Medical billing and revenue cycle management

Get paid in full for the care you already delivered

(Company Name) takes over your billing from eligibility checks to final payment, so claims go out clean, denials get worked, and your team gets back to patients instead of payer phone lines.

A claim's journey with (Company Name)

Live tracking

Eligibility verified

Coverage and benefits confirmed before the visit

Coded by certified coders

ICD-10, CPT and HCPCS codes matched to documentation

Scrubbed against payer rules

Errors caught and fixed before the payer sees them

Submitted and tracked

Every claim followed until the payer responds

Payment posted

Paid, reconciled and visible in your reports

24–48 hrs

Claim submission after the visit

100%

Claims scrubbed before submission

30+

Specialties supported

Dedicated account manager per practice

Billing problems that cost practices money every month

If any of these sound familiar, you’re not alone. These are the issues we fix for practices every day.

Claims keep coming back denied

Missing modifiers, eligibility gaps and coding mismatches add up. We scrub every claim against payer-specific rules before it goes out, then fix the root cause behind each denial so it doesn't repeat.

A/R older than 90 days keeps growing

Unworked balances quietly turn into write-offs. Our team follows up on every open claim, including old A/R you may have given up on.

Your staff is buried in billing

Front-desk and clinical staff shouldn't be on hold with payers. We take the phone calls, portals and paperwork off their plate.

Payers are paying less than they should

Underpayments are easy to miss line by line. We compare every payment to your contracted rates and appeal what's short.

Credentialing is stalling new providers

A provider who isn't enrolled can't bill. We manage applications, follow-ups and revalidations so new providers start earning sooner.

You can't see where the money is

If you can't answer "what's outstanding and why," you can't fix it. You get clear monthly reports on collections, denials and A/R.

Complete medical billing services under one roof

Choose full revenue cycle management or only the pieces you need. Either way, you work with one accountable team instead of juggling vendors.

Medical coding

Certified coders assign accurate ICD-10, CPT and HCPCS codes, with modifiers checked against documentation.

Charge entry

Charges entered within 24–48 hours of the visit, so nothing sits unbilled.

Eligibility and benefits verification

Coverage, copays and deductibles confirmed before the appointment to prevent avoidable denials.

Prior authorization

We request, track and secure authorizations so procedures aren't delayed or denied.

Claim scrubbing and submission

Clean electronic and paper claims sent to primary and secondary payers, then tracked to resolution.

Denial management and appeals

Every denial is analyzed, corrected and appealed, with patterns reported back to you.

A/R follow-up and recovery

Persistent payer follow-up on open claims, including recovery of aged balances.

Payment posting

Insurance and patient payments posted accurately, with ERA/EOB reconciliation.

Credentialing and enrollment

Provider enrollment with Medicare, Medicaid and commercial payers, plus CAQH and revalidations.

Patient billing support

Clear patient statements and a courteous team that answers patients' billing questions.

Fee schedule and underpayment review

Your fee schedule and payer payments compared against contracts to find missed revenue.

Reporting and analytics

Monthly reports on collections, denial trends and A/R aging, explained in plain language.

How (Company Name) runs your revenue cycle

A clear, repeatable process, so you always know where every claim stands.

Step 1

Onboarding and setup

We connect to your EHR or practice management system, set up clearinghouse and ERA enrollment, and load your fee schedules.

Step 2

Front-end checks

Eligibility, benefits and authorizations are verified before patients arrive.

Step 3

Coding and charge entry

Visits are coded from documentation and charges entered within 24–48 hours.

Step 4

Clean claim submission

Claims are scrubbed against payer rules, submitted electronically and tracked daily.

Step 5

Payments, denials and follow-up

Payments are posted, denials appealed and open claims followed up until resolved.

Step 6

Reporting and review

You get a monthly report and a review call with your account manager.

Billing expertise for your specialty

Every specialty has its own codes, modifiers and payer rules. Our coders work in your specialty every day, not once in a while.