About Mystefo

Building the future of intelligent business solutions

Who We Are

Mystefo is a healthcare revenue cycle management company focused exclusively on supporting US-based healthcare practices. Our team brings hands-on experience across eligibility verification, medical billing, payer follow-ups, denial management, and compliance-driven workflows. We partner with practices to improve financial performance while maintaining transparency and regulatory awareness.

Our Values

Compliance First

Our workflows are designed with HIPAA awareness and audit readiness in mind.

Transparency Always

Clear reporting, no hidden fees.

Provider-Centric

We act as an extension of your practice, not just a vendor.

Results-Driven

We track clean claim rate, denial recovery, and A/R reduction—not just claims submitted.

Industries We Serve

Behavioral Health

IBHS, ABA, Psychiatry, Substance Use

Physician Groups & Specialty Practices

Cardiology, Orthopedics, Primary Care

Hospitals & Health Systems

Comprehensive healthcare facilities

Non-Profits & Community Clinics

FQHCs, Medicaid-heavy practices

Our Medical Experts

Dedicated professionals providing exceptional care with innovation and compassion

Puran Singh

RCM Strategist | Healthcare Operations Leader

Puran Rathore is a healthcare operations and Revenue Cycle Management (RCM) professional with 15+ years of experience supporting U.S. healthcare providers across the full revenue lifecycle.

He specializes in building and optimizing RCM operations across eligibility, coding, claims management, AR follow-ups, denial resolution, and financial reporting—helping practices improve cash flow through accurate processes, regulatory compliance, and disciplined execution.

Known for his ability to translate complex payer rules into practical, scalable workflows, Puran focuses on creating systems that are sustainable, transparent, and results-driven. His leadership approach centers on accountability, continuous improvement, and long-term value creation for providers, teams, and patients.

Sanjay Sharma

Team Leader | Revenue Cycle Management

Sanjay Sharma is an experienced Team Leader in Revenue Cycle Management (RCM) with over 7 years of industry experience, specializing in Accounts Receivable management, denial resolution, and end-to-end claim lifecycle operations for both physician and hospital billing.
As a team leader, Sanjay oversees AR workflows, ensures adherence to Timely Filing Limits (TFL), and supports teams in resolving complex payer denials. He brings strong expertise in claim analysis, appeals processing, aging AR management, and insurance follow-ups, helping drive consistent reimbursements and high-quality outcomes for clients.
Core Expertise
•⁠ ⁠Team Leadership & Workflow Management
•⁠ ⁠Accounts Receivable (AR) & Aging Control
•⁠ ⁠Insurance Follow-ups & Denial Resolution
•⁠ ⁠Claim Analysis & Appeals Management
•⁠ ⁠Physician & Hospital Billing
•⁠ ⁠CPT, Modifiers & Compliance

Pratiksha

Sales Head | 8+ Years of Experience

Pratiksha is an accomplished Sales Head with over 8 years of proven experience in sales strategy, client acquisition, and business growth. She plays a key role in driving revenue, building long-term client relationships, and expanding the company’s market presence.

With a strong understanding of customer needs and market trends, Pratiksha leads the sales team with a results-driven approach. Her expertise includes developing effective sales strategies, managing key accounts, and ensuring consistent customer satisfaction.

She is known for her leadership skills, clear communication, and ability to convert opportunities into successful partnerships, contributing significantly to the company’s overall growth and success.

Case Study

Spectrum Behavioral Health (Colorado)

Success Story

Challenge

  • High denial rate (~15%)
  • Growing A/R days (52+)
  • Patient billing issues causing delays in collections

Our Approach

  • Conducted eligibility audit → fixed recurring errors
  • Trained staff on coding/documentation compliance
  • Implemented denial prevention and structured appeals
  • Deployed patient-friendly billing statements and online payment options

Results within 6 months

15% → 6%
Denial Rate Reduced
52 → 28
A/R Days Cut
$3K → $17.5K
Monthly Collections
"The Mystefo team has been a game changer—collections are up, staff are less stressed, and we finally have visibility into our revenue cycle."

Results may vary based on practice size, payer mix, and documentation quality.

Why Choose Mystefo RCM

Experience That Matters

While Mystefo is new as an organization, our team has 15+ years of direct RCM experience across every vertical—eligibility, coding, claims, denials, billing, and reporting.

Proven Results

Our case studies demonstrate real-world outcomes: denial rates slashed, A/R days reduced, and collections increased significantly.

Tailored Approach

We don't force one-size-fits-all processes. Every provider gets a customized workflow aligned with their EHR/PMS and payer mix.

Compliance & Trust

We operate with strict HIPAA standards, transparent reporting, and measurable KPIs—so you always know where you stand.

Scalable Support

Whether you're a small practice or a growing health system, we scale with you—at a cost model that fits your budget.

Pricing Models

Flexible pricing options to match your practice goals

Percentage of Collections

Pay based on what we collect. Aligned incentives ensure we're motivated to maximize your revenue.

Hourly / FTE Model

Dedicated team members for your billing needs. Predictable costs with dedicated resources.

Hybrid / Custom

Combination of both models to match your specific practice goals and requirements.