Medical billing services

Medical billing services for every stage of your revenue cycle

From verifying insurance before the visit to recovering payment after a denial, (Company Name) handles the work that keeps your cash flow steady. Choose complete revenue cycle management or only the services your practice needs.

Find a service

Jump to the part of your revenue cycle you need help with.

Front end

Patient access services

Most denials start before the patient is ever seen. These services make sure every visit is covered, authorized and recorded correctly from the start.

Eligibility and benefits verification

We confirm coverage, copays, deductibles and plan limits before the appointment.

Prior authorization

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

Patient registration and demographics

Accurate patient and insurance details entered once, correctly, to prevent rejections.

Mid cycle

Medical coding and claims

Clean, accurately coded claims are the fastest way to get paid. Our certified coders and billers make sure every claim is right the first time.

Medical coding

Certified coders assign ICD-10-CM, CPT and HCPCS codes based on your documentation.

Medical coding audits

Independent reviews of your coding to catch errors, missed revenue and compliance risks.

Charge entry

Charges entered accurately within 24–48 hours of the visit so nothing goes unbilled.

Claim scrubbing

Every claim is checked against payer-specific rules before submission.

Claim submission

Electronic and paper claims sent to primary, secondary and tertiary payers.

Claim rejection management

Clearinghouse and payer rejections corrected and resubmitted quickly.

Back end

Payments and A/R recovery

Submitting a claim is only half the job. We post every payment, fight every denial and follow up until your balance is collected.

Payment posting

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

Denial management and appeals

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

A/R follow-up

Persistent follow-up with payers on every open claim until it is resolved.

Old A/R recovery

We work aged and previously abandoned claims to recover revenue you may have written off.

Underpayment recovery

Payments compared with contracted rates, with short payments identified and appealed.

Patient statements and billing support

Clear patient statements and a courteous help desk for billing questions.

Practice level

Practice and provider services

Services that keep your providers enrolled, your fees correct and your practice informed about its financial health.

Credentialing and provider enrollment

We enroll providers with Medicare, Medicaid and commercial payers so they can bill sooner.

Fee schedule and contract analysis

We compare your fees and payer contracts with market rates to find missed revenue.

Revenue cycle reporting and analytics

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

Complete solution

End-to-end revenue cycle management

Prefer one partner for everything? With full revenue cycle management, (Company Name) runs your entire billing operation as an extension of your practice, from the first patient call to the final payment.

What's included

Eligibility, authorizations and registration
Medical coding and charge entry
Claim scrubbing, submission and rejections
Payment posting and reconciliation
Denial management and A/R follow-up
Patient statements and help desk
Credentialing support
Monthly reporting and review calls

Specialty billing services

Each specialty has its own codes, modifiers and payer rules. Select your specialty to see how we support it.