Roseville's private practices,
in one morning.
Saturday, May 16 · 8:30 AM – 12:30 PM · Roseville Venture Lab · 316 Vernon St. A working morning for independent practice owners in Greater Sacramento. Five short, hands-on sessions covering every step of the commercial-payer revenue cycle — what each payer should pay you, how to keep claims from being denied, how to win the ones that are, how to recover what you were underpaid, and how to renegotiate stronger contracts. Summit Pass attendees stay for a working session where everything we teach gets applied to your practice data, with a printed audit waiting at your seat.
The average independent private practice in Greater Sacramento is leaking $15,000–$20,000 a month.
Not in one place. In five places at once, every billing cycle, quietly. The ranges below come from our benchmark pass against 314M+ federally reported payer rates (2.4M+ normalized and live-queryable) across outpatient private practices in the Sacramento region.
Underpayments hiding inside paid claims
The 835 ERA file your clearinghouse drops every payment day shows what the payer paid. It almost never matches the contracted rate. Practices across Greater Sacramento are routinely paid short of contract — month after month — without a flag anywhere in the system.
Denials never appealed, or lost on appeal
Industry baseline: 12–15% denial rate, 65% never appealed, and the appeals that do go out win at roughly 30%. Cite the contracted rate from the payer's own published file and that win rate climbs toward 70%. The evidence is federally required to be public. The obstacle: a single payer's MRF runs from tens of gigabytes to over a terabyte. Technically public, technically inaccessible — until now.
Denials caught before submission
Bundling errors, missing modifiers, diagnosis-procedure mismatches, place-of-service flags. A modern scrubber catches 30% or more of denial-bound claims before the payer sees them, and pulls 13 days off the A/R cycle — roughly $6,000–$8,000/yr in avoidable rework and re-submission cost.
Down-coded payments most billers miss
Payers routinely pay a lower-value service code than the one submitted. Without rate-level visibility into what each payer is required to pay per code, the shortfall looks like a rounding error. It is not. Catching systematic down-coding across your top 5 billed codes is 30–60K/yr for most mid-volume private practices.
Leverage left on the table at contract renewal
Average first-year contract increase from a data-backed renegotiation against a top 3 payer: 4–7%. On a $350K–$500K/yr panel with a single commercial payer that is $14,000–$35,000/yr from one contract. Most private practices never ask because they don't know what the payer is paying comparable practices in the same market.
Total identifiable revenue impact
Across all five problems, for a mid-volume independent private practice in Greater Sacramento that bills commercial payers and has not audited its contracted rates in the past 24 months. The Free Open Session demonstrates this on anonymized practice data. Summit Pass attendees see it computed against their own.
If your paid Practice Audit does not identify at least $10,000/month in documented reimbursement opportunity across your submitted CPT and payer panel, we refund your fee.
Full refund on the $497 Summit Pass. You keep the printed Complete Revenue Audit and the negotiation playbook either way.
ReimburseOS identifies documented opportunity based on public contracted rates and submitted practice inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.
A civic event, not a sales event.
The City of Roseville's economic development team believes every independent private practice in Roseville should be paid what they are contractually owed by the major commercial payers. That sounds obvious. The reality is that most practices in Greater Sacramento are being paid less than their contracted rate, every billing cycle, because reading a 58-gigabyte federal rate file is not something a practice owner or biller can do manually.
We can. We built the tooling to normalize and query the federal Transparency-in-Coverage rate filings published monthly by Anthem, Blue Shield, Aetna, UHC, Cigna, and 22 other commercial payers. The City of Roseville, the Roseville Venture Lab, and the Roseville Area Chamber of Commerce co-hosted this Summit specifically to put that tooling in front of the independent practice owners who need it most.
One morning. Five sessions.
Doors at 8:00 with coffee and pastries. The free Open Session runs 8:30–11:00 and walks through every stage of the revenue cycle, with each segment showing real practice data on screen. Summit Pass attendees stay until 12:30 for the working session — that's when we apply everything to your practice's actual codes — followed by a Mikuni Sushi catered lunch.
8:00 – 8:30 · Doors, coffee, espresso, pastries from Fourscore Coffee House, check-in & networking
All attendees. Find your seat. Summit Pass attendees: your printed Complete Revenue Audit is waiting at your seat with your name on it. Meet the other practice owners in the room before we start sharp at 8:30.
8:30 – 8:50 · Welcome & the revenue-cycle map
A 20-minute walkthrough of the five revenue problems every independent private practice quietly absorbs each billing cycle — payer rates you cannot see, denials that come back without explanation, claims that pay short, and contracts that have not moved in years. By the end of these 20 minutes you will know where each problem hides in your books and what we are going to do about it for the next four hours.
8:50 – 9:15 · What every payer should pay you · Live rate audit
We pull the actual contracted rates Anthem CA, Blue Shield CA, Aetna, and UHC have on file for your specialty's codes in Greater Sacramento — straight from each payer's own published rate file (federally required since 2022, almost no practice owner has read it). You will see the spread between what payers are paying comparable practices in the same market, and what each payer is required to pay yours. Real numbers. Real local benchmarks. (Powered by ReimburseOS.)
