End-to-end medical billing, from charge to payment
We take ownership of every claim: verifying coverage, entering, scrubbing charges and more.
What’s included
- Eligibility and benefits checks before the visit
- Charge entry with CPT, ICD-10-CM and HCPCS validation
- Claim scrubbing against payer rules and NCCI edits
- Electronic submission (837P and 837I) and rejection fixes within 24 hours
- ERA and EOB payment posting, adjustments and secondary claims
- Denial management, appeals and A/R follow-up by age and payer
- Patient statements and balance follow-up
- Monthly reporting: charges, collections, denials, A/R aging and days in A/R
How we handle it
Capture
Charges and documentation come in from your EHR or superbills.
Scrub
Codes, modifiers, eligibility and payer edits are checked before submission.
Submit and track
Claims go out the same or next business day and are tracked to acceptance.
Post and follow up
Payments are posted, underpayments flagged and unpaid claims worked.
Details that matter
Most lost revenue does not come from one big mistake. It comes from small, repeated ones: an expired eligibility, a missing modifier, a claim that was rejected at the clearinghouse and never resubmitted, or a denial nobody appealed before the deadline.
We work from clearinghouse rejection reports, 835 remittance data and A/R aging every week, so problems show up as patterns you can fix instead of surprises at month end.
What we need from you
- Access to your EHR or practice management system
- Your clearinghouse login or a new clearinghouse setup
- Payer contracts or fee schedules, if available
- Current A/R aging and denial reports
Questions about medical billing
Do we have to change our EHR?
No. We work inside the EHR and practice management system you already use, including AdvancedMD, and the clearinghouse you already have.
What is a clean claim rate?
It is the share of claims accepted on first submission without edits or rejections. We track it monthly because every rejection delays payment.
Who handles patient calls about bills?
We can handle patient billing questions for you, or route them to your front desk. You decide during onboarding.
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.