AI-Native Revenue Cycle
Built for Healthcare.
The only AI-powered revenue cycle company built exclusively for physician groups, ASCs, surgical hospitals, and IONM providers — with deep specialization in the most complex billing environments in medicine.
Specializing in
Surgical BillingIONM BillingIDR & Out-of-NetworkASC Facility BillingDenial Management
“The healthcare billing industry has been operating on the same broken model for twenty years. We built Collective to prove there’s a better way — one where AI does the heavy lifting and specialists handle the strategy.”
Kristle Young
President, Collective RCM
The Problem
The Old Way Is Failing
Surgical Practices
Traditional RCM companies sell labor. They put people on your claims, charge you a percentage of collections, and deliver mediocre results because the complexity of surgical billing requires specialization their generalist teams don’t have.
Most billing companies are running on 2015 technology with 2026 pricing. They didn’t build AI. They bolted it on, if they even have it. The difference shows in your denial rate, your days in AR, and the money you’ve already written off.
Meanwhile, the payer environment has gotten dramatically more hostile. NSA arbitration timelines, IONM policy shifts by carrier, QPA disputes — the rules are changing faster than a traditional billing company can track them.
Our Advantage
We Built AI First.
Everything else followed.
AI Infrastructure
Our proprietary AI handles claim scrubbing, denial prediction, coding review, and IDR submission strategy — trained on surgical billing, not generic healthcare data.
Surgical Specialization
IONM. ASC facility billing. Complex spine coding. We don’t treat surgical billing as a subcategory — it’s the only category we work in.
Your Size, Our Focus
Built for physician groups, ASCs, and community surgical hospitals. Enterprise-grade AI with a team that actually knows your practice.
The Process
Revenue Cycle That Works
01
Intake & Analysis
We map your claims, payer mix, and denial patterns. AI benchmarks your performance in 48 hours.
02
AI Coding & Submission
Every claim runs through our AI coding layer. Denial probability scored. Clean claims submitted.
03
Denial Prevention
Our AI identifies denial patterns before they compound. Appeals built from payer-specific libraries.
04
IDR & OON Recovery
NSA arbitration, IONM filings, out-of-network recovery — managed end to end on contingency.
Who We Serve
Four specializations. One partner.
Client Results
What Our Clients Say
$400K
“Collective found $400,000 in IONM claims our previous biller had written off. The appeals process alone paid for two years of their fees.”
Billing Director
Neuromonitoring Group, TX
31 Days
“We went from 67 days in AR to 31 days in four months. The difference was their understanding of how ASC facility billing actually works.”
Administrator
Multi-Specialty ASC, SE
3× Recovery
“Their IDR team recovered three times higher than the initial payer offers on our OON surgical cases.”
Practice Manager
Orthopedic Surgery Group, MW
Articles
Latest Insights
Why IONM Billing Requires a Specialist in 2026
5 min readASCThe Hidden Cost of ASC Facility Claim Denials
4 min readIDRIDR Win Rates: What the Data Actually Shows
6 min readTrendsPayer Behavior Shifts in Surgical Billing
3 min readCodingCoding Compliance in Complex Spine Cases
5 min readIDRThe QPA Challenge Playbook for 2026
7 min readAIDenial Root Causes: What Our AI Found Across 100K Claims
6 min readASCHow ASC Facility Billing Differs From Professional Billing
4 min readVideo Library
Watch & Learn
IONM Claims Are Too Complex for AI
60-Second Brief: QPA Challenges That Win
IDR Case Study: $1.2M Recovery
ASC Denial Patterns: What We Found
You Don't Need AI for Billing
How We Build Carrier-Specific Appeal Libraries
IONM Modifier Stacking Explained
NSA Arbitration: What Actually Happens
Free Intelligence
Subscribe to Our Newsletters
We publish what other RCM companies protect. Three newsletters covering everything in surgical billing, IONM, and IDR.
Surgical Billing Intel
Bi-weekly · Payer updates, coding changes, and denial alerts for surgical practice leaders.
IONM Billing Report
Monthly · Carrier policies, modifier updates, and denial defense strategies for IONM teams.
IDR & OON Intelligence
Bi-weekly · IDR entity data, QPA strategies, and regulatory updates for OON practices.
Q1 2026 Quarterly Report
Download free — 24 pages of surgical billing intelligence
Let’s find what you’re
leaving behind.
Our free Revenue Review analyzes your claims data, denial patterns, and payer mix — and tells you exactly where you’re losing money.
No commitment. No pitch deck. Just a straight answer.