Frequently Asked Questions
Everything you need to know about our medical billing services.
General
We provide comprehensive revenue cycle management including patient demographics, eligibility verification, prior authorization, charge entry, medical coding, electronic claim submission, payment posting, denial management, AR follow-up, patient billing, credentialing, EDI/ERA/EFT enrollment, practice setup, analytics, healthcare licensing services, and medical practice web development—serving all 50 U.S. states.
Pricing
Our pricing is customized based on practice size, specialty, claim volume, and services required. We typically work on a percentage of collections model, ensuring our success aligns with yours. Contact us for a free consultation and personalized quote.
Process
Standard onboarding takes 2–4 weeks depending on credentialing status, software access, and payer enrollment needs. We provide a structured transition plan to minimize disruption to your cash flow during the switch.
Technology
We have hands-on experience with TherapyNotes, Tebra (Kareo), AdvancedMD, athenahealth, eClinicalWorks, DrChrono, Office Ally, CollaborateMD, NextGen Healthcare, Practice Fusion, SimplePractice, and many others.
Results
Our clients typically see a 98% clean claim rate, up to 30% reduction in denials, faster AR turnover, and improved net collection rates. Results vary by specialty and current billing performance—we provide transparent reporting so you can track progress.
Compliance
Yes. We maintain strict HIPAA compliance with encrypted communications, secure access controls, Business Associate Agreements, and staff training. Patient data security is foundational to everything we do.
Coverage
Yes. We serve healthcare providers in all 50 U.S. states. Billing regulations are federal (HIPAA, CMS) with state-specific payer variations—we have experience navigating payer rules nationwide.
Denials
We analyze denial root causes, categorize by reason code, implement corrective workflows, and file timely appeals with supporting documentation. Our denial management process targets both recovery of denied claims and prevention of future denials.
Credentialing
Absolutely. We manage initial credentialing, re-credentialing, and payer enrollment including EDI, ERA, and EFT setup to ensure your claims process smoothly from day one.
MentalHealth
Yes. Mental health billing is one of our core specialties. We understand telehealth modifiers, session limits, superbill requirements, and payer-specific behavioral health policies for TherapyNotes, SimplePractice, and other platforms.
Transition
Yes. We manage smooth transitions including AR handoff, open claim status review, and payer notification. Our team works to ensure no revenue is lost during the changeover period.
