Full-Service Medical Billing Services
From charge capture to payment posting, our certified billing specialists run every stage of your revenue cycle on one published schedule, so the administrative load sits with us rather than with your front desk.
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What Are Medical Billing Services?
Medical billing services are the outsourced operations that move a clinical encounter from charge capture to final payment: charge entry with CPT, ICD-10-CM and HCPCS validation, payer-specific claim scrubbing, electronic submission, ERA and EOB posting with line-level reconciliation, denial work, A/R follow-up and patient billing. MedPrecision runs the full cycle for U.S. physician practices on one published schedule — charge entry the same business day for encounters received by 2 p.m. local time, submission the next business day, posting within one business day of remittance receipt, A/R worked from day 30 — using AAPC- and AHIMA-credentialed team members. Delivery is remote-first and EHR-agnostic in all 50 states: we work inside the practice management system you already use rather than moving you onto ours.
- Fee: 7.0% of collections for solo practices, 6.0% for groups of 2-15 providers, no setup or per-claim fees
- One schedule: charge entry same business day (2 p.m. local cut-off), submission next business day, posting within one
- A/R worked from day 30; denials routed by reason-code category, not by age alone
- EHR-agnostic and remote-first in all 50 states - you keep your existing system
MedPrecision runs the whole billing cycle for U.S. physician practices: charge entry with code validation, payer-specific scrubbing, electronic submission, ERA and EOB posting, denial work, A/R follow-up and patient statements. One service schedule covers all of it — charges received by 2 p.m. in your local time zone entered the same business day and later arrivals the next, claims transmitted the next business day after entry, remittances posted within one business day of receipt, and A/R worked from day 30. That is the same schedule quoted everywhere else on this page; where you see a turnaround below, it is this one. Fit: practices that want the entire cycle outsourced rather than one stage of it. If you only need claims out the door, claims processing is the narrower engagement; if you want someone to check work already done, that is a billing audit. Fee: 7.0% of monthly collections for solo practices, 6.0% for groups of 2 to 15 providers and custom tiers above that, with no setup fee, no per-claim charge and no software fee; the solo tier carries a monthly minimum that is set in your quote and Service Agreement. Next step: the free screening described at the bottom of this page — a 12-month data export, a written memo back in five business days, no chart access and no obligation.
Who This Service Is For
The State of Medical Billing Services in 2026
Most of the numbers that circulate about medical billing cannot be traced to a primary source, so this page publishes what is actually published and names the blanks. On practice-level targets, the freely available primary source is the American Academy of Family Physicians' practice-management guidance: AAFP states that the adjusted collection rate should be 95% at minimum with an average of 95% to 99%, that a 5% to 10% denial rate is the industry average and below 5% more desirable, and that days in A/R should stay below 50 at minimum with 30 to 40 preferable (verified 17 September 2026). AAFP attaches no population, sample size or data year to any of them, which makes them guidance rather than measured benchmarks - quote them that way or not at all. On first-submission performance, the one free physician-practice measurement we could source is MGMA's: a single-specialty aggregate of 8% of claims denied on first submission in its 2023 DataDive Practice Operations data, the same rate it recorded in 2019. There is no free published clean-claim-rate target at all; figures presented as one generally trace back through sponsored content to a trade-press mention with no methodology at any link in the chain. On the size of the federal exposure, CMS's Comprehensive Error Rate Testing programme reported a fiscal year 2025 Medicare fee-for-service improper payment rate of 6.55%, or $28.83 billion, measured on claims submitted between 1 July 2023 and 30 June 2024 (CMS CERT, verified 17 September 2026) - an improper-payment rate, not a denial rate, and the two are routinely conflated. Anything else you see quoted on a billing company's site, this one included, should arrive with a URL.
What Is Breaking Right Now
High claim denial rates caused by coding errors and missing documentation
Slow reimbursements due to delayed claim submission and inefficient follow-up
Revenue leakage from missed charges, underpayments, and uncollected patient balances
Staff burnout and turnover in billing departments leading to inconsistent cash flow
Lack of visibility into financial performance and payer-specific trends
Common Medical Billing Services Mistakes to Avoid
Treating medical billing as a back-office administrative function rather than a revenue-critical operation
Practices that underinvest in billing quality underperform chronically: lower collection rates, higher denial rates, and leakage that compounds. The gap is arithmetic rather than rhetorical. Illustrative example on a round number, not a claim about your practice: on $1,000,000 of allowed charges, collecting 90% rather than 97% leaves $70,000 uncollected in the year.
Treat billing as a core financial operation with certified staff, defined performance metrics, and regular executive-level oversight of financial outcomes.
