Stop Revenue Leaks with Expert Medical Billing Services
Physician Billing Services
Physician Billing Services – Reduce Denials by 65% & Increase Revenue 25% with Specialty-Specific Expertise
Specialty-Specific Coders – CPT/MIPS experts for your field (Primary Care, Cardiology, etc.)
Denial Prevention – 92% clean claim rate (vs. 78% industry avg)
Faster Payments – 85% of claims paid within 14 days
EHR-Integrated – Works with Epic, Cerner, NextGen
Transparent Pricing – 3-5% of collections or $499+/month flat
FREE
CREDENTIALING WITH MEDICAL BILLING
starting from
$ 499
PER MONTH
HIPAA-Compliant
Pay as you go
No fixed contract
Best Physician Billing Services
Medical billing services
- Smooth Transition Between EHR/EMR Systems
- Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
- Claims Submission Within 24 Hours
- Prompt follow-up with payers.
- Free provider credentialing, CAQH maintenance & revalidation
- Comprehensive Revenue Cycle Management (RCM) Services
- Appeals & Adjustments.
- Coding and Chart Review
- Referral Coordination with Other Doctor Offices
- Reimbursement Strategies for Optimized Billing
Why 68% of Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Physician Billing Challenges
E/M Coding Errors
Incorrect level selection (99202-99215) or medical decision-making documentation causes 30-45% claim denials for primary care.
Our Fix:
Specialty-specific coders achieve 98% accuracy with 2023 E/M guidelines
Modifier Misuse
Improper use of -25 (significant separately identifiable), -59 (distinct procedure), or -X{EPSU} modifiers leads to $22k/year in lost revenue.
Our Fix:
Real-time modifier validation system with 95% reduction in NCCI edits
Prior Authorization Delays
Average 14-day wait for specialty procedures (cardiology, ortho) causes patient cancellations.
Our Fix:
Dedicated PA team with 72-hour turnaround for 85% of requests
MIPS/MACRA Penalties
Incomplete quality reporting results in 9% Medicare payment penalties (avg $28k/physician).
Our Fix:
Automated data capture from EHR ensures 100% compliance + bonus potential
Telehealth Claim Rejections
Missing POS 02 or modifier 95 causes 40% denials for virtual visits.
Our Fix:
State-specific telehealth rules engine with 99% acceptance rate
Co-Surgeon/Assistant Denials
Improper -62/-80/-82 usage in surgical specialties loses $45k/surgeon/year.
Our Fix:
Operative note cross-check system recovers 92% of eligible fees
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Physician Billing Services
We Offer
Physician Billing Services
Process
Benefits of Outsourcing
Physician Billing Services
Specialty-Specific Coding
Precision coding for your specialty (E/M 99213-99215, CPT surgery codes, etc.) with modifier expertise (25, 59, X{EPSU}).
40% fewer coding errorsDenial Prevention System
Pre-claim audits for medical necessity, documentation gaps, and payer-specific rules with 94% appeal success rate.
Recover $25k+ annuallyMIPS/MIPS Optimization
Maximize incentive payments while avoiding penalties through quality measure tracking and reporting.
100% compliance guaranteeSurgical Billing
End-to-end surgical claim management from pre-auth to global period follow-up (including assistant surgeon billing).
22% higher reimbursementsEHR Integration
Seamless connectivity with Epic, Cerner, Athenahealth, and other major systems for real-time charge capture.
48-hour setupPatient Balance Collections
Automated tools for copay/coinsurance collection with PCI-compliant payment processing.
92% collection ratePhysician Billing Services
FAQs
How much do physician billing services cost?
We charge 4-7% of collections (specialty-adjusted) with no hidden fees. Solo practitioners start at $399/month flat-rate.
No long-term contracts
Do you handle specialty-specific coding?
Yes! Our coders specialize in:
- Primary Care: 99213-99215 with chronic care management
- Cardiology: 93306-93350 echocardiography codes
- Orthopedics: Joint injection (20610) and arthroscopy
What's your denial rate for physician claims?
Our pre-audit system maintains a <4% denial rate (vs. 12-18% industry average) with 97% appeal success for:
- Medical necessity disputes
- Prior authorization issues
- Documentation gaps
How do you handle E/M coding changes?
We stay current with all CPT® updates including:
- 2023 E/M guidelines (time vs. medical decision making)
- Prolonged service codes (99417, G2212)
- Telehealth modifiers (95, GT, FQ)
Can you manage MIPS/MIPS reporting?
Full MIPS support including:
- Quality measure selection (e.g. #134, #226)
- Promoting Interoperability reporting
- Improvement activities documentation
Do you work with my EHR system?
Seamless integration with:
- Epic (real-time claim scrubbing)
- Cerner (automated charge capture)
- Athenahealth (denial prevention alerts)
How do you handle surgical billing?
Specialized support for:
- Global period management (99024)
- Modifier 22/62/78/79 application
- ASC vs. hospital facility coding
What about chronic care management?
End-to-end CCM billing for:
- 99490 (20min/month)
- 99487 (complex CCM, 60min)
- 99439 (additional 20min)
Is my practice data secure?
Enterprise-grade protection:
- HIPAA-compliant encrypted servers
- Two-factor authentication
- Daily offline backups
How quickly can you onboard our practice?
Typical timeline:
- 5 days for EHR integration
- 14 days for full credentialing
- 0 disruption to cash flow
Save Time & Money with Our Medical Billing Service
Specialties covered
Family Medicine
Nurse Practitioners
Internal Medicine
Pediatrics
OB/GYN
Pain Medicine
Sleep Medicine
Cardiology
Dermatology
Endocrinology
Gastroenterology
Neurology
Podiatry
Pulmonology
Physical Therapy
Urgent Care
Psychiatry
Anesthesiology
Speech Therapy
Occupational Therapy
Otolaryngology (ENT)
Physical Medicine & Rehab
Geriatrics
Allergy & Immunology
Mental Health Therapists
Nephrology
Ambulatory Surgery Center
Wound Care
Addiction Medicine
Infectious Disease
Physician Billing Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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