Full-service outsourced medical billing for US healthcare providers. The standard: 96% clean claim rate, 24-day average AR, HIPAA-compliant, BAA signed. Performance-based pricing — we only earn more when you collect more.
Medical billing services are outsourced revenue cycle management operations that handle the full claim lifecycle on behalf of a healthcare provider — from charge capture and claim submission through denial management, AR follow-up, and patient collections. Outsourcing medical billing to a specialized company typically costs 3–10% of monthly collections versus 8–15% for in-house operations, while simultaneously delivering higher clean claim rates and faster reimbursement.
Every claim reviewed against payer rules before submission. We target a 96%+ clean claim rate on first pass — above the 85% industry average.
Same-day denial identification, root cause analysis, and appeal submission. Most denials resolved within 14 business days.
Systematic follow-up on all unpaid claims from day 1. We maintain average AR below 24 days — versus the 35–45 day industry average.
Accurate payment posting with EOB reconciliation. Every payment verified against your payer contracts for underpayments.
Professional patient statements, payment plan setup, and follow-up — preserving the patient relationship while collecting balances.
Monthly performance reports with KPIs, denial analysis, payer mix, and AR aging. Full visibility into your revenue cycle at all times.
| Metric | Industry Average | Top Quartile |
|---|---|---|
| Clean Claim Rate | 82–88% | 96%+ |
| Average Days in AR | 35–50 days | 24 days |
| First-Pass Resolution Rate | 70–80% | 88–93% |
| Net Collection Rate | 92–95% | 97–99% |
| Billing Cost as % of Collections | 8–15% (in-house) | 3–10% |
Industry averages sourced from MGMA 2025 and HFMA benchmarks.
We audit your current billing workflow, identify revenue leaks, and build a custom transition plan. Typical onboarding takes 30–45 days with zero disruption to cash flow.
Your clinical data flows to our billing team. We verify CPT, ICD-10, and modifier accuracy before any claim is created — catching errors before submission, not after denial.
Every claim is scrubbed against payer-specific edits before submission. We submit electronically and track acknowledgment to confirm receipt.
Payments posted same day. Denials identified, categorized, and appealed immediately. Contract variances flagged for underpayment recovery.
Monthly KPI reports with denial root cause analysis, payer performance, and AR aging. We identify systemic issues and fix them proactively.
BAA signed before work begins. Encrypted data transmission. HIPAA-trained staff. Annual audits.
Founded by Ajay with 20 years in revenue cycle management across all major US specialties.
Look for percentage-of-collections pricing — no flat fees, no hidden charges. The billing partner's revenue stays tied to yours.
DME, dental, behavioral health, pain management, primary care, cardiology, orthopedics, and more.
How to reduce your denial rate to under 5% and recover revenue from denied claims.
GuideReduce days in AR and recover aging balances with a systematic follow-up process.
GuideThe true cost comparison including all hidden costs most practices miss.
Get a free 15-minute RCM audit. We'll identify your top revenue leaks and show you exactly what outsourcing would look like for your practice.