Claims & Reimbursement
Medical Billing Services For Physicians & Outpatient Practices
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%.
Ask us anything, for as long as you're a client. How to bill as a new practice, how to bill a certain insurance company, what a denial means. Send it in your Command Suite or by email, and we reply within one business day, usually the same day. If a question turns into new work, we send a written quote before we start.
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.
Start Medical Billing OnlineSecure checkout by 
Pay by card or US bank account.HIPAA compliant, with a signed BAA.
Experience Behind The Service
Professional Billing, Outpatient Revenue Cycle, And Owner-Level Operations.
Updated October 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.
- 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
Your rate drops as you grow: 7% of collections for a solo provider with a $300 monthly minimum, down to 4.5% at 26 to 50 providers. There's no setup fee.
Ongoing Billing
Claims, denials, payment posting, A/R follow-up, reconciliation and a monthly report.
7% of collections, 1 provider
$300 monthly minimum. No setup fee.
Start Medical Billing OnlineSecure checkout by
- 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.
Where It Leaks
Fewer Claims Going Out Wrong.
We fix what causes denials instead of just working them harder.
Eligibility Checks, If You Want Them
We can verify coverage before visits when it is added to your written scope.
Coding Alignment
Your providers choose the codes, and we check each claim against payer rules, which cuts denials.
Clean Claims
Scrubber edits worked down so more claims clear on the first pass.
Denial Root Cause
We track denials by payer, code and provider, so we fix the pattern instead of resubmitting the same claim.
A/R Follow-Through
We work aging by priority, starting with the biggest balances and the claims closest to their timely filing limit.
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 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
Each month you see what every provider collected and what’s still open in A/R.
Who We Bill For.
Outpatient & Specialty Practices
A mix of office visits and other services, billed to several payers that each have their own rules.
Solo & Small Groups
Clinicians doing their own billing on top of a full patient schedule.
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.
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 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 being paid short.
Aging Worked By Cause
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.
Not on the panels yet? Start with what physician credentialing costs.
What Would Fixing It Cost?
Ongoing Billing, Automation Programs and the Operations Partnership each have a published price and a written scope. Tell us what keeps going wrong, and we’ll point you to the right one.
“AdvanceAPractice has provided a great benefit to my growing practice. They clearly explained the confusing insurance billing process and helped me create a plan to expand my business.”