Five questions your finance office can't yet answer. Emphanex answers all five — and shows you exactly where the revenue went.
Emphanex is a margin intelligence firm. We provide Medicaid and payer enrollment, medical billing outsourcing, denial management, prior authorization support and revenue cycle optimization for OB/GYN, maternal-fetal medicine and behavioral health practices. We assemble what your systems hold separately — claims, remittances, contracts, and your ledger — into a single, defensible view of what your care earns, what it costs, what the market pays, and what your risk contracts do to all of it. We work read-only. Nothing in your billing, your EHR or your clearinghouse has to change for us to create value.
01
Medicaid & payer enrollment
For a practice that is not yet billing a given payer — new to Medicaid, adding a commercial plan, or opening a new location — we manage enrollment end to end: the application, NPI and payer-specific requirements, and follow-through until your first clean claim can be submitted. Priced as a flat per-provider fee, not a share of collections you do not have yet.
02
The Data Diagnostic
Free, on a timeline scoped to your data, your remittance data under a BAA. For organizations with an existing billing history: returns your recoverable dollars, your denial decomposition, and your rate position. The report is the proposal. There is no lower-risk way to find out what you are leaving on the table.
03
The Full Assessment
A bounded four-to-six week engagement that takes the number the diagnostic found and establishes what is causing it, who owns it, and what to do in what order. You receive an executive decision brief, a prioritised findings matrix, a 30/60/90-day roadmap sequenced by risk, a capacity model, an ownership map, and a scorecard to measure against.
04
Advisory
A retained relationship for organizations that want the analysis, the roadmap governance and the payer strategy without adding headcount. Monthly, scoped to your cadence.
05
Managed support
For defined, bounded functions — a denial queue, a coding workflow, an authorization workflow — under explicit service levels. We take the work you name; you keep the operation. We do not take over your revenue cycle, and we will tell you when someone else should.
06
Practice startup and payer contracting
End-to-end support for a launch or a new site: enrollment and credentialing (see step one), payer contract and compensation negotiation, and the initial systems set up correctly the first time.
Every one of these follows the same discipline: evidence first, cause before cure, and a number you can defend to anyone in the room. We diagnose before we prescribe — including diagnosing when the right answer is to change nothing structural and strengthen what you have.