Frequently Asked Questions

Medical billing is the process of submitting and tracking insurance claims to ensure healthcare providers get paid for services rendered. Professional billing services handle coding, claim submission, appeals, and payment posting—complexities that can cause revenue loss if mishandled.

We combine AI-powered technology with human expertise. Our team specializes in specific medical specialties, we offer transparent performance-based pricing, and we focus on maximum revenue recovery with a 98.5% first-pass clean claim rate.

We serve solo practitioners, small clinics, multi-specialty groups, and enterprise networks. Our services scale from a single provider to 500+ providers across multiple locations.

Yes. We integrate with all major EHR systems including Epic, Cerner, Athena, eClinicalWorks, and many others. Our team handles all technical setup and data migration at no additional cost.

We analyze every denial to identify root causes, then promptly resubmit or appeal. We categorize denials by reason code to identify patterns and add preventive rules to our system to stop similar denials from happening again.

We maintain full HIPAA compliance with encrypted data transmission, secure servers, regular audits, and staff training. We're SOC 2 certified and comply with all federal and state healthcare regulations.

Yes. We understand telehealth modifiers, place of service codes, and payer-specific telehealth billing requirements. We handle both synchronous and asynchronous telehealth billing.

Our model aligns our success with yours. We only make money when you collect money. This ensures we're motivated to optimize denials, speed reimbursements, and maximize your revenue.

Our percentage fee adjusts with your collections. If collections drop, so does our fee. We truly share the risk and reward with you.

We offer flexibility. While we prefer annual agreements to ensure continuity, we can discuss arrangements that work for your practice. Most practices stay with us long-term because of the results.

We typically go live within 14 days. Our onboarding team manages all system setup, data migration, and training at no additional cost.

Most practices see 15-35% increase in collections within the first 3 months. Results vary by specialty and current billing efficiency, but we guarantee improvement or we work for free until we deliver results.

Our average first-pass clean claim rate is 98.5%. For practices with complex specialties, we achieve 96-99% depending on documentation quality and payer mix.

Most practices see 18-25 days in A/R with our services, down from industry averages of 40-50 days. This means faster cash flow and improved practice revenue.

Absolutely. You get real-time access to KPI dashboards showing claims status, collections, denials, A/R aging, and revenue metrics. We also provide monthly business reviews.

Our dedicated account manager is your single point of contact. We respond to issues promptly and provide weekly or monthly reviews depending on your service tier.

Yes. We train your front desk, billing, and clinical staff on our processes and software at no additional cost. We also provide ongoing training for new hires.

Unlike in-house billing departments, our team has backup staff and redundancy built in. Turnover doesn't affect your billing quality. We maintain continuity regardless of team changes.

Depending on your service tier, you may have access to 24/7 support or emergency contact procedures. Enterprise clients have dedicated support teams.

We serve 24+ medical specialties including Cardiology, Orthopedics, Mental Health, Pediatrics, Dentistry, and many others. Our team has deep expertise in specialty-specific coding and payer rules.

We create billing workflows tailored to each specialty within your group while maintaining centralized oversight and consistent compliance standards.

We track state-specific Medicaid requirements, insurance regulations, and payer-specific policies for every state your practice operates in.