9:15 – 9:40 · Catch denials before submission · Live claim scrub
We paste a real claim into the scrubber and watch every denial risk surface immediately: bundling errors, missing modifiers, diagnosis-procedure mismatches, place-of-service issues, and the payer-specific quirks that cost the most. Most denials are preventable if you check the claim before submission. Most billers do not have time. The scrubber does it in seconds. (Powered by Sentry OS.)
9:40 – 10:05 · Win the denials you receive · Live appeal-letter generation
We paste a real denial explanation-of-benefits and a complete, math-backed appeal letter is drafted on screen in under a minute. The letter includes the paragraph that cites the actual contracted rate the payer is required to publish under federal law. That single citation is what moves the typical appeal win rate from around 30% up toward 70%. You will see the letter formatted, ready to send. (Powered by Denial OS.)
10:05 – 10:30 · Recover the underpayments you do not notice · Live 835 ERA scan
The 835 ERA is the file your clearinghouse drops every time a claim pays. Inside it is the exact dollar amount the payer paid. We feed a real 835 in and immediately see every claim that came back short of the contracted rate — with the dollar shortfall calculated per claim and the appeal queued automatically. This is the claim-by-claim audit no biller has time to do manually. The numbers usually surprise everyone in the room. (Powered by Reclaim OS.)
10:30 – 11:00 · Renegotiate stronger contracts · Live leverage memo + Negotiation masterclass
We generate a renegotiation memo on screen: what comparable practices in Greater Sacramento are getting paid for the same codes, where your practice ranks, what to ask for, and the projected first-year revenue lift if your ask lands. Then a 15-year medical-billing veteran walks you through how to actually deliver it — the leverage packet, the formal rate-review request letter, and the script for the negotiator call. (Powered by Leverage OS.)
11:00 – 12:00 · Summit Pass Working Session · Your practice, on screen
Summit Pass attendees only. Open Session attendees depart at 11:00. We run your practice's codes through everything we just demonstrated: your rates compared to the local market, a sample claim scrubbed, a sample denial appealed, your underpayment estimate computed, and a renegotiation memo drafted for your top payer. About 6–8 minutes per practice. You walk out with a printed Complete Revenue Audit that has your practice name on it. This is the segment that pays for the ticket — and where the documented reimbursement opportunity gets surfaced.
12:00 – 12:30 · Mikuni Sushi catered lunch · Extended Q&A · 90-day platform onboarding
Mikuni Sushi catered lunch, included with your Summit Pass. Open Q&A across the table. We help every Summit Pass attendee log into Practice OS at the lunch table and walk through the dashboard, so when you walk out at 12:30 the platform is already running on your claims for the next 90 days.
Built for independent private practices. Not for everyone.
You will get value
- · Independent private practices filing commercial-payer claims
- · Solo providers through multi-provider outpatient practices
- · Any outpatient specialty billing Anthem CA, Blue Shield CA, Aetna, UHC, or Cigna
- · Practices with 25% or more of collections from commercial insurance
- · Practice owners who have not reviewed their contracted rates in the past 24 months
You probably will not get value
- · Hospital-employed providers (your contract is negotiated by the hospital)
- · Medicare-only practices (we benchmark commercial payer rates)
- · Cash-pay-only practices (we don't price out-of-network)
- · Practices in closed payer networks (Kaiser-affiliated, for example)
- · Chains or MSOs whose contracts are centrally negotiated without clinic input
The rate model is built on a specialty-agnostic platform covering 9.2M+ provider NPIs, 500+ commercial payers, and all 50 states. See the methodology →
Co-hosted with Roseville.
Roseville Venture Lab
316 Vernon St, Roseville CA. A public-private collaboration between the City of Roseville and community sponsors. The Venture Lab is the venue for the May 16 Summit — and a deliberate choice: this is a community event, not a hotel ballroom sales pitch.
City of Roseville
Co-host of the Summit. The City's economic development team supports the independent business community across Roseville. Their position: every private practice in Roseville should be paid what the commercial payers are contractually required to pay them. We agree. This Summit is the practical first step.
Roseville Area Chamber of Commerce
An active member and community partner for the Summit. The Chamber supports independent business growth across the Greater Roseville region and has helped get the word to private practice owners across the area.
Roseville Venture Lab · 316 Vernon St
Roseville Venture Lab
316 Vernon St, Roseville CA 95678. Downtown Roseville, within walking distance of the Roseville Civic Center. Accessible parking along Vernon St and in the adjacent city garage.
Fourscore Coffee House
Coffee, espresso, and pastries sponsored for all attendees from 8:00 AM. No need to eat before you come. Just bring your practice data and show up at 8:00 to grab a seat and meet the other owners before we start at 8:30 sharp.
Mikuni Sushi · included
Mikuni Sushi catered lunch from 12:00 to 12:30, included with your Summit Pass. Extended Q&A with the ReimburseOS team over the table. We help you log into Practice OS before you leave so your 90-day access is already running.
Can't make Saturday? Run your own NPI in about 15 seconds.
The Free Snapshot pulls your contracted codes from the federal Transparency-in-Coverage rate filings and shows you, payer by payer, where your contract sits versus the local-market benchmark. Anthem CA, Blue Shield CA, Aetna, UHC, and Cigna all covered. Results appear in your browser in about 15 seconds. No email required. No credit card. No PHI.
Answers, before you ask.
Free RSVP. 40 seats per cohort. Independent practices first.
Co-hosted with the City of Roseville, the Roseville Venture Lab, and the Roseville Area Chamber of Commerce.