Claims & Reimbursement

Medical Billing Services For Physicians & Outpatient Practices

We run medical billing for independent physicians and outpatient practices nationwide, from claims and denial follow-up to payment posting and A/R, inside the systems you already have.

7% of collections for a solo provider, with a $300 monthly minimum and no setup fee. The rate drops as you add providers, down to 4.5%. We work inside the EHR you already use.

Start Medical Billing Online

Secure checkout by Stripe Pay by card, Apple Pay or US bank account. HIPAA compliant, with a signed BAA.

Sign up online, sign your agreements in the Command Suite, and medical billing starts on the date in your signed Order Form, once onboarding is complete.

Experience Behind The Service

Professional Billing, Outpatient Revenue Cycle, And Owner Level Operations.

Updated October 25, 2026

Our founder’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. Behavioral health is still our deepest specialty.

A claim can fail long before it reaches the payer. Nobody checked coverage, the note doesn’t support the code, or the provider isn’t enrolled at that payer yet. Or the payer pays it and the payment posts to the wrong line.

You work directly with people who know how each of those steps affects the next. We work in the systems you already use and put the scope, price, who does what and the limits in writing before we start.

Learn about the team behind the work, explore behavioral health billing, or review physician practice support.

What’s Included

The Full Medical Billing Cycle

We work the billing cycle from charge to payment, with especially deep experience in mental health billing.

Your providers enter charges and codes, and we work every claim from there.
We bill your commercial, Medicare and Medicaid claims.
Every claim scrubbed before it goes to any payer.
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.
Revenue and denials broken out by provider.
Monthly reporting on what’s collected and where revenue leaks.

Medical Billing Priced By The Size Of Your Practice

Ongoing Billing

Claims, denials, payment posting, A/R follow up, reconciliation and a monthly report.

7% of collections with a $300 monthly minimum for a solo provider

No setup fee. The first month's minimum is charged at sign up and credited to your first monthly invoice.

Start Medical Billing Online

Secure checkout by Stripe

Most questions answered within one business day, and up to two meetings a month if you need them

Rate By Practice Size

Practice Size	Rate	Minimum Per Provider
1 provider	7%	$300
2 to 5 providers	6.5%	$275
6 to 10 providers	6%	$250
11 to 25 providers	5%	$200
26 to 50 providers	4.5%	$175

Practices with more than 50 providers can ask us for a written quote.
Prices checked October 2026.

Want The Rates In Writing First? Email Me The Order Form

We’ll email you the Ongoing Billing Order Form with every tier, minimum and term on it, so you can share it with your partners.

How Buying Works

From Price To First Work

Here is what happens after you choose a package.

You see your rate before you pay.
Within two business days after you pay, we send a link to sign your agreements in the Command Suite, and your onboarding packet follows.
You upload your documents once, and medical billing starts on the date in your signed Order Form, once onboarding is complete.
Track every piece in the Command Suite and hear back on questions within one business day.
Meet with us when it helps, up to twice a month. Everything we set up stays in accounts you own.

Revenue Visibility

Know Where Every Claim Stands.

Your denial rate, A/R aging and payer mix sit in one place, so the report leadership reads matches what’s happening. When billing turns up a problem that started upstream, like a plan entered on a patient’s account with no effective date, our revenue cycle management work traces it.

Ask Practice Concierge

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 should be verified before the appointment, by your front desk or by us when it’s in your written scope. 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 before each claim goes out.

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 being paid short.

Follow Up On Unpaid Claims

Old claims are grouped by why they're old, not by how old they are.

FAQ

Frequently Asked Questions

Which Specialties Do You Bill For?

Psychiatry, PMHNP and therapy practices are our deepest work. Our founder has also run revenue cycle work for a physiatry group, worked with outpatient rehab practices around the country and worked claims in professional billing at OHSU. Claims, denials and A/R follow the same steps in every specialty, and if yours needs coding expertise we don’t have, we tell you before we start.

Do You Replace Our EHR Or Billing System?

No. We work inside the systems you already use. When the setup is what’s causing denials, we fix the setup, and nobody has to migrate.

How Is Billing Priced?

By practice size. Ongoing Billing runs from 7% of collections for a solo provider down to 4.5% at 26 to 50 providers, with a $300 monthly minimum for a solo provider, and no setup fee. Eligibility checks and prior authorization need a separate written scope. The included work, any add-ons, the initial term and the cancellation notice are all in the written quote before you sign.

What Drives Most Denials?

