WorkSmart MD Platform

Smart Technology Built for FQHCs, by RCM Experts
Worksmart logo

Introducing WorkSmart MD

At Synergy Billing, our mission has always been to level the playing field for Federally Qualified Health Centers (FQHCs). Complex payer rules, claim denials, and administrative burden keep health centers from getting paid for the care they provide.

That’s why we built WorkSmart MD—a denial prevention platform that stops errors before they happen, accelerates reimbursement, and puts more revenue back into your health center.
The Problem: A Broken System

Across the U.S., 1 in 3 claims are denied on first submission. Each denial creates costly rework, delayed payments, and serious cash flow strain for mission-driven health centers—while insurance companies profit from the delay.

Our Vision: Predict. Prevent. Get Paid.

WorkSmart MD flips the script from denial management to denial prevention.

  • Predictive Intelligence: Uses proprietary algorithms and historical data to identify whether a claim will deny—before it’s even submitted.

  • Eligibility & Coverage Checks: Integrates payer rules and eligibility validation to stop avoidable errors.

  • Automated Corrections: Applies data-driven edits and validation rules so claims go out clean the first time.
Proof in Action

WorkSmart MD has already processed over 1 million claims, delivering measurable impact for community health centers nationwide:

  • Fewer Denials – Clients see double-digit reductions in denial rates.

  • Faster Cash Flow – First-pass claim approvals accelerate reimbursement cycles.

  • Lower Costs – Increased claim throughput reduces staffing burden by up to 25%.

  • Higher Revenue – Health centers consistently collect more dollars on fewer claims.

Why WorkSmart Matters

❌ Claim denials are expensive.
✅ WorkSmart prevents them.

WorkSmart MD is like a second set of expert eyes—powered by data and automation—that ensures your claims are submitted right the first time, so your health center can focus on what matters most: patient care.

News & Insights

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Banishing the Billing Ghosts: Getting Paid, The First Time

Oct 13, 2025 

In healthcare billing, nothing drains energy and revenue faster than rework. Every denied claim, every code mismatch, every missing modifier is like a ghost tugging at your bottom line — invisible at first, but costly over time. For FQHCs, where margins are tight and missions are big, getting it...
The Ghost in The Machine — The Unseen Glitches That Haunt Your Revenue Cycle.

Oct 13, 2025 

Welcome to the ghost in the machine — the unseen glitches that haunt your revenue cycle. The Unseen Impact of Updates When vendors like NextGen, Epic, or eClinicalWorks push updates, even minor tweaks to file structures, NPI mapping, or claim fields can create cascading issues. A single change in...
The Rising Cost of Claim Denials and How FQHCs Can Protect Their Bottom Line

Sep 30, 2025 

Healthcare providers are facing a mounting challenge: claim denials are on the rise, and they’re taking a serious toll on both revenue and patient care. According to Experian’s 2025 State of Claims report, more than 41% of providers now say that 10% or more of their claims are denied, up from 38%...
How Outsourced Billing Partnerships Drive Long-Term Growth for FQHCs

Sep 23, 2025 

Rethinking Billing as a Growth Strategy Too often, FQHC leaders think of medical billing as a cost center — a necessary function that ensures providers are paid. But when done right, billing can actually become a driver of long-term financial growth. The key is choosing an outsourcing partner who...

Forecast Your Patient Service Revenue

Most health centers don’t know how much revenue should be coming in. Synergy Billing offers a complimentary revenue analysis using your historical claims data to forecast expected revenue, identify gaps, and set accurate targets.

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