NEW LEAF PRIMARY CARE
NEW LEAF BEHAVIORAL HEALTH PLLC
NEW LEAF BILLING, CODING, and AUDITING SOLUTIONS, LLC
New Leaf Billing, Coding, and Auditing Solutions, LLC
Professional on Paper. Savage in Appeals.
Turn Denials into Results and Audits into Advantages
At New Leaf Billing, Coding & Auditing Solutions, LLC, we don’t just do billing, we defend your revenue with the rulebook in hand.
Founded by Crystal Stone, a dual boarded nurse practitioner (PMHNP-BC, FNP-BC) and triple certified revenue cycle strategist Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC), and Certified Professional Biller (CPB). New Leaf pairs deep clinical understanding with compliance grade billing, coding, and auditing expertise. Our team transforms chaos into compliance and denials into dollars by applying the same precision and grit Crystal has used for years fighting systemic insurer violations.
Who We Are
New Leaf was built for providers who refuse to settle for “good enough.” Crystal has seen firsthand how poor billing cripples good medicine and how knowledge restores control. Whether you manage billing in house or outsource, every provider deserves to understand the financial heartbeat of their practice. We equip you with that insight and defend your revenue with relentless advocacy, policy citations, and documentation that withstands any audit.
Our Regulatory Backbone
We operate with the statutes and manuals open, not guesses. Our work is rooted in ERISA, CMS (Medicare & Medicaid), and TRICARE regulations. That means when insurers play games, we respond with citations: §503 appeal rights, 42 CFR 422 Medicare Advantage parity, NCCI and MUE rules, and TRICARE’s own DoD specific coding pathways. We don’t just identify problems, we document, escalate, and fix workflows so you get paid and stay compliant.
What That Means for You
When your claims are downcoded or bundled, we use policy cited appeals and NCCI/MUE crosswalks that stick. When Medicare Advantage plans bend parity rules, we quote CMS regulations and climb escalation ladders. When self-funded plans ignore ERISA §503 timelines, we demand administrative records and expose fiduciary breaches. When TRICARE quirks derail claims, we match referral, authorization, and POS rules with surgical precision.
Our Services
We offer end-to-end revenue cycle management that begins with charge capture and ends with zero balance reporting. From real time eligibility checks and claim scrubbing to posting and denial management, we provide weekly KPIs and transparency every step of the way.
Our certified coding services ensure CPT, HCPCS, and ICD 10 CM accuracy aligned with NCCI and MUE rules and payer policy. Our CPMA grade auditing process blends prospective and retrospective reviews, staff education, and re audits to ensure sustained improvement.
When it comes to AR recovery and appeals, we overturn denials and underpayments using payer contracts, ERISA provisions, and Medicare guidance because every write off deserves proof. Our training and SOP programs deliver role-based onboarding kits, playbooks, and competency checks. And if you just need a consulting second opinion, we’ll dissect your toughest claims, audits, and payer policies and give you a clear path forward.
Advocacy & Philosophy
Crystal knows the frustration of battling insurance companies because she’s done it from every angle. Her philosophy is simple: do what’s right and fight for it. Determination and perseverance aren’t just personality traits at New Leaf, they’re deliverables. We believe education is empowerment, and every engagement is an act of advocacy for providers and patients alike.
We teach as we fix, tell the truth without sugarcoating payer tactics, and design compliance first systems that scale with your growth. Our goal is simple: for every provider we work with to grow, prosper, and thrive.
Industries We Serve
We specialize in behavioral health (psychopharmacology, psychotherapy, IOP/PHP, SUD), SNF/LTC and post-acute care (POS 31/32, Part A vs. Part B billing, telehealth, and payer quirks), and primary & specialty care (E/M leveling, minor procedures, injections, and same day edits).
Our Process
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Discover – We perform a rapid RCM health check: denials, AR aging, write offs, and workflow gaps.
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Stabilize – We fix eligibility errors, clean up charge capture, and align coding with payer policies.
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Recover – We execute targeted AR sweeps and appeal campaigns using evidence-based templates.
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Systematize – We build durable SOPs, train your team, and create QA dashboards that sustain results.
Compliance & Risk Protection
We prepare practices to pass audits before they happen. Every note, code, and modifier is reviewed against payer rules for defensibility. We maintain HIPAA compliant systems with BAAs and minimum necessary access. And we never accept denials blindly; every write off must meet legal and regulatory standards.
We fight payer tactics like arbitrary downcoding, improper NCCI bundling, Medicare Advantage parity violations, TRICARE referral denials, and ERISA §503 timeline breaches. We escalate with citations 29 CFR §2560.503 1, 42 CFR §422, HIPAA §164 minimum necessary standard because compliance isn’t optional, it’s armor.
