Claims & Reimbursement
Medical Billing Services for Physicians & Outpatient Practices
Claims, denial follow-up, posting, and A/R support for independent physicians and outpatient medical practices nationwide—without requiring an unnecessary system change.
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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.
- 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.
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How 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 tighten eligibility, clean up submission, and work denials by root cause.
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
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?
Billing is scoped at 6–8% of collections. The exact tier, included work, add-ons, initial term, and cancellation notice are shown in the written quote before signature. 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.