WorkSmart MD Platform

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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Become the Oracle: Why FQHC CFOs Need a New Approach to Predicting Patient Service Revenue

Dec 4, 2025

For most FQHC finance leaders, forecasting next year’s patient service revenue feels a little like trying to navigate with last decade’s map. The terrain keeps shifting—payer behavior, claim complexity, staffing challenges, and regulatory updates mean the old forecasting methods don’t tell the full...

Your Year-End Billing Health Check: A Playbook for FQHC Resilience

Nov 20, 2025

Five diagnostics to protect margin, mission, and momentum in 2026. Year-end is the moment to tune your billing engine. With grant timing uncertain and payer rules evolving, every collectible dollar needs to reach your bank fast. Here’s a concise, evidence-based checklist tailored for FQHCs. 1) Days...

The $1.6 Billion Blind Spot: Why Recoupments Are Eroding Healthcare Margins

Nov 11, 2025

Every month, healthcare providers across the United States lose more than $1.6 billion to recoupments—payments that were already received, deposited, and recorded as revenue, only to be clawed back later by insurance companies. Recoupments are one of the least understood and most disruptive forces...

Act Now to Protect Your Health Center’s Cash Flow — and Your Patients

Nov 6, 2025

Act Now to Protect Your Health Center’s Cash Flow — and Your Patients As federal budget negotiations drag on, FQHC leaders once again find themselves planning for continuity in the face of uncertainty. The headline: even during a shutdown, patient care continues—but operations can still feel the...

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.

Get Clarity. Drive Performance.
Request Your Free Analysis.