Crystal’s Edge
Crystal Stone is double boarded (PMHNP BC, FNP BC) and triple certified (CPB, CPC, CPMA). She’s taken payer misconduct all the way to OCR, CMS, EBSA/DOL, IL HFS, and DOI and she wins with receipts. Her approach blends clinical insight, regulatory mastery, and audacious persistence to deliver unmatched results.
Education & Empowerment
New Leaf doesn’t hoard knowledge, we teach it. Our classes and playbooks cover everything from “Medical Billing & Coding for Providers” to “ERISA & Medicare Advantage Smackdown.” We train teams from front desk intake to appeal workflows and give providers audit literacy to self-check documentation. Crystal’s mission: no provider should ever feel powerless when payers play games.
Proven Results
Our clients see real change.
A behavioral health clinic cut AR from 90 to 28 days and recovered $20,000 in wrongful denials.
A solo provider learned to audit their own claims and found $30,000 in underpayments in six weeks.
New Leaf uncovered and corrected HIPAA violations committed by other billing companies that compromised PHI and allowed insurance carriers to commit ERISA violations unchecked. We stepped in, cleaned up the mess, and rebuild a compliant, audit-ready revenue cycle that actually pays.
We’ve worked with providers who were subjected to illegal prepayment claim reviews with coding record requests from unauthorized third parties and we put a stop to it. We documented the violations, cited the law, and escalated through the proper regulatory channels to halt the activity permanently. The result? Providers protected, PHI secured, and payers forced back into compliance.
We specialize in cleaning up the aftermath of billing negligence when other billing companies fail to investigate why a provider isn’t getting paid. We put in the work, dig into the data, and identify the real reason revenue has stalled. Then we fix it thoroughly, lawfully, and permanently.
We don’t just correct errors, we expose the root causes, document the violations, and hold payers and billing vendors accountable. We bring the rulebook, the receipts, and the resolve to make sure it never happens again.
Why Choose New Leaf
You could hire a billing company that just submits claims, or you could hire the one that drags them across the finish line. New Leaf Billing, Coding & Auditing Solutions doesn’t guess, hope, or sugarcoat. We bring savage honesty and compliance-first precision to every claim, every appeal, every audit.
When others guess, we cite. When others give up, we escalate. Every appeal references payer policy, every correction comes with receipts, and every outcome is backed by regulation not chance. We document everything, defend your revenue like it’s our own, and don’t stop until the payer backs down and you get paid what you earned.
If you want politeness, pick another firm. If you want results, pick New Leaf. We bring receipts, regulations, and relentless advocacy to every payer fight. Every fix is backed by law, every word by compliance, and every engagement by proof.
We don’t just protect your revenue we fortify it. Because at New Leaf, precision isn’t optional, and perseverance isn’t negotiable.
Where Compliance Meets Courage
This is where precision meets persistence and where every regulation becomes a weapon for what’s right. At New Leaf, we don’t flinch when payers push back. We cite, document, escalate, and win.
When compliance meets courage, providers stop being intimidated by audits, denials, and prepayment reviews. They start reclaiming their revenue, their time, and their peace of mind.
We’ve seen it all from billing companies that ignored why claims weren’t being paid to third parties making illegal prepayment record requests. We stepped in, found the violations, and put an end to them. That’s what happens when compliance isn’t just a checkbox, it’s a mindset backed by courage, clarity, and conviction.
Because courage without compliance is chaos. And compliance without courage changes nothing.
At New Leaf, we bring both.
We don’t just play by the rules, we know them, cite them, and make sure everyone else does too.
Quick Facts
• US based leadership, veteran founded and owned
• HIPAA compliant with signed BAAs and minimum necessary access standards
• Specialists in Behavioral Health, Primary Care, and SNF/LTC billing and compliance
• Experts in ERISA, CMS, TRICARE, and Managed Care regulations
• Proven success stopping illegal prepayment reviews and ERISA violations
• Dual boarded clinical leadership with triple RCM certification (PMHNP BC, FNP BC, CPB, CPC, CPMA)
• Every appeal backed by payer policy, regulation, or contract citation, never guesswork
• Transparent reporting
• Education forward, advocacy driven approach
• Audit ready documentation and compliance grade workflows
• Real results: denials overturned, PHI protected, and revenue recovered
• Compliance obsessed and fearlessly persistent
Contact Us
📞 Tel: 618 416 7738
📍 423 N High St, Belleville, IL 62220
📧 office@newleaf618.com
Let’s fix your revenue cycle. Reach out to us today!
