Expert Medical Billing Services for U.S. Practices

Stop losing revenue to billing errors. Our certified specialists handle everything from ICD-10 coding to payment posting — so you can focus on patient care.

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98%
Clean Claims Rate
<30
Average AR Days
25+
Specialties Served
100%
HIPAA Compliant

Complete Billing Coverage

From charge capture to payment posting, we manage every step of your revenue cycle

Charge Entry & Coding

Certified coders apply accurate ICD-10 and CPT codes to maximize reimbursement and stay compliant.

Claims Submission

Electronic claims submitted within 24 hours with real-time tracking and automated scrubbing.

Payment Posting

Accurate posting of all EOBs and ERAs with automatic identification of underpayments.

AR Follow-Up

Proactive accounts receivable management with systematic follow-up on all unpaid claims.

Denial Management

Root cause analysis and rapid resubmission of denied claims with trend reporting.

Compliance Audits

Regular internal coding audits to ensure compliance with CMS guidelines and payer requirements.

Everything Included — No Hidden Fees

Our flat-rate and percentage-based pricing includes all of the following at no extra cost. We only succeed when you get paid.

  • ICD-10 & CPT coding review
  • Electronic claims submission (EDI)
  • Primary & secondary billing
  • ERA/EFT enrollment
  • Denial appeals & resubmission
  • Monthly financial reports
  • AR aging analysis
  • EMR/EHR integration
  • Dedicated account manager
  • HIPAA-compliant data handling

How It Works

1
Free Audit

We review your current billing and identify revenue leakage opportunities.

2
EMR Integration

Secure connection to your existing EHR/PMS system within 5 business days.

3
Claims Submitted Daily

Certified coders review charges and submit clean claims within 24 hours.

4
You Get Paid Faster

Faster reimbursements with detailed monthly reporting on your practice performance.

What Full-Service Medical Billing Should Include

Outsourced medical billing is a simple promise with wildly uneven execution: a practice hands over its revenue cycle and expects more collections, fewer headaches, and real visibility. Whether that happens depends entirely on what sits inside the service. Here is what our medical billing services actually include — and the operational standards behind each piece — so you can compare us honestly against your in-house numbers or your current billing company.

Front-End: Where Clean Claims Are Born

Around half of all denials are caused before a claim is ever coded: eligibility not verified, benefits misread, authorizations missed, demographics mistyped. We verify eligibility for every scheduled visit, flag services needing prior authorization, and catch coverage changes — the January insurance-change wave alone eats a percentage point of most practices' revenue. A clean front end is the cheapest revenue improvement that exists in billing.

Coding and Charge Capture

Our certified coders work from your documentation, coding to the highest specificity the note supports — because unspecified codes are denial magnets and undercoding is a silent pay cut. We also audit charge capture itself: encounters that never became claims, procedures documented but not billed. In new-client audits, missed charges typically account for 1–3% of revenue that simply evaporated.

Submission, Scrubbing, and the 98% Standard

Every claim passes payer-specific scrubber edits before submission — NCCI bundling, modifier logic, diagnosis-procedure matching, payer companion-guide rules. We submit daily, work clearinghouse rejections the same day (a rejected claim was never received by the payer — the deadliest quiet killer of revenue), and hold a 98% clean claims rate. Claims go out right the first time, or they don't go out.

Payment Posting and Underpayment Detection

Posting isn't clerical — it's where underpayments hide. We post ERAs daily and compare every allowed amount against your actual contracted rates, flagging silent underpayments most practices never notice because the claim technically 'paid.' Contractual write-offs are verified, not assumed; anything short of contract gets disputed.

Denials, Patient Balances, and Follow-Up

Denials route into our full denial management workflow within 24 hours. Patient responsibility moves to clear, timely statements with online payment options — collected respectfully, because your patients are your patients. Every claim over 30 days gets actively followed up on a payer-specific schedule; nothing waits in a queue hoping to be noticed.

Reporting You Can Actually Run a Practice On

Monthly reporting covers collections, denial rate, first-pass resolution, days in AR, and payer mix — with a review call, not just a PDF. Benchmark yourself right now with our free Days in A/R calculator, and if you're weighing keeping billing in-house, our honest comparison of in-house vs outsourced billing lays out the real math for each practice size.

Frequently Asked Questions

How much do your medical billing services cost?
We offer both percentage-based (typically 4–7% of net collections) and flat-rate pricing. We only succeed when you get paid — no upfront fees or hidden charges.
How long does it take to get started?
Most practices are fully onboarded within 5 business days. We handle the EMR integration so your team experiences minimal disruption.
Do you work with my existing EHR system?
Yes. We integrate with all major EHR and practice management systems including Epic, Kareo, AdvancedMD, DrChrono, Athenahealth, and more.
What is your clean claims rate?
We maintain a 98% clean claims rate — meaning 98% of claims are accepted and paid on the first submission. The national average is around 90%.
Is my patient data secure?
Absolutely. We are fully HIPAA compliant with end-to-end encryption, secure data centers, and we sign a Business Associate Agreement (BAA) with every client.
How much do medical billing services cost?
We price as a percentage of monthly collections — you pay only on money actually collected, so our incentive is identical to yours. No setup fees, no long-term contract, and a free 1-week trial with a practice audit. The percentage depends on specialty and volume; most practices find recovered denials and cleaner claims more than cover the fee.
Will we lose visibility into our own billing?
The opposite — you gain it. You keep full access to your PM system and receive monthly reports with denial rates, AR aging, and payer-level detail most in-house operations never produce. Your data remains yours; we work inside your systems, not behind a curtain.
How does the transition from our current setup work?
Onboarding takes five to ten business days: system access, payer list, fee schedules, and a parallel run so no claims are dropped mid-switch. We also audit your existing AR at no charge and work recoverable old claims alongside new ones.
Do you work with our EHR or do we have to change systems?
We work inside your existing EHR and practice management system — Epic, Athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, DrChrono, and most others. No migration, no disruption.
Is outsourced billing worth it for a small practice?
Small practices often benefit most: a solo biller costs $45–60k plus software, training, and vacation risk, while a percentage-based service scales with actual revenue and brings a whole team's payer knowledge. The break-even analysis in our in-house vs outsourced guide walks through the numbers honestly.

Ready to Maximize Your Revenue?

Get a free practice audit and see how LegitMedBilling can improve your collections.

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Free resources: Denial Code Library  |  CPT Modifier Guides  |  POS Code Reference  |  Billing Calculators & Tools

Read our guides: In-House vs Outsourced Billing  |  7 RCM Mistakes Costing Practices Revenue  |  How to Reduce Claim Denials