Not tracking billing KPIs regularly enough to detect problems early
Monthly bank deposits can mask billing problems because revenue from previously submitted claims continues flowing while current claim performance deteriorates. By the time the revenue dip hits the bank account, the underlying problem has been compounding for months.
Monitor key billing metrics weekly: claims submitted, rejection rate, payment posting volume, and denial rate. Monthly deeper review of net collection rate, days in A/R, and payer-specific performance.
Letting charge lag drift past the standard you set
Every payer's timely-filing clock runs from the date of service, not from the date you keyed the charge, so lag is spent directly out of the filing window and the whole cycle slides downstream by the same number of days. Encounters keyed days later are also coded from recall rather than from contemporaneous documentation. We publish no denial-rate increase per day of lag: no free source measures one for physician practices, and a vendor quoting one should be asked for the study.
Set one explicit standard - ours is same-business-day charge entry on a 2 p.m. local-time cut-off - and monitor outliers daily by provider rather than reviewing lag monthly in aggregate.
Not billing for all ancillary services performed during an encounter
Immunisations, injections, lab draws, EKGs, spirometry and other ancillary services are routinely performed and not billed, and because each one is small the loss is invisible in monthly totals. We publish no percentage for it - the figures in circulation have no published denominator - so the only way to size it for your practice is to reconcile ancillary logs against billed charges.
Configure charge capture templates that prompt for common ancillary services by visit type, and reconcile ancillary department logs against billed charges monthly.
Ignoring patient balance collections
Patient responsibility is a material share of practice revenue and the hardest to collect after the visit. We publish no industry figure for that share or for how much practices write off, because we could not source either from a primary source; your own payer mix and plan designs decide it.
Implement pre-visit cost communication, point-of-service collection workflows, automated statement cycles, and patient-friendly payment options including payment plans and online portals.
What We Handle
Charge Entry & Capture
Accurate charge entry with CPT, ICD-10, and HCPCS code validation to prevent revenue leakage before claims are submitted.
Clean Claim Submission
Claims are scrubbed against payer-specific rules, NCCI procedure-to-procedure and MUE edits, modifier compatibility and timely-filing windows, then transmitted electronically the next business day after charge entry.
Payment Posting & Reconciliation
Automated ERA and manual EOB posting with line-level reconciliation to identify underpayments and contractual variances.
A/R Follow-Up & Collections
Systematic follow-up on unpaid claims from day 30 with documented escalation steps. The target we work toward on days in A/R is the AAFP practice-management range of 30 to 40 days, which AAFP publishes as guidance with no sample or data year behind it - not a guaranteed outcome.
Financial Reporting & Analytics
Monthly KPI dashboards tracking collection rates, denial trends, days in A/R, and payer performance to drive data-informed decisions.
Free Billing Audit · No obligation
Get a Free Billing Audit
Send a 12-month export from your practice management system - charges, payments, adjustments, denial and remittance detail, A/R aging - and you get back a short written memo in five business days naming where the money is sitting, which denial reasons repeat and which payers pay slowest. No chart access, no coding opinion, no extrapolated dollar figure, and no obligation.
Prefer to talk? Book a 15-minute callRequest received
A billing specialist will review your practice details and reach out within 1 business day. No confirmation email is sent — if you need to reach us sooner, call +1-872-297-2815.
Our Medical Billing Services Methodology
Revenue Baseline Assessment
Before processing any claims, we analyze your practice's complete financial picture: collection rates by payer, denial rates by category, charge capture completeness, A/R aging distribution, and patient collection rates. This baseline reveals exactly where revenue is being lost and prioritizes our improvement efforts.
Specialty-Configured Billing Workflows
We configure our billing workflows to match your specialty's unique requirements, including specialty-specific coding rules, common modifier combinations, payer-specific billing quirks, and documentation requirements. This configuration period prevents the generic-billing-approach problems that cause denials in specialized practices.
Multi-Stage Claim Quality Assurance
Every claim passes through a structured quality assurance pipeline: charge validation, coding accuracy review, payer-specific scrubbing, and final submission review. This multi-stage process is designed to raise clean claim rates and catch errors that single-review processes miss.
Proactive Denial Prevention Engine
Rather than reacting to denials after they occur, our system analyzes denial patterns in real time and implements preventive measures. If a specific payer starts denying a procedure for a new reason, the billing rule is updated the same week for all affected claims, preventing the denial from recurring.
Monthly Performance Review Cadence
Every month, your assigned account manager reviews your financial performance against benchmarks, identifies trends requiring attention, and recommends specific actions to drive continued improvement. This is not a generic report -- it is a strategic conversation about your practice's revenue trajectory.
