Solving the Problems that
Most Billers Ignore.
From fighting clinical denials to managing patient phone calls, we handle the entire financial ecosystem so you can focus on patient care.
Denial Management & Appeals
A denial is not the end of a conversation—it's the beginning. Most billing services accept denials at face value and write off the balance. We treat every denial as a problem that deserves a solution.
Our appeals team goes into the clinical notes. We pull the documentation, cross-reference coverage policy, and build a case connecting the clinical decision to the contract language. We don't just ask them to reconsider; we prove the service was necessary.
Credentialing & Contracting
Getting credentialed is administratively brutal. Applications run 60 pages, payers lose documents, and delays cost you revenue. We manage the entire lifecycle so your providers never touch the paperwork.
This matters more than most realize. We've seen practices sign contracts paying 30% below market rates because no one negotiated. We compare fee schedules and ensure you are contracted at rates that reflect your value.
Patient Payment Recovery
Your front desk shouldn't be a call center. When patients call about balances, they need answers, not hold times. A-Z Medical Billing operates a dedicated recovery team that handles all billing inquiries for you.
We set up payment plans, process credit cards, and explain EOBs in plain language. The result is better cash flow, happier patients, and a front office that isn't drowning in phone calls they weren't trained to handle.
Integration Without Disruption
Many practice managers fear that switching billing companies requires a painful "rip and replace" of their EHR. This is a myth. Our architecture is designed to overlay your existing clinical workflow, not replace it.
The Data Handshake: We establish a secure, bi-directional HL7 or API bridge with your practice management system. When a provider closes an encounter note, the data is instantly scrubbed and imported into our clearinghouse engine. This eliminates the "double entry" errors that occur when staff manually type patient demographics into a separate billing terminal.
Real-Time Eligibility: Most denials happen before the patient walks in the door. Our system runs batch eligibility checks 48 hours before scheduled appointments, flagging inactive policies or unmet deductibles so your front desk can collect payment at the time of service.
We act as your technical shield, managing the clearinghouse relationships, EDI enrollments, and payer portals so your IT burden actually decreases.
Everything Else We Handle
Specialized Expertise
Generic billing companies fail because they don't understand the nuances of specialty coding. We tailor our RCM workflows to the specific complexities of your practice type.
Occupational Medicine
Deep expertise in DOT physicals, Workers' Comp coordination, and employer-direct billing. We navigate complex lien negotiations that general billers mishandle.
Geriatrics & Internal Med
We master the complexities of Medicare Part B and Chronic Care Management (CCM 99490) codes to maximize revenue for senior-focused practices.
Family Practice
High volume requires velocity. We automate eligibility checks for walk-ins and optimize E/M coding (Level 3 vs 4) to ensure you aren't under-billing your time.
Plastic & Reconstructive
Handling the strict "Medical Necessity" documentation for reconstructive cases vs. cosmetic. We manage global periods to capture every billable event.
Mental & Behavioral Health
We navigate "carve-out" behavioral health payers and ensure compliance with telehealth billing requirements for psychiatric services and crisis intervention.
Cardiology
Experts in diagnostic testing reimbursement, technical vs. professional component billing, and maintaining LCD compliance for advanced imaging.
Frequently Asked Questions
Common questions about transitioning your revenue cycle management.
This is a common misconception. In reality, you gain visibility. Most in-house billing is a "black box" where you rely on staff to tell you how things are going. We provide a real-time executive dashboard that lets you see every claim, every denial, and every dollar in transit 24/7. You maintain total control; we just handle the heavy lifting.
For most practices on standard EHRs (like eClinicalWorks, Athena, or Kareo), we can be live in 14-21 days. This includes EDI enrollment, clearinghouse configuration, and staff training. We run a parallel process during transition so there is zero interruption to your cash flow.
We operate on a performance-based model, typically charging between 5% and 7% of net collections depending on your volume and specialty. We do not get paid until you get paid. This aligns our incentives perfectly—we fight for every dollar because our revenue depends on it, just like yours.
Yes. We have a dedicated US-based patient support team. Your billing phone number will route to our team, where we handle statement questions, payment plans, and insurance explanations. Your front desk staff can finally focus on the patients in the waiting room, not the ones on the phone.
We offer an "Old A/R Cleanup" project for new clients. We will audit your 60+ and 90+ day buckets, identify recoverable claims, and launch a mass-appeal project. We typically recover 20-30% of "lost" revenue from previous billers within the first 60 days of engagement.