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Bitewing
Bitewing
§ Solutions · For Practice Ops

Ownership, rollout, and Monday cadence —
before the dashboard.

Ops leaders care less about a dashboard existing and more about who owns what, what changes at the location, what does not change, and how long rollout takes. Bitewing starts read-only, fits around your stack, and writes priced, cited, appealable work into the flow your team already runs — so Monday stand-up works the way it already does, with more of the right signal on the table.

Read-only startNo new owners to hireMonday-ready
LOCATION HEALTH · WK 42 (sample)27 live · 3 onboarding
Madison Ave 14
−$239
4 appeals ready
Brookline 03
$0
No appeals
Austin 21
−$25
1 appeal ready
Denver 07
$0
No appeals
Phoenix 12
−$412
3 appeals ready
Chicago 09
−$47
2 appeals ready
Seattle 14
−$41
1 appeal ready
Boston 06
−$18
1 appeal ready
Dallas 18
−$823
8 appeals ready
Miami 05
−$120
2 appeals ready
Nashville 02
−$12
1 appeal ready
Portland 11
$0
No appeals
§ 01 · Ownership

Who owns what — nothing vague.

Most "new tools" stall because the ownership model is never written down. We say out loud what each role does and what we do. No shared-responsibility gray zones. Regional director, office manager, billing team, and Bitewing each have a contract — and the contract is the same across locations.

roles · responsibilities · no gray zones
Regional director
OWNSCross-location health · renegotiation input to CFO · escalation of chronic underpayers
CHANGESMonday view is now one grid, not a dozen spreadsheets
Office manager
OWNSMonday queue review · hand appeals to the biller · flag missing exhibits
CHANGESReviews a ranked worklist instead of rebuilding one from the aging report
Billing team
OWNSSend pre-drafted appeals · close out responses · own payer relationships
CHANGESPackets arrive priced and cited — no more starting from a blank template
Bitewing
OWNSReconciliation math · contract engine · variance router · ranked worklists · packet drafting
CHANGESWe do not send, appeal, or touch the PMS — read-only only
§ 02 · Rollout

Eight weeks to 25 locations.

Week zero: BAA signed, read-only access to one location. Week two: the first priced, cited variance report lands with the CFO and RCM director. Week eight: 25 locations live, queues landing in your existing Monday flow. No big-bang switchover, no parallel systems run in anger, no six-month consulting engagement.

week 0 · week 2 · week 4 · week 8
1
Week 0
BAA · read-only access
Mutual BAA signed. We receive structured claim + EOB exports. No write access to the PMS, then or ever.
2
Week 1
Parser · contract ingestion
Fee schedules parsed and versioned. TPA alias map reviewed with your team. First ledger preview within five days.
3
Week 2
First variance report
One month, one location, every line cited to contract and EOB. PDF + CSV to CFO and RCM director. Not a dashboard yet — a document.
4
Week 3–4
Expand to 5 locations
Same read-only pattern. Queues start landing in the office-manager Monday review. Office manager is trained in a 45-minute call.
5
Week 5–8
Roll to 25 locations
Regional directors see cross-location dashboards. Appeals flow through your existing outbound. Billers send from the tools they already use.
6
Month 3+
Monthly yield · quarterly chase list
CFO gets a board-ready variance line. Regional directors get the quarterly renegotiation input list. No new standing meeting introduced.
§ 03 · Monday cadence

An operating rhythm, not a new meeting.

At Monday stand-up the regional director opens one grid, triages amber / coral locations, assigns pre-drafted appeals to billers, and updates the quarterly chase list for the CFO. Twenty-five minutes. That is the cadence this discipline produces — not a new weekly review, not a new dashboard to babysit, not a new inbox to clear.

25-minute Monday · same PMS · same outbound · same roles
08:30
Open the location health grid
27 locations, green / amber / coral dot. Regional director looks at amber and coral first.
08:35
Triage amber and coral locations
Each amber / coral location expands to open appeals + variance drivers (payer, routing path, code family).
08:45
Assign pre-drafted appeals
Packets are already priced and cited. Biller sends from the existing outbound email. Office manager marks ownership in the queue.
08:55
Update the quarterly chase list
Chronic underpayers flagged for CFO renegotiation input. Missing exhibits parked with a specific ask to the front office.
What does NOT change
  • Same PMS
    No rip-and-replace, no new front-office workflow
  • Same outbound email
    Appeals send through the channel the payer already knows
  • Same biller roles
    Nobody reorgs a team to use this
  • Same monthly close rhythm
    Variance line joins the close, not a parallel reporting cycle
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First variance report, target: 14 days.

Read-only access to one location. Two weeks. Priced, cited, appealable variance — or a clean bill of health.

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