Medical Billing Services: MedPrecision vs Alternatives
| Feature | MedPrecision | In-House | Other Providers |
|---|---|---|---|
| Billing Coverage | Full-service from charge entry through patient collections and reporting | Dependent on staff availability, skills, and turnover | Claim submission and basic follow-up, limited patient billing |
| Staff Expertise | Certified billing and coding professionals with specialty training | General administrative staff often without billing certifications | Mixed certification levels with variable specialty experience |
| Denial Management | Root cause analysis with prevention-focused approach and multi-level appeals | Basic resubmission when time allows | Standard appeal process without systematic prevention |
| Financial Reporting | Monthly KPI dashboards with payer-level and provider-level detail | Basic reports from practice management system | Monthly summary reports without strategic analysis |
| System Compatibility | We work inside the system you already use - role-limited access, an HL7 or API feed, or a scheduled secure file exchange, depending on what your vendor permits | Limited to current system capabilities | May require specific systems or data format requirements |
| Scalability | Scales as practice adds providers or locations | Requires hiring and training additional staff for growth | May require contract renegotiation for significant volume changes |
“The practices that collect the most are not necessarily the ones with the most patients. They are the ones that capture every charge, submit clean claims, follow up relentlessly, and make it easy for patients to pay. Those four things sound simple, but executing them consistently is where most practices fail.”
MedPrecision Billing Team
Director of Practice Revenue Management
How the Transition Works
How we deliver medical billing services for your practice.
Practice Assessment & Onboarding
We audit your current billing workflow, identify revenue gaps, and configure our systems to match your practice management software and payer contracts.
Charge Capture & Claim Submission
Our team reviews encounter documentation, enters charges with correct coding, scrubs claims for errors, and submits electronically to all payers.
Payment Posting & Denial Management
Payments are posted within one business day of remittance receipt, variances are flagged against the contracted allowable, and denied claims are queued the same day for root-cause categorisation and the appropriate response.
Reporting & Continuous Improvement
Monthly financial reviews with your team identify trends, resolve recurring issues, and turn repeat denial reasons into upstream process changes in registration, coding or authorisation.
What Reporting and Visibility Looks Like
Transparency is built into every engagement. You will always know where your revenue stands and what actions are being taken on your behalf.
Monthly KPI Dashboards
Track collection rates, denial trends, days in A/R, and payer-level performance with dashboards delivered on a fixed schedule.
Real-Time Claim Tracking
See claim status updates in real time so you never have to wonder where a payment stands or when follow-up is happening.
Quarterly Business Reviews
Detailed reviews with actionable recommendations covering denial root causes, payer trends, and revenue recovery opportunities.
Proactive Alerts
Automated alerts when key metrics shift, so issues are caught and addressed before they affect your bottom line.
Medical Billing Services Key Terms
- Net Collection Rate
- Payments received divided by allowed amounts - the share of what your contracts entitle you to that you actually collect. AAFP's practice-management guidance calls this the adjusted collection rate and puts it at 95% at minimum, with 95% to 99% as the average range, without publishing a population, sample or data year behind those figures.
- Charge Lag
- Days between the date of service and the date the charge is entered into the billing system. We hold a same-business-day standard on a 2 p.m. local-time cut-off, the same cut-off used on our claims processing service. No free primary source publishes a charge-lag benchmark; the reason to keep it short is mechanical - the timely-filing clock runs from the date of service.
- ERA/EOB
- Electronic Remittance Advice (ERA) is the electronic version of an Explanation of Benefits (EOB), detailing how a payer adjudicated each claim line. Used for payment posting and identifying denials and underpayments.
- Clean Claim Rate
- The share of claims accepted into adjudication on first submission; the event is acceptance, not payment. No free primary source publishes a target for this metric, so we report your own rate and its trend by payer rather than compare it to an industry number.
- Days in A/R
- Average days a receivable is outstanding. AAFP's practice-management guidance says days in A/R should stay below 50 at minimum, with 30 to 40 preferable - guidance with no published sample or data year, not a measured benchmark.
- Payer Contract Allowable
- The maximum amount a payer will reimburse for a specific service as defined in the provider's contract with that payer. The foundation for calculating expected payments and identifying underpayments.
Common Questions
Common questions about medical billing services.
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your collections.
Get a Free Billing AuditHow quickly can MedPrecision take over our medical billing?
