S4Medical — Support Services for Surgical Subspecialties

Service lines

Choose the support your practice needs

Engage one service line or connect the full patient journey. Select any service to explore the people, workflows, and indirect operational support behind it.

The S4Medical difference

We're not just another billing company — we're your practice.

Most practices can run lean — clinical providers (MD, NP/PA), a receptionist, and medical assistants — because S4Medical becomes the rest of your team. We even manage the human-resources side of running the office, so you don't have to.

We run the whole back office

Trim overhead to just your clinical staff and front desk. We handle scheduling, billing, auth, documentation, communications, credentialing, purchasing — and the HR that ties it together.

We don't chase the low-hanging fruit

Most revenue cycle companies collect the easy claims and move on. We work every claim to the end, because your surgeons earned every one of those dollars.

We respect the craft

Surgeons work incredibly hard on their craft and on caring for patients. We bring that same level of effort to your operations — so nothing you earned is left on the table.

The platform

One system. One team. Maximum efficiency.

To get the most from our staff, practices operate on the S4Medical platform — including our integrated EMR. A single source of truth lets one specialist handle work that normally takes several, which is how we keep your cost down and your throughput up.

Integrated EMR built for surgical workflows
Shared queues so work never falls through the cracks
Real-time dashboards and analytics on collections & throughput
Secure, audit-logged, and built around HIPAA practices
One vendor relationship instead of a dozen point solutions

7–8.5%professional collections RCM pricing

2 plansmonthly flexibility or annual savings

Milestonepricing aligned to completed work

Includedcommunications and workflow infrastructure

Built for your specialty

Tuned to how your subspecialty actually works

Every practice runs on the full S4Medical platform — plus workflows and tooling specific to your specialty. Select yours to see what that looks like.

Pricing options

Monthly flexibility or annual savings

Choose month-to-month service or lower rates with a 12-month agreement. Activity and fees are calculated monthly under either option.

Specific minimums are established from historical utilization and selected services. Final scope, commitments, exclusions, and practice-specific pricing are documented in the S4Medical Services Agreement.

Interactive fee calculator

Model your practice's service fees

Start with the sample single-surgeon practice below, then choose a monthly or annual agreement and adjust the monthly volume and services. Every number entered should represent one month.

Service fee schedule

Clear fees for the work we complete

Patient-access services are priced by milestone or completed encounter. Ongoing practice operations are priced by provider, collections, or practice financial volume.

Patient access & clinical operations

Support that moves each patient from referral through clinic and surgery.

01

Referral Management

Incoming referrals managed from receipt through conversion, including review, scope assessment, provider routing, routine eligibility, authorization requirement identification, outreach, and scheduling.

Referral milestone	Monthly	Annual
Intake & qualification	$14	$12.60
Successfully scheduled	+$27	+$24.30
Attends initial visit	+$13	+$11.70
Fully converted referral	$54	$48.60

Routine eligibility and one appointment reschedule are included. Duplicate referrals and administrative retransmissions are not separately billable.

02

Clinic Readiness

Scheduled patients prepared for upcoming visits, including eligibility, authorization status, expiring authorizations, required records or testing, and administrative clinic preparation.

Unit	Monthly	Annual
Per scheduled encounter prepared	$31.00	$27.90

Applies to new and established patients. Routine eligibility and authorization-status verification are included.

03

Post-Visit Coordination

Administrative next steps closed after a completed encounter, including payment posting, follow-up scheduling, labs, imaging, pathology, referrals, prescriptions, clearances, and physician-directed follow-up.

Unit	Monthly	Annual
Per completed encounter closed	$16.50	$14.85

Routine follow-up scheduling is included when requested as part of the post-visit workflow.

04

Surgery Coordination

The surgical workflow managed from request through completion, including facility, insurance, authorization, first-assist, implant and supply coordination, changes, cancellations, and financial counseling when applicable.

Surgery milestone	Monthly	Annual
Request initiated	$17	$15.30
Successfully scheduled	+$32	+$28.80
Surgery performed	+$26	+$23.40
Completed surgical funnel	$75	$67.50

Charges are based on the milestone reached. Routine schedule changes are included; substantial rework or repeated patient-initiated cancellations may be billed separately.

Provider & practice operations

Ongoing services that keep providers credentialed, revenue moving, and finances reconciled.

05

Provider Administration & Credentialing

Ongoing credentialing, payer enrollment, CAQH maintenance, malpractice and hospital administration, provider contracting, EFT enrollment, vendor administration, and provider-relations support.

Unit	Monthly	Annual
Per provider / month	Annual only	$375

Initial enrollment projects, major payer implementations, or work outside normal scope may be quoted separately.

06

Revenue Cycle Management

Traditional professional billing including claim preparation and submission, posting, ERA/EFT processing, A/R follow-up, denial management, and revenue-cycle reporting.

Basis	Monthly	Annual
Professional collections	8.50%	7.65%

Rates apply to professional-fee collections managed under the S4Medical RCM agreement.

07

Practice Financial Administration

Financial work outside traditional claim processing, including clinic and patient-payment reconciliation, cosmetic deposits and balances, refunds, deposits, affidavits, payment plans, and system-to-processor reconciliation.

Trailing average monthly professional collections	Monthly fee
Up to $50,000	$1,500
$50,001–$100,000	$2,750
$100,001–$150,000	$4,250
$150,001–$250,000	$5,500
More than $250,000	Custom enterprise pricing

Tiers generally use a trailing 3- to 6-month average and are reviewed periodically. Practice-specific terms are established in the service agreement.

Authorization management

Routine work is already included.

Routine eligibility, identification of authorization requirements, and status management are included in the applicable workflow. Complex prior authorization, repeated payer follow-up, appeals, reconsideration, extensive documentation, or peer-to-peer coordination may be quoted separately.

Operational platform

One infrastructure supports every service.

Active services include integrated EMR and workflow management, SMS, fax, email, paper-mail workflows when needed, internal collaboration through Woof, task management, quality assurance, and operational oversight.

Service commitments & volume pricing

Reserve the capacity your practice needs.

Monthly pricing provides month-to-month flexibility without an annual service commitment. Annual pricing provides lower rates under a 12-month agreement with predictable staffing requirements. Any monthly minimum is credited toward applicable utilization rather than added on top unless otherwise specified.

Request a demo

See how S4Medical would run your practice

Tell us about your practice and we'll put together a tailored walkthrough and pricing proposal.

No obligation — a working session, not a sales pitch
We'll review your service mix, volume, and current workflows
Walk away with a practice-specific service proposal

S4Medical
84 NE I-410 Loop, Suite 320
San Antonio, TX 78216

Phone: (210) 569-1140
Fax: (888) 878-2254

Operational support for every step of the patient journey.