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HIPAA-compliant medical billing & RCM, nationwide
Health Billing - Medical Billing & Revenue Cycle Management. Stop Losing Revenue.
Start Getting Paid
What You Deserve.
Health Billing delivers end-to-end medical billing, RCM, credentialing, and denial management for physicians, hospitals, labs, and clinics across all 50 states - Medicare, Medicaid, and every private insurer.
- HIPAA & BAA included
- SOC 2 Type II
- AAPC-certified coders
- 500+ payers
93.2%
First-pass claim rate
$100M+
Revenue recovered yearly
480+
Providers served
<24hr
Claim submission SLA
Billing every major payer
Medicare
Medicaid
Blue Cross Blue Shield
Aetna
UnitedHealthcare
Cigna
Humana
Molina
Centene
Anthem
TRICARE
+ 490 more →
Our Services
Complete Revenue Cycle Coverage
Complete Revenue Cycle Coverage
Under One Roof
Every service your practice needs - from charge capture to final payment - managed with precision and full transparency.
Medical Billing
Full-cycle billing for every specialty. 24-hour submission. Every claim tracked to payment or resolution.
Learn more →Medical Coding
CPC-certified coders across 40+ specialties. ICD-10, CPT, HCPCS - accurate, audit-ready, and reimbursement-maximized.
Learn more →Revenue Cycle Management
End-to-end RCM strategy and operations. Reduce AR days, cut denial rates, and grow net collections by up to 34%.
Learn more →Provider Credentialing
Fast enrollment with Medicare, Medicaid, and all 500+ commercial payers. Average completion: 28 days.
Learn more →Denial Management
93.4% denial resolution rate. We appeal every recoverable dollar - including claims your current team has written off.
Learn more →AR Recovery
Aging AR worked aggressively. 60, 90, 120+ day buckets cleared. 87% recovery rate on 90+ day balances.
Learn more →Medical Transcription
99.5% accuracy. HIPAA-secure. Direct EHR delivery. STAT 4-hour and standard 24-hour turnaround options.
Learn more →Claims Management
3,000+ claim edits. Real-time tracking. Zero-lag rejection response. Every claim managed to resolution.
Learn more →Payment Posting & Reconciliation
Daily ERA/EOB posting. Variance identification. Underpayment recovery. Zero revenue leakage.
Get started →
Why Health Billing
We Don't Just File Claims.
We Don't Just File Claims.
We Fight for Every Dollar.
Most billing companies submit and move on. We track, appeal, and recover - until every collectible dollar reaches your account.
Specialty-Specific Billing Teams
Dedicated coders and billers for each specialty - cardiology, orthopedics, nephrology, behavioral health, and 35+ more.
AI-Assisted, Human-Verified
Technology catches errors before submission. Certified coders verify every claim. Result: 93.2% first-pass acceptance rate.
Real-Time Dashboards & Reporting
You see exactly where every dollar is - always. Monthly KPI reports, payer-level breakdowns, and one dedicated account manager.
No Contracts. No Hidden Fees.
Performance-based pricing. We earn your business every month by delivering results - not by locking you in.
Clean Claim Rate93.2%
vs. industry avg: 82%
Denial Resolution Rate93.4%
vs. industry avg: 63%
Days in AR18 Days
vs. industry avg: 38 days
Revenue Increase After Onboarding+34%
Average within 90 days
Who We Serve
Billing Expertise Across
Billing Expertise Across
Every Healthcare Specialty
From solo practitioners to health systems - specialty-trained teams for every service line.
Cardiology
Orthopedics
Neurology
Nephrology
Oncology
Primary Care
Urgent Care
Behavioral Health
Radiology
Pathology & Labs
Pulmonology
Gastroenterology
Ophthalmology
OB/GYN
Pediatrics
Hospital Medicine
Emergency Medicine
Anesthesiology
Pain Management
+ More
40+ Specialties
Our Process
Up and Running in 5 Business Days
Fast onboarding. Zero disruption. Immediate performance improvements from day one.