Two to four weeks from signature to live claim submission for most practices, with payer EDI enrolment rather than our side of the work setting the pace. The transition runs as four queues that do not overlap, so no claim is ever sitting in two of them. (1) Baseline. We pull 12 months of your charge, payment, adjustment and remittance data and measure where you actually are on collection rate, days in A/R and denial rate by reason code. These are your own numbers over your own denominators, not a comparison against an industry figure. (2) Connection. Access to the practice management system or EHR you already use, payer ID mapping, EDI enrolment for electronic claims and remittances, and clearinghouse setup, tested with live-format files before anything moves. (3) Parallel run. For an agreed cut-off, dates of service before the cut-off stay with your outgoing biller and dates of service after it come to us. Splitting on date of service rather than on submission date is what keeps the two queues disjoint; the classic transition failure is a claim both parties assume the other is working. (4) Full cycle. We take the go-forward queue on the published schedule. Aged A/R from before the cut-off is a separately scoped clean-up if you want us to work it, priced and reported separately so it never blends into the go-forward numbers. We publish no figure for revenue lost during a billing transition: the percentages in circulation trace back to vendor marketing, not to a study we could retrieve.
What practice management systems do you support?
We work inside the system you already use rather than moving you onto ours, and integration is included in the fee - there is no separate software or integration charge. In practice the connection is one of three: role-limited user access to your cloud practice management system, an HL7 or API feed where your vendor offers one, or a scheduled secure file exchange for systems that offer neither. Practices we work in include eClinicalWorks, athenahealth, AdvancedMD, Tebra (formerly Kareo), NextGen and DrChrono, and the same three connection routes apply to systems not on that list. What we deliberately do not publish is a 'supported platforms' list or an integration turnaround in days, because both depend on what your vendor permits under your contract and what it charges for access. Ask about your specific system and we will tell you which of the three routes applies, what your vendor charges for it, and what we need from you to open it.
How do you handle claim denials?
Every denied claim is categorised within one business day of posting, using the Claim Adjustment Reason Code and Remittance Advice Remark Code carried on the 835, and routed by root cause: eligibility and coverage (CARC 27, 31), prior authorisation (197), medical necessity (50), bundling and NCCI conflicts (97, 236), modifier problems (4) and timely filing (29). The code meanings are maintained by X12 and we link rather than reproduce them - see X12 claim adjustment reason codes. The routing matters because the correct response differs by category: 4 and 31 are claim defects to correct and resubmit rather than appeal; 50 is a coverage judgement, and the appeal that works maps the payer's own policy criteria one by one against the note; 97 and 236 turn on the NCCI modifier indicator for the edit pair, where an indicator of 0 means no NCCI-associated modifier can bypass the edit and an appeal is futile, while 1 means a modifier may be used where documentation supports a genuinely distinct service (CMS NCCI, verified 17 September 2026). Appeal deadlines are set by the payer and by your contract rather than by a general rule, so we read the remittance and the agreement instead of assuming a window. We publish no industry appeal rate or overturn rate: no free primary source measures either for physician practices.
What kind of reporting will we receive?
A monthly dashboard built on metrics that have published definitions, each reported with its denominator stated: net collection rate (payments received divided by allowed amounts - what AAFP calls the adjusted collection rate), gross collection rate, days in A/R, denial rate (claims denied at initial adjudication divided by claims that reached adjudication), rejection rate tracked separately (claims returned before adjudication, which carry no appeal rights and are not denials), charge lag, and cost to collect. Where a published target exists we name whose it is: AAFP's practice-management guidance puts the adjusted collection rate at 95% at minimum with 95% to 99% as the average range, calls a 5% to 10% denial rate the industry average with below 5% more desirable - AAFP computes that one on dollars, denied claim dollars over submitted claim dollars, not on the claim counts defined above - and asks for days in A/R below 50 at minimum and 30 to 40 preferably (verified 17 September 2026). AAFP attaches no population, sample size or data year to any of them, which makes them practice-management guidance rather than measured benchmarks. For first-pass or clean-claim rate there is no free published target at all, so that column stays blank and we report your rate and its trend by payer instead of filling it with a number we cannot source. Reports break down to provider, payer, CPT and place-of-service level, and ad-hoc cuts such as payer mix or aged A/R by bucket are available on request.
Related Services
Specialties We Serve
Related Resources
Get a Free Billing Audit
Send a 12-month export from your practice management system - charges, payments, adjustments, denial and remittance detail, A/R aging - and you get back a short written memo in five business days naming where the money is sitting, which denial reasons repeat and which payers pay slowest. No chart access, no coding opinion, no extrapolated dollar figure, and no obligation.
- No contract
- No setup fees
- Reply within 1 business day