Expert Medical Billing Services
Stop losing revenue to billing errors and claim denials. Our certified medical billing specialists increase collections by 25-35% while you focus on patient care.
Industry-Leading Performance
Our medical billing services consistently outperform industry benchmarks across all key metrics
Our Comprehensive Medical Billing Process
Every step optimized for maximum accuracy, compliance, and revenue recovery
Patient Registration & Verification
Complete demographic capture, insurance verification, and eligibility confirmation before services. We validate benefits, copays, and deductibles to prevent claim delays.
Clinical Documentation Review
Expert review of provider notes ensuring complete documentation supports billing codes. We identify gaps early and request clarification before claim submission.
Expert Medical Coding
AAPC-certified coders assign precise ICD-10, CPT, and HCPCS codes. Specialty-specific expertise ensures optimal reimbursement for every procedure.
Claims Scrubbing & Validation
Automated and manual validation against payer-specific edits. We catch errors, missing modifiers, and documentation issues before electronic submission.
Electronic Claims Submission
Direct electronic submission to payers with real-time tracking. Claims are submitted within 24 hours of service completion for fastest payment.
Payment Posting & Reconciliation
Accurate payment posting with detailed reconciliation of ERA files. We track every penny and identify discrepancies immediately.
Denial Management & Appeals
Systematic denial analysis and rapid appeals process. Our specialists resolve denials within 48 hours and recover 94% of initially denied claims.
Patient Collections
Professional patient billing and collection services. We handle statements, payment plans, and collection calls with empathy and effectiveness.
Specialty-Specific Expertise
Deep knowledge across medical specialties ensures optimal coding and maximum reimbursement
Family Medicine
Comprehensive primary care billing including wellness visits, chronic care management, and preventive services.
Common Challenges:
- •Complex modifier requirements
- •Preventive care coding
- •Chronic care management billing
Our Solutions:
- ✓Specialized primary care coders
- ✓Wellness visit optimization
- ✓CCM program setup
Cardiology
Specialized cardiovascular billing including procedures, diagnostics, and interventional services.
Common Challenges:
- •Complex procedure coding
- •Cardiac catheterization billing
- •Multiple procedure rules
Our Solutions:
- ✓Cardiovascular coding experts
- ✓Procedure bundling optimization
- ✓Real-time coding support
Orthopedics
Comprehensive orthopedic billing from consultations to complex surgical procedures.
Common Challenges:
- •Surgical procedure complexity
- •Hardware billing
- •Global period management
Our Solutions:
- ✓Orthopedic coding specialists
- ✓Surgical billing optimization
- ✓Global period tracking
Behavioral Health
Mental health billing including therapy sessions, assessments, and treatment planning.
Common Challenges:
- •Session-based billing
- •Outcome measurement requirements
- •Insurance authorization
Our Solutions:
- ✓Mental health billing experts
- ✓Session optimization
- ✓Authorization management
Physical Therapy
Rehabilitation services billing including therapy sessions and functional assessments.
Common Challenges:
- •Therapy cap considerations
- •Functional outcome reporting
- •Medicare therapy rules
Our Solutions:
- ✓PT billing specialists
- ✓Therapy optimization
- ✓Outcome documentation
Dental
Comprehensive dental billing including procedures, periodontics, and oral surgery.
Common Challenges:
- •Dental procedure complexity
- •Insurance limitations
- •Cosmetic vs. necessary
Our Solutions:
- ✓Dental coding experts
- ✓Insurance navigation
- ✓Treatment planning optimization
Why Choose Our Medical Billing Services
Comprehensive benefits that transform your practice's financial performance
Increased Revenue
Average 25-35% increase in net collections through optimized billing processes and reduced denials.
- Higher clean claim rates
- Faster payment cycles
- Reduced write-offs
- Better contract negotiations
Reduced Overhead
Eliminate in-house billing costs including salaries, benefits, software, and training expenses.
- No employee overhead
- No software costs
- No training expenses
- Scalable operations
Expert Knowledge
Access to certified medical billing professionals with deep specialty-specific expertise.
- AAPC certified coders
- Specialty expertise
- Continuous education
- Industry best practices
Advanced Technology
Cutting-edge billing software and automation tools for maximum efficiency and accuracy.
- AI-powered coding
- Real-time analytics
- Automated workflows
- Cloud-based platform
Compliance Assurance
Stay compliant with HIPAA, Medicare guidelines, and ever-changing healthcare regulations.
- HIPAA compliance
- Regular audits
- Regulation updates
- Risk mitigation
Transparent Reporting
Comprehensive analytics and reporting with real-time access to all billing data and metrics.
- Real-time dashboards
- Custom reports
- Performance metrics
- Trend analysis
What Healthcare Providers Say
Real results from real practices across multiple specialties
“Our collections increased by 32% in the first six months. The team at Healix RCM really understands family medicine billing.”
Dr. Sarah Martinez
Family Medicine Physician
Sunshine Family Health
“Finally, a billing company that gets cardiology. They caught coding errors that our previous company missed for years.”
Dr. Michael Chen
Interventional Cardiologist
Heart Center of Excellence
“The transparency is incredible. I can see exactly what's happening with every claim in real-time.”
Jennifer Thompson
Practice Administrator
Orthopedic Specialists Group
Frequently Asked Questions
Get answers to common questions about our medical billing services
How do you maintain such high first-pass acceptance rates?
We use specialty-specific edits, real-time eligibility verification, and experienced coders who understand payer requirements. Every claim undergoes automated and manual validation before submission.
What happens when claims are denied?
We immediately research denial reasons, correct issues, and resubmit within 48 hours. Our denial management process includes root cause analysis and systematic appeals, recovering 94% of initially denied claims.
Do you handle prior authorizations?
Yes, we manage the complete prior authorization process, tracking requirements and obtaining approvals before services. This prevents treatment delays and claim denials.
How quickly will I see improved cash flow?
Most practices see measurable improvement within 30-45 days. You'll notice reduced aging accounts receivable and increased monthly collections as we optimize your revenue cycle.
What reporting and analytics do you provide?
Our platform provides real-time dashboards with key metrics, aging reports, denial analysis, payer performance data, and customizable reports. You have 24/7 access to all your billing data.
How do you ensure HIPAA compliance?
We maintain SOC 2 Type II certification and follow strict HIPAA protocols. All staff complete regular compliance training, and our systems include encryption, access controls, and audit trails.
Can you integrate with our current practice management system?
Yes, we integrate with all major practice management and EHR systems including Epic, Cerner, athenahealth, NextGen, and many others. Integration is typically completed within 1-2 weeks.
What are your pricing and contract terms?
We charge a percentage of collections with no upfront fees. Contracts are month-to-month with no long-term commitments. You only pay when we successfully collect on your claims.
Ready to Optimize Your Medical Billing?
Join hundreds of healthcare providers who have increased their revenue by 25-35% with our expert medical billing services. Get your free billing audit today.
✓ No upfront costs ✓ Month-to-month contract ✓ 30-day implementation