Revenue cycle services
MedBil covers the entire revenue cycle. Take all of it, or take the pieces your team cannot cover. Every service below is available on its own or as part of full RCM.
Medical Billing
Charge entry, claim scrubbing, submission, and payment posting across all major payers.
See medical billingMedical Coding
Certified CPC and CCS coders assign and validate ICD-10, CPT, and HCPCS codes from your documentation.
See medical codingRevenue Cycle Management
The complete cycle, end to end, with weekly reporting and a named account lead.
See revenue cycle managementProvider Credentialing & Payer Enrollment
Payer enrollment, CAQH management, re-attestation, and contract negotiation.
See provider credentialingDenial Management & Appeals
Root-cause analysis, corrected claims, and clinical appeals filed inside payer deadlines.
See denial managementAccounts Receivable Recovery
We work aged and legacy receivables other billers gave up on.
See A/R recoveryEligibility & Benefits Verification
Coverage and benefits confirmed before the visit, not after the denial.
See eligibility verificationPrior Authorization Services
Auth requests submitted, tracked, and escalated so procedures aren't delayed.
See prior authorizationMedical Billing & Coding Audits
Retrospective and pre-bill audits that find both compliance risk and missed revenue.
See billing & coding auditsPatient Billing & Collections
Statements, payment plans, and patient support that doesn't damage the relationship.
See patient billingHow these combine
Every service is available on its own or as part of full RCM. These are the four combinations practices ask for most.
Full RCM
The entire cycle, from eligibility through patient balances, with one account lead accountable for the outcome.
Read moreBilling and coding
Charge entry, certified coding, scrubbing, submission and posting, where the practice keeps its front-desk process as it is.
Read moreDenials and A/R only
The most common entry point. We work the denials and the aged receivables without touching your current billing.
Read moreCredentialing only
Enrolment, CAQH and revalidation as a standalone engagement, priced per provider and per payer.
Read moreWhere practices usually start
Almost nobody hands over the whole cycle on day one, and nobody has to. These are the four places engagements normally begin, in rough order of how often we see them.
Denials and A/R only. The commonest entry point and the one with the clearest return. We work the denials and the aged receivables without touching your current billing process at all. If the numbers move, the conversation about the rest of the cycle becomes an easy one. If they do not, you have lost nothing but the time it took to send us a data export.
Credentialing only. Usually because something has already gone wrong — a lapsed revalidation, a new provider who cannot bill yet, a CAQH profile nobody has attested in a year — or because a practice is opening and needs enrolment planned backwards from a date.
Billing and coding. The practice keeps its front-desk process and hands over everything from charge entry onward. This suits practices whose registration and eligibility work is already solid and whose problem starts after the patient has been seen.
Full revenue cycle management. The whole cycle, from the moment an appointment is booked to the moment the balance clears, with one named account lead accountable for the number at the end of the month.
What every engagement includes
Whichever pieces you take, these are not optional extras and are not priced separately.
- A free A/R analysis before you commit to anything, which you keep either way
- Onboarding and system setup
- Weekly operational reporting and monthly financial reporting
- A named account lead, reachable by phone and email
- Denial appeals — we do not charge extra to work a denial
- Full visibility inside your own system, with nothing hidden from you
How the services fit together
The revenue cycle is a chain, and most of what looks like a billing problem starts somewhere earlier in it. Eligibility failures become coverage denials. Missing authorisations become CO-197 denials that frequently cannot be appealed or billed to the patient. Coding that does not match documentation becomes medical necessity denials months later.
That is why the denial management reporting feeds back into coding and front-desk process every month rather than sitting as a standalone appeals function. It is also why practices that start with denials often end up expanding: the root-cause reporting keeps pointing upstream.
What we will tell you honestly
If a service is not the right answer to the problem you have described, we will say so. Practices arrive asking for coding help when the real problem is registration accuracy, or for a billing company when the real problem is a payer contract signed at a below-market rate.
The free A/R analysis exists partly so that conversation is grounded in your actual numbers rather than in either party's assumptions.