Get Expert Physician
Billing Services
Maximize your revenue, minimize administrative burden, and get paid faster with our comprehensive medical billing
solutions tailored for physician practices
Professional Medical Billing For Physicians
We understand the unique challenges physicians' practices face with billing and revenue cycle management. We don't just process claims; we become an extension of your practice, fully invested in your financial success. Our team of certified medical billers and coders brings decades of combined experience across multiple specialties, ensuring every claim is optimized for maximum reimbursement.
What sets us apart is our proactive approach. We don't wait for denials to happen; we prevent them through rigorous pre-submission scrubbing, real-time eligibility verification, and documentation review. When claims do get denied, our appeals specialists have a proven track record of overturning denials and recovering revenue that other billing companies would write off.
Our Comprehensive Billing Services
Medical Coding
Certified professional coders ensure accurate ICD-10, CPT, and HCPCS coding for all procedures and diagnoses, maximizing reimbursement while maintaining compliance with current regulations.
Claims Submission
Efficient electronic claims submission to all major payers with rigorous scrubbing processes to minimize rejections and denials, ensuring faster payment cycles.
Denial Management
Proactive denial prevention and aggressive appeals management to recover lost revenue and identify patterns that could impact future reimbursements.
Payment Posting
Accurate and timely posting of all payments, adjustments, and patient responsibilities with detailed reconciliation to maintain clear financial records.
What Makes Medical Billing Complex?
Ever-Changing Regulations
ICD-10 updates, CPT changes, Medicare rule adjustments, and state-specific requirements demand constant education and adaptation.
Payer-Specific Requirements
Each insurance company has unique billing guidelines, authorization requirements, and documentation standards.
Time-Sensitive Deadlines
Claim submission deadlines, appeal windows, and timely filing limits vary by payer. Missing a deadline means losing revenue that can never be recovered.
Documentation Requirements
Proper medical necessity documentation, modifier usage, and supporting clinical information are critical for claim acceptance and defending against audits.
Administrative Burden
Managing staff, training, software updates, and maintaining compliance programs diverts resources from patient care and practice growth.
Rising Denial Rates
Industry-wide denial rates continue to increase, requiring sophisticated tracking, analysis, and appeals management to protect revenue.
Benefits of Our Medical Coding Services
CertifieAverage revenue increase of 15-25% through improved coding accuracy and faster collectionsd coders with AAPC/AHIMA credentials- Eliminate costs of in-house billing staff, software, and training while improving efficiency
- Average claim turnaround reduced to 14-18 days with our streamlined processes
- Stay current with HIPAA, billing regulations, and payer requirements to avoid penalties
- Assigned account manager and billing specialists who understand your practice's needs
- State-of-the-art billing software and EHR integrations for seamless workflows
CertifieAverage revenue increase of 15-25% through improved coding accuracy and faster collectionsd coders with AAPC/AHIMA credentials
Our Coding Process
A proven, systematic approach to revenue cycle management that delivers results
Patient Registration
Verify insurance eligibility and benefits before service delivery
Charge Entry
Accurate coding and documentation of all services rendered
Claims Submission
Electronic submission with pre-submission scrubbing and validation
Follow-Up
Proactive tracking and follow-up on all outstanding claims
Payment Posting
Timely posting and reconciliation of all payments received
Frequently Asked Questions (FAQ)
We handle full revenue cycle management, including eligibility checks, accurate coding with CPT and ICD-10, claims submission, denial appeals, payment posting, and detailed reporting. This end-to-end support boosts collections by 30% on average.
Certified coders follow the latest guidelines from AMA, CMS, and payers, with regular audits and software updates. We reduce denials through precise modifiers and documentation review.
Transparent percentage of collections, typically 4-7% with no setup or monthly minimum fees. Pricing scales by practice size and volume for fair, predictable costs.
Onboarding takes 1-2 weeks, including credentialing review and system integration. We begin claims submission immediately after data transfer.
Yes, we support Medicare, Medicaid, CareFirst, and commercial payers across primary care, cardiology, orthopedics, and more. Local Maryland expertise handles regional rules.
Dedicated teams analyze denial reasons, resubmit with corrections, and pursue appeals. Clients see A/R days drop below 25 with real-time tracking dashboards.
Full HIPAA compliance, ISO-certified security, encrypted systems, and restricted access protect all PHI. Regular audits ensure zero breaches.
Absolutely, request a no-obligation review of your last 3 months' claims to uncover lost revenue. Contact us to schedule.