From claim submission and denial management to patient collections and compliance audits, My Medical Bill Solution handles the full billing cycle so your team can focus on care.
Most billing companies handle claims and stop there. We manage the entire revenue cycle, from eligibility verification before the appointment to appeals filed months after the claim, so nothing falls through the cracks between steps.
We prepare, scrub, and submit every claim the same day charges are posted. Our team monitors each claim through adjudication and follows up on any that age past 14 days without a response.
Average 15-day turnaround from submission to payment
Certified coders (CPC and CCS credentialed) review documentation and assign accurate codes for your specialty. We catch unbundling errors, modifier misuse, and missing diagnoses before the claim leaves your practice.
98.2% clean claim rate across all specialties
ERA files are processed automatically and posted to your practice management system. Discrepancies between expected and actual payment are flagged for review within 24 hours.
100% of ERAs reconciled within one business day
Every denial is categorized by root cause: coding error, missing documentation, eligibility issue, timely filing, or payer-specific policy. We correct what can be corrected and file formal appeals with supporting documentation.
73% of appealed denials overturned in the first round
We manage patient-responsibility balances from statement generation through online payment processing, payment plan setup, and follow-up calls. Balances that cannot be collected after a defined cycle are flagged for your review before any further action.
Average 28% improvement in patient-pay collections within 60 days
Coverage is verified for every scheduled patient before the appointment. We check deductibles, copays, authorization requirements, and in-network status so your front desk has accurate information before the patient arrives.
Eligibility verified up to 72 hours before each appointment
We track authorization requirements by payer and procedure, submit requests with clinical documentation, and follow up on pending authorizations. Auth status is communicated directly to your scheduling team so no procedure goes forward without coverage.
Authorization turnaround 40% faster than in-house average
Every practice gets a monthly performance report covering net collection rate, days in A/R, denial volume by category, payer mix, and claim aging. We present the numbers plainly and walk you through what they mean for your practice.
Custom dashboards updated monthly, no extra charge
The real question is not what outsourcing costs. It is what keeping billing in-house is costing you right now in denied claims, coding errors, slow collections, and staff turnover.
| In-House Billing | MMBS Outsourced Billing | |
|---|---|---|
| Cost structure | Fixed: salary + benefits + software + training | Variable: percentage of collections. You only pay when we collect. |
| Coding expertise | Generalist staff. Specialty depth varies. | Certified coders (CPC, CCS) trained in your specialty. |
| Denial rate | Industry avg 5-10%, often higher without dedicated appeals. | Consistent below-industry denial rate; all denials actively appealed. |
| Turnaround time | 30-45 days average. | 15 days average. |
| Scalability | Hiring and training required for growth. | Scales with your volume, no hiring delays. |
| Compliance | Dependent on staff capacity and training budget. | Ongoing audits aligned with OIG work plan. |
| Technology | Separate licensing fees for PM/EHR/clearinghouse. | Clearinghouse integrations included. |
Hundreds of billing companies will tell you they are the best. These are the four things that actually make a measurable difference to your collections and your daily workflow.
A cardiology practice gets coders who know the difference between a 93306 and a 93312. A mental health practice gets coders who understand parity laws and authorization patterns specific to behavioral health payers. Specialty knowledge reduces denials at the source.
Every practice gets a named account manager, not a support queue. Your manager knows your workflow, your payer mix, your scheduling patterns, and the recurring issues that cost your practice money. You will know your person by name within the first week.
We integrate with over 20 practice management and EHR platforms, including athenahealth, AdvancedMD, Kareo, Drchrono, and eClinicalWorks. No rip-and-replace. No forced migration. We fit into the system you already use.
Our monthly reports are written for practice owners and administrators, not billing directors. Every metric is defined, every trend is explained, and every number ties directly to a decision you can act on. No dashboards full of numbers that nobody understands.
If you are evaluating billing partners for the first time or considering a switch, these are the questions we hear most often.
For most practices, onboarding takes 2-3 weeks. That covers connecting to your practice management system, setting up clearinghouse credentials, reviewing your current payer contracts, and getting your account manager oriented on your workflow.
Our fee is a percentage of collections, which means we do not collect revenue for ourselves unless we collect it for you. Rates vary based on specialty, volume, and service scope. Most practices find our fees are offset within the first month by improvements in collection rate and denial recovery.
In almost every case, yes. We work with over 20 PM and EHR platforms, including athenahealth, AdvancedMD, Kareo, Drchrono, eClinicalWorks, and more.
That is your decision, not ours. Some practices redeploy staff to front-desk or patient care coordination roles. Others reduce staffing over time through attrition. We do not require you to make any staffing changes.
Every denial gets categorized by root cause: coding error, missing documentation, eligibility issue, timely filing, or payer-specific policy. We correct what can be corrected and file appeals with the supporting documentation. You get a denial report each month showing volume, category, and recovery rate.
Yes. We manage patient statements, online payment processing, payment plan setup, and follow-up communications. Most practices see a measurable improvement in patient-responsibility collections within 60 days.
Let our team review your current billing process at no cost. We will identify where you are losing revenue and give you a clear picture of what better billing looks like for your practice.
Get Your Free Billing Review