Services · Medical Billing & Revenue Cycle
Medical billing services for independent practices
I handle the full billing cycle for physician and nurse practitioner practices nationwide: charge entry, claim scrubbing and submission, payment posting, denial work, A/R follow-up, and patient statements. Pricing runs 4–8% of collections depending on volume, specialty, and claim complexity, with flat monthly pricing available for small practices.
I work inside your existing practice management system no software migration. A Business Associate Agreement is executed before any protected health information changes hands.
What's included every month
- Charge entry within 24 hours of encounter close
- Claim scrubbing and electronic submission
- Payment and adjustment posting with contract-rate variance flagging
- Denial work inside payer appeal windows
- A/R follow-up on every claim over 30 days
- Patient statements and balance follow-up
- Monthly report: collections, days in A/R, denial rate by reason, net collection rate
In-house versus outsourced
- A full-time biller costs $45,000–$60,000 in salary plus ~25% in benefits and payroll tax, plus software, plus the coverage gap when they take vacation or quit call it $60,000–$80,000 loaded.
- Outsourced billing at 6% costs a practice collecting $800,000 about $48,000.
- The math favors outsourcing below roughly $1.2M in collections and starts favoring in-house above it but only if you can hire and keep a good biller. That is the part most practices underestimate.
What it costs
4–8% of collections, or flat monthly under a volume threshold. What moves the range: specialty, claim complexity, patient balance volume, and how much cleanup the account needs at the start.
Who this is not for
Practices seeking the lowest rate available. Offshore billing runs 2–3% and there are firms that will take you there. I am not competing on price.
State rules
Billing is state-specific in ways that matter: Medicaid program requirements, prompt-pay deadlines, and for NP-delivered services, whether the state permits independent billing. State guides →
FAQ
Questions and answers
No. I work in your existing practice management system.
Typically 4–8% of collections depending on volume, specialty, and claim complexity, or flat monthly for small practices. Ranges are published on the pricing page.
Usually within one to two weeks of a signed BAA and system access, depending on the cleanup needed at the start.
Yes patient statements and balance follow-up are part of the monthly cycle.
A monthly report covering collections, days in A/R, denial rate by reason, and net collection rate.
Start with an assessment, not a contract
Two weeks, fixed fee, $2,500 to $5,000 depending on practice size. You get a written finding: where the money is going, what each leak is worth annually, and what it costs to fix. You own that report whether or not you hire me for anything after it.
Start with an assessment