Medical Billing

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Medical Billing & Revenue Cycle Management

Our Medical Billing team provides you end-to-end RCM customized to get the maximum out of your practice cash flow while keeping the least administrative overhead. We integrate highly qualified billing staff with actionable analytics so that each claim is timely submitted, properly tracked and paid in full.

For years, we have been optimizing revenue integrity for medical practices across the USA.

Our new ideas form new solutions to our clients’ greatest challenges in domestic & multi-jurisdictional billing and payer disputes. By thinking on behalf of our clients every day, we anticipate what they need to stay financially healthy.

Charge Entry

The precise and expedites coding of every procedure, diagnosis and modifiers from encounter forms or EHRs into your practice management system

Clearing House Rejections

Monitoring of claim formatting or missing data issues that are first rejected by the clearinghouse before they reach the payer, and correcting them as needed.

Payment Posting

Full reconciliation of daily EOB/ERA payments, contractuals, write-offs and patient responsibility amounts

Denial/Claim Management

Analyze the root cause for each denied claim, fix them rapidly and re-submit with all needed documentation so you can get paid on time.

Appeals Management

Drafting & posting appeals for our clients with detailed clinical and coding back-up for unjustly denied claims, along with follow-up to ensure resolution.

A/R Follow-up

Systematic collection of aging report (30, 60, 90+ days) with payer call outs, payer portal follow-ups and escalation for unresolved cases.

Patient Statements and Billing

Generation and mailing of clear, compliant patient statements with multiple payment options, payment plans, and soft collection follow-ups.

Analysis and Reporting

Monthly KPIs including first-pass resolution rate, denial rate by payer, net collection percentage, and days in A/R to guide operational decisions.

At AdvancedMD Medical Billing, our team is always enthused to optimize your revenue while you focus on the patient delivery.

Certify medical billers and coders with year of multi-specialty experience

Tracking in real time denials and appeal win ratios that outpace industry standards

Transparency with the ability to log into a live dashboard for your A/R and claim status

Flexible contracts — pay only for what you use

Processes that are HIPAA compliant and have achieved SOC 2 Type II certification

FAQ’s About Medical Billing

Q1. When are claims filed after a patient visit?

All Claims Submission occurred within 24–48 hours upon receipt of complete encounter documentation.

Q2. How do you deal with denied claims?

Each denial is categorized by reason code, corrected, and resubmitted within 48 hours. We also provide a monthly denial trend report.

Q3. Do you handle patient calls about their bills?

Yes, our patient help desk can answer billing questions, set up payment plans, and process credit card payments over the phone.

Q4. How do you ensure billing compliance across different states?

We maintain a live compliance matrix of all state-specific modifier rules, timely filing limits, and no-fault/PIP requirements.

Q5. Can I see my A/R performance in real time?

Absolutely. You get secure access to a real-time RCM dashboard with aging buckets, denial reasons, and payment posting activity.

Q6. What happens if a claim is denied after timely filing?

We first verify the timely filing deadline. If the denial is due to payer error or a clearinghouse delay, we file a formal appeal with supporting proof.

"Since partnering with AdvancedMD RCM, our practice's denial rate has dropped by over 40%. Their coding team is meticulous, and the patient help desk has cut our front desk call volume in half. Truly a game‑changer."

— Dr. Sarah Mitchell, Family Medicine

"Credentialing used to take us months. AdvancedMD RCM handled everything from enrollment to out‑of‑network billing, and we started seeing clean claims within weeks. I finally have time to see patients again."

— Dr. James Carter, Orthopedic Surgery

"Their virtual medical assistant and A/R services saved us from a six‑figure backlog. The team is responsive, transparent, and actually understands revenue cycle management from start to finish."