Home / Services / Medical Billing & Coding
Service
Medical Billing & Coding
We handle accurate coding and clean electronic claim submission every day, electronically and on paper when necessary. Our Certified Medical Reimbursement Specialists catch the errors before the payer does, which is how we maintain a 99% clean claim rate across 25,000+ claims a year.
Who this is for
- Outpatient behavioral health groups & clinics
- SUD and methadone clinics
- Family practice & internal medicine
- Social workers, counselors and PMHNPs
- Practices doing $1.5M–$2.5M and planning to grow
Pain points
Most billing errors don’t start with the payer. They start before the claim goes out.
By the time a denial comes back, the damage is already done. Here’s what we see most often when a practice comes to us.
Claims going out with errors
Incorrect codes, missing modifiers, and wrong patient information get submitted daily because nobody is reviewing before the claim leaves. The payer denies it and the clock starts ticking on the appeal window.
Coding gaps leaving money behind
Providers document more than what gets billed. When the person entering charges doesn’t understand the clinical documentation, revenue gets missed on every single encounter.
Paper claims falling through the cracks
Some payers still require paper submission. When there’s no process for tracking those claims separately, they get lost and the balance ages with no follow-up.
What’s included
Accurate coding. Clean claims. Every day.
01
CPT and ICD-10 coding review
Every charge reviewed and coded accurately by Certified Medical Reimbursement Specialists before it goes out.
03
Paper claim submission
Paper claims handled when payers require it, tracked separately so nothing gets lost.
05
Insurance aged receivables review
Outstanding balances reviewed and worked to keep accounts current and prevent revenue from aging past recovery.
07
Eligibility & benefits verification
Coverage confirmed before the visit so you’re not discovering a termination after the service is rendered.
02
Daily electronic claim submission
Claims submitted every business day, not batched weekly or held to month-end.
04
Payment posting & reconciliation
ERAs and EOBs posted promptly and reconciled so your ledger reflects reality.
06
Patient balance support
Statements sent and patient billing questions handled so your front desk can stay focused on care.
08
Reporting
Open reporting on collections, coding accuracy, and claim status so you always know where your revenue stands.
99% clean claim rate.
We catch the errors before the payer does.
How it works
Billing that starts right and stays right.
We move at the pace that protects your cash flow, not the pace that rushes setup and creates problems later.
1
Discovery & Assessment
We review your current billing setup, coding workflows, and EHR configuration to identify where errors are entering the cycle. You get a clear picture of what needs to change before billing begins.
2
System & Access Setup
We configure access to your EHR, clearinghouse and payer portals, set up ERA and EFT processes, and verify claim submission settings. Everything is tested before we go live.
3
Coding & Workflow Review
We map your documentation and coding workflow, identify gaps where revenue is being missed, and correct any processes feeding bad data into the billing cycle.
4
Daily Billing Begins
Claims go out every business day. Charges are entered and coded accurately, eligibility is verified, and nothing sits waiting for a batch run or a month-end push.
5
Ongoing A/R & Reporting
Outstanding balances are reviewed regularly, payments are posted and reconciled, and you receive open reporting on collections, coding accuracy, and claim status.
The outcome
What changes once we’re coding and billing for you.
Fewer
Denials, because claims go out coded correctly the first time instead of getting corrected after the payer pushes back.
Faster
Reimbursements, because clean claims process quicker and there’s no backlog of errors waiting to be fixed before submission.
More
Revenue recovered, because our specialists read your documentation and bill for everything that was actually rendered.
Less
Administrative burden on your staff, because billing is off their plate and in the hands of people who do it every day.
“Best decision my business ever made! Sherry and her staff are amazing. They are very professional, knowledgeable and detail oriented. I would recommend them to anyone looking for billing services.”
Kimberly Gruber, LPC
Balance Life Counseling · Linden, MI
Questions
Before you ask.
Do we have to change our practice management software?
No. We work inside whatever system you already use — Tebra, Epic, TherapyNotes, CollaborateMD and many more. No migration, no second license to buy, and no new workflow for your front desk to learn.
What is your clean claim rate?
We maintain a 99% clean claim rate across 25,000+ claims a year. That’s the result of having Certified Medical Reimbursement Specialists review every charge before it goes out, not after the payer pushes back.
Do you handle paper claims?
Yes. Some payers still require paper submission, and we handle those separately with the same tracking and follow-up as electronic claims, so nothing gets lost.
Will we have a specific person to contact?
Yes. You get a named team that knows your practice and your payers, and you can reach them directly. Most practices come to us because they couldn’t get anyone on the phone.
How is this priced?
Pricing is scoped to your practice after the discovery review, based on volume, specialty, and which parts of the cycle we’re taking on. We walk you through it in detail before anything is signed, no surprise line items.