Medical Billing Services Built Around Your Practice

We handle the full claims submission process — from charge entry and coding review to payer-specific formatting and electronic submission. Every claim is reviewed for accuracy before it goes out, reducing preventable rejections and delays.

• Charge entry and review
• CPT, ICD-10, and modifier review
• Payer-specific claim formatting
• Electronic and paper claim submission
• Claim status tracking
• Rejection identification and correction

Unpaid and underpaid claims don't resolve themselves. We follow up consistently with payers to identify the status of outstanding claims, push for timely processing, and escalate when necessary — keeping your A/R from aging unnecessarily.

• Systematic A/R aging review
• Payer follow-up calls and portal inquiries
• Escalation of delayed or stalled claims
• Underpayment identification and follow-up
• A/R aging reports and trend tracking
• Coordination with your office on documentation needs

Denials cost practices revenue and time. We review every denial, identify the root cause, correct and resubmit when appropriate, and file formal appeals when warranted. We also track denial patterns to help address recurring issues at the source.

• Denial review and root cause analysis
• Claim correction and resubmission
• Formal appeal preparation and filing
• Payer-specific appeal tracking
• Denial trend reporting
• Coordination with clinical staff on documentation

Accurate payment posting is the foundation of a reliable revenue cycle. We post insurance payments, patient payments, adjustments, and contractual allowances — ensuring your accounts reflect what has actually been paid and what remains outstanding.

• ERA and EOB processing
• Insurance payment posting
• Patient payment posting
• Contractual adjustment posting
• Credit balance identification
• Reconciliation support

Patient balances require a different approach than insurance follow-up. We manage patient statements, follow up on outstanding balances, and handle credit balance reviews — professionally and in a way that reflects well on your practice.

• Patient statement generation
• Balance follow-up and outreach
• Payment plan coordination
• Credit balance review and resolution
• Patient billing inquiries
• Bad debt identification

You can't manage what you can't measure. We provide regular reports that give you a clear picture of your collections, A/R aging, denial rates, payer performance, and billing trends — in plain language, not just raw data.

• Monthly collections summary
• A/R aging by payer and provider
• Denial rate and trend reporting
• Payer performance analysis
• Charge and payment reconciliation
• Custom reporting on request

Getting credentialed and staying enrolled with payers is time-consuming and detail-intensive. We assist with initial payer enrollment applications, revalidation, credentialing follow-up, and participation status tracking so nothing falls through the cracks.

• Payer enrollment applications
• Credentialing follow-up
• Revalidation management
• CAQH profile maintenance support
• Participation status tracking
• New provider onboarding support

Sometimes the best first step is an honest review of what's happening in your billing cycle. We assess your current workflows, identify bottlenecks, and provide clear recommendations — whether you're considering outsourcing or just want to understand where revenue may be slipping.

• Review of current billing workflows
• A/R and denial analysis
• Identification of revenue leakage
• Payer mix and reimbursement review
• Workflow and staffing assessment
• Written summary of findings and recommendations