Claims & Reimbursement
Medical Billing Services For Physicians & Outpatient Practices
Our medical billing services cover claims, denial follow up, payment posting, and A/R for independent physicians and outpatient practices nationwide. We work with your existing systems when they support the work.
Ask Practice Concierge See the $6,500 Stabilization SprintExperience Behind The Service
Professional Billing, Outpatient Revenue Cycle, And Owner-Level Operations.
Reviewed by Ryan Berg · Updated July 2026
Ryan Berg’s background includes professional billing and collections at OHSU, nationwide outpatient practice support at Clinicient, revenue cycle leadership for a multi-provider physiatry group, and finance leadership during a dental group’s expansion from two to six clinics. AdvanceAPractice applies that experience selectively, with behavioral health as its deepest specialty.
You work directly with people who understand how eligibility, documentation, payer enrollment, contracting, posting, and follow-up affect the same claim. We work in the systems already supporting your practice and put scope, price, responsibilities, and material limits in writing before an engagement begins.
Learn about the team behind the work, explore behavioral health billing, or review physician practice support.
What’s Included
The Full Billing Cycle, Handled.
We work the billing cycle from charge to payment, with especially deep experience in mental health billing.
- Separate written scope: eligibility and benefits verification before the visit.
- Charge capture and coding aligned to your documentation.
- Clean claim submission and scrubbing across all payers.
- Denial follow-up with root-cause tracking by payer, code, and provider.
- Payment posting, adjustments, and reconciliation.
- A/R and aging follow-through, worked by priority.
- Provider-level revenue and denial visibility.
- Monthly reporting on what’s collected and where revenue leaks.
Where It Leaks
Fewer Claims Going Out Wrong.
Less about working denials harder, more about fixing what causes them.
Eligibility First
Coverage verified up front, so claims aren’t built on stale eligibility data.
Coding Alignment
Codes matched to your documentation to cut denials and audit risk.
Clean Claims
Scrubber edits worked down so more claims clear on the first pass.
Denial Root Cause
Denials tracked by payer, code, and provider to fix patterns, not just resubmit.
A/R Follow-Through
Aging worked by priority, highest-value and timely-filing-sensitive first.
Revenue Visibility
Know Where Every Claim Stands.
Your denial rate, A/R aging, and payer mix in one place so the reports leadership reads reflect reality. When billing surfaces an upstream gap, our revenue cycle management work traces it.
Ask Practice ConciergeHow It Works
From Review To Steady Cycle.
Review
We map your denial rate, A/R, payer mix, and where coding, eligibility, or enrollment is costing you.
Stabilize
We clean up claim submission and work rejections and denials by root cause. Eligibility verification is added only through a separate written scope.
Report
You get a steady A/R rhythm and provider-level visibility into what’s collected each month.
Who We Bill For.
Outpatient & Specialty Practices
Mixed office visits and services that need cleaner claim flow across multiple payers.
Solo & Small Groups
Owners carrying billing on top of clinical work who need a dependable process.
Multi-Provider Groups
Provider-level revenue visibility and credentialing status that move together.
Scaling Practices
Adding providers, locations, or service lines without the billing lagging behind.
FAQ
What We Do
What A Clean Claim Requires
A clean claim is the result of four things going right before it leaves your office.
Eligibility Before The Visit
Coverage, plan, and any carve-out get verified ahead of the appointment. Checking after the visit turns a routine correction into a write-off risk.
Charge Entry Against The Fee Schedule
Charges are entered against your contracted rates so underpayments are visible as underpayments instead of disappearing into the adjustment column.
Remittance Posted To The Right Line
Payments and adjustments post to the service line they belong to. Posting at the claim level hides which code is actually being paid short.
Aging Worked By Cause
Old claims are grouped by why they're old, not by how old they are. The bucket tells you the age; the cause tells you the fix.
Frequently Asked Questions
Do You Replace Our EHR Or Billing System?
No. We work inside the systems you already use, tightening the billing process around them rather than forcing a migration.
How Is Billing Priced?
Core RCM is 7% of collections, with a $500 monthly minimum per provider. It includes claim scrubbing and submission, rejection and denial follow-up, payment posting and adjustments, A/R follow-up, reconciliation, and reporting. Eligibility and benefits verification and prior authorization require a separate written scope. See packages and pricing.
What Drives Most Denials?
Most trace upstream, unverified eligibility, a missing authorization, or coding that does not match the documentation. We fix the source, not just the claim.
Do You Bill Across Multiple Payers?
Yes. We manage submission, scrubbing, and denial follow-up across commercial, Medicare, and Medicaid payers.
Not on the panels yet? Start with what physician credentialing costs.