Most start before anyone builds the claim. Nobody checked eligibility, the service needed an authorization nobody got, or the code doesn’t match what the note documents. We fix the cause so the next claim doesn’t fail the same way, instead of only resubmitting this one.

Do You Bill Across Multiple Payers?

Yes. We scrub, submit and follow up on claims for commercial plans, Medicare and Medicaid, and each payer’s rules go into your billing setup, from timely filing limits to the modifiers it expects. Denials get tracked by payer, code and provider, so a pattern at one payer shows up as one cause to fix.

What Counts As Collections?

The payer and patient payments we post for your providers from your start date. Your rate is a percentage of those payments, and the monthly minimum applies per provider. Claims already past 90 days and unpaid are a separate job, Billing Cleanup And A/R Recovery.

How Do I Move My Medical Billing To You?

You sign up online, and the first month’s minimum you pay is credited to your first invoice. You get an email invitation to the Command Suite, where you review and sign your Order Form and agreement, and your onboarding packet follows. You give us user access to your EHR, your clearinghouse and your payer portals. Billing starts once your agreements are signed and onboarding is complete, and your rate applies to the payments we post from your start date. Moving from another company? Read Switching Billing Companies.

How Do I Cancel Ongoing Billing?

Either of us can end the agreement with 30 days’ written notice. You owe the fees earned through the end date, and everything we set up in your accounts stays with your practice.

Not enrolled with your payers yet? Start with what physician credentialing costs.

See Everything Included

Every Step

We check every claim before it goes out, then submit it.
We bill your commercial, Medicare and Medicaid claims, whichever you bill.
We review coding and modifiers on your claims.
We correct and resubmit rejections.
When a claim denies, we find the cause before we resubmit or appeal, so the same denial doesn’t keep coming back.
Now and then a payer approves your credentialing before its contracting team finishes loading you, and early claims deny because of it. We know this lag well, work it directly with the payer, and get those claims reprocessed together instead of one by one.
We post every payer and patient payment and adjustment for the providers we cover.
We reconcile what was paid against what was billed, and we reconcile patient accounts.
We keep each payer’s fee schedule on file, requesting any we don’t have with your permission, and check your payments against it regularly so underpayments get caught and corrected.
We follow up on unpaid claims with each payer.
You get a written report each month.

What You Provide

Your onboarding packet.
Access as a user in your EHR with billing turned on, your clearinghouse if you use one, and your payer portals.

Timelines

Within two business days of confirmed payment, you get an email invitation to the AdvanceAPractice Command Suite, where you review and sign your Order Form and agreement.
Billing starts once your agreements are signed and onboarding is complete.
Your rate applies to the payments we post from your start date, which means the payer and patient payments we post for your providers. The first month’s minimum you pay at sign up is credited to your first invoice.
Your rate is 7% of collections with a $300 monthly minimum per provider for one provider, down to 4.5% with a $175 monthly minimum per provider for 26 to 50 providers. There is no setup fee. Your exact rate is written on your Order Form.

What’s Not Included

Claims older than 90 days. Billing Cleanup And A/R Recovery works those for 20% of what we collect, and nothing is owed on claims we don’t collect.
Eligibility and benefits checks and prior authorization, unless a written scope includes them.
Sending statements to patients. That’s its own order.
Applied behavior analysis (ABA) agencies.
Fixing denied Medicare or Medicaid enrollment applications.
Credentialing, which is its own package.
An EHR. We work inside the one you already use.

Ongoing Support

Questions are part of working with us, during setup and for as long as you’re a client. Send them in the Command Suite or by email, and we reply within one business day, usually the same day. If a question turns into new work, like a new build or a change to something we built, we send a written quote before we start.
Up to two meetings a month if you need them.
Your Command Suite workspace shows what we’re working on and anything we need from you. It stays fully open during the work, read only for 30 days after, and then it’s $99 a month if you want to keep it.
If something we delivered doesn’t work the way we said it would, tell us within 30 days of delivery and we fix it at no cost.
Everything we set up is yours. The accounts, the documents and what we build stay with your practice.
Either of us can end the agreement with 30 days’ written notice.

Download This As A PDF

“AdvanceAPractice has provided a great benefit to my growing practice and I strongly recommend their services! They were able to clearly explain the confusing insurance billing process and helped me create a plan to expand my business!”
John Benson, PMHNP-BCOwner, BBH Psychiatric Services

Want This By Email?

We’ll send you everything above, with the PDF, so you can read it later or share it with your partner or CPA.