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💡 Choose the Right Tool for Your Unique Model
Each toolkit below is standalone and market-specific. Pick the one that aligns with your compliance profile and specialty needs.
🛡️ Specialty & Market Shields™
Support Where the Regulations Are Different. Tools Built for Clinics Like Yours.
Some clinics face unique rules, payer quirks, and documentation standards that don’t apply to others. This toolkit line helps you navigate the complexity — without reinventing the wheel or risking revenue.
🛠 This Collection Includes:
🛡 The Rural Shield™ – Built for RHCs, CAHs, and clinics operating under cost-based CMS reimbursement
🛡 The Telehealth Shield™ – Designed for virtual care teams needing defensible coding, documentation, and audit prep
❗ The Reality for Niche Clinics
“We’re being measured by the same metrics as everyone else — but we have different rules.”
Whether you’re operating under rural billing constraints or practicing across state lines via telehealth, you’re likely dealing with:
❌ CMS cost report rules that most billing templates don’t account for
❌ Denials from payers who don’t understand your specialty model
❌ Documentation gaps that hurt compliance (even when care is delivered properly)
❌ Staff trained on traditional fee-for-service logic, not specialty policies
❌ Internal workflows not mapped to market-specific compliance risks
You don’t need more generic templates. You need tools that speak your clinic’s language.
⚡ Who This Is For
✅ RHC & CAH billing teams managing cost-based reimbursement
✅ Telehealth providers offering remote services across multiple payers
✅ Compliance officers seeking defensible documentation in niche markets
✅ RCM leads building SOPs for teams outside the traditional clinic model
✅ Clinic managers in underserved or highly regulated environments
✅ Trainers trying to standardize specialty workflows for new staff
💸 The Cost of Not Acting
- Lost reimbursement from misaligned billing models
- Failed audits from lack of documentation clarity
- Provider frustration from unclear rules or expectations
- Denials due to mismatched modifiers or place-of-service issues
- Missed revenue because staff didn’t know what was allowed
Specialty and market-based billing rules are not optional. And payers will not make exceptions if you get them wrong.
🛡️ The Rural Shield™
Built for RHCs, CAHs, and Cost-Based Clinics.
This toolkit helps rural providers operate with confidence. Includes guidance aligned with CMS Chapter 13, cost-report implications, and modifier usage common to rural billing.
📦 Two Tiers Available:
| Tier | Price | Description |
|---|---|---|
| Core Toolkit | $595 | Includes cost-based reimbursement coding guides, CMS references, denial fix templates, rural modifier cheat sheet |
| Plus Training Add-On | $825 | Adds staff training tools, documentation walkthroughs, audit prep guides, and compliance tracker for rural clinics |
🧰 Designed for facilities billing under RHC/CAH rules, facing crossover claim denials, or preparing for MAC reviews.
🛡️ The Telehealth Shield™
Compliance and Documentation Tools for Virtual Care.
Designed for telehealth teams navigating multiple payers, evolving policies, and complex cross-state logistics.
📦 Two Tiers Available:
| Tier | Price | Description |
|---|---|---|
| Core Toolkit | $425 | Includes telehealth coding matrix, documentation note templates, payer-specific POS/modifier grid |
| Plus Training Add-On | $625 | Adds provider training deck, telehealth SOP templates, and common denial response scripts |
🧰 Works across EMRs and supports hybrid care models. Also includes updates for post-COVID telehealth guidelines and licensing checkpoints.
🧠 Results You Can Expect
✔ Fewer denials due to policy misalignment
✔ Better staff understanding of what’s allowed and how to document it
✔ Smoother audits with citations ready for review
✔ Improved billing turnaround and payer trust
✔ Specialty-specific SOPs that match your reality
“We were constantly correcting billing issues unique to RHCs. The Rural Shield™ finally gave us a structure that worked for our model — and helped us prevent repeat denials.”
Jamie D.
Rural Health Billing Lead
📦 Product Summary
| Product | Tiers | Starting At |
|---|---|---|
| 🛡️ The Rural Shield™ | 2 Tiers | $595 |
| 🛡️ The Telehealth Shield™ | 2 Tiers | $425 |