenue uncollected — denial patterns, aging claims, and billing workflows that weren't built for EPSDT complexity. We rebuilt the approach from the ground up.

55%
reduction in A/R
$2M+
revenue recovered
$10K
annual savings
See the full results →
West Hawaii Community Health Center
Turning a $300K grant into a permanent Medicaid revenue stream.

A tele-dentistry program with real clinical value but no reimbursement pathway. No Medicaid precedent, denied claims, and a grant that wouldn't last. We negotiated with the state, rebuilt the billing systems, and got the first PPS claim paid.

First
PPS tele-dentistry claim in Hawaii
$300K
grant dependency eliminated
See the full results →
Get Started

A 30-minute call. No pitch deck.

We'll ask about your current setup, look at a sample of your remittance data, and tell you honestly what we think is possible — including if we don't think we're the right fit for your practice right now.