1
Free Revenue Audit
We assess your current billing performance, identify leakage, and benchmark KPIs against specialty norms.
2
Onboarding & Integration
Seamless EHR integration in 5 business days. Zero disruption to your existing workflow.
3
Billing & Collections
Claims submitted within 24 hours. Real-time tracking. Active follow-up on every open balance.
4
Optimize & Report
Monthly KPI reviews, denial trend analysis, and continuous improvement recommendations.
Client Results
480+ Providers Trust Health Billing
★★★★★
Switching to Health Billing was the best operational decision we made. Collections jumped 42% in the first quarter, and AR days dropped from 52 to 19. Responsive, knowledgeable, and genuinely invested in our success.
Cardiologist - Atlanta, Georgia
★★★★★
Their denial management alone recovered over $380,000 in revenue we had already written off. We tried three billing companies before Health Billing. None came close. The ROI is extraordinary.
Orthopedic Group - Dallas, Texas
★★★★★
Their credentialing team got us enrolled with 14 payers in under 6 weeks. That's unheard of. Revenue has more than doubled since partnering with Health Billing - I wish we'd switched sooner.
Family Medicine - Chicago, Illinois
★★★★★
We run a 9-provider behavioral health practice and our prior biller couldn't keep up with payer rules. Health Billing's coders know psych CPT inside-out - clean-claim rate went from 71% to 98% and our reimbursements per session climbed 19%.
Behavioral Health Group - Seattle, Washington
★★★★★
As a 3-location urgent care, our AR was a nightmare - over $620K aged past 90 days. Their AR recovery team worked every single claim. We collected $478K in four months on balances we'd basically given up on.
Urgent Care Network - Phoenix, Arizona
★★★★★
Solo nephrology practice here - I needed a billing partner who actually understood dialysis MCP billing and CKD coding. Health Billing nailed it from day one. Monthly reports are clear, my dedicated account manager picks up the phone, and revenue is up 31%.
Nephrology - Miami, Florida
Insights
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Latest from Our Coding & RCM Experts
Ready to Recover Revenue You're Currently Losing?
Schedule a free, no-obligation revenue audit. We'll identify exactly where your billing is falling short - and show you the number.
Complete Revenue Cycle Services
Every service your practice needs to maximize collections, cut denials, and stay compliant - all from one dedicated team.
Medical Billing
Full-service billing from charge capture to payment posting. All payers, all specialties, 24-hour submission SLA.
View Service →Medical Coding
CPC & CCS-certified coders. ICD-10-CM, CPT, HCPCS. Outpatient, inpatient, surgical, E&M across 40+ specialties.
View Service →Revenue Cycle Management
Strategic end-to-end RCM - from patient access through zero-balance resolution. Average +34% net revenue uplift.
View Service →Provider Credentialing
Medicare, Medicaid, and all 500+ commercial payer enrollment. Average 28-day completion. CAQH managed.
View Service →Denial Management
Root-cause analysis, appeal writing, and re-submission. 93.4% resolution rate. No denied claim left unworked.
View Service →AR Recovery
Aggressive 60/90/120+ day bucket follow-up. 87% recovery rate on aged balances. No cherry-picking.
View Service →Claims Management
3,000+ payer-specific edits. Real-time status tracking. Same-day rejection correction. Zero claims falling through the cracks.
View Service →Medical Transcription
99.5%+ accuracy. HIPAA-secure. Direct EHR integration. STAT 4-hour turnaround available.
View Service →Compliance & Audit Support
Internal coding audits, HIPAA risk assessments, OIG compliance programs, and documentation quality reviews.
Contact Us →Not Sure Where to Start?
Let our specialists run a free assessment of your current billing - we'll show you exactly what's leaking and how to fix it.
Medical Billing Services
for Every Specialty
Precise, compliant billing submitted within 24 hours, tracked in real-time, and followed up until every claim is paid in full.
93.2%
First-pass acceptance
<24hr
Claim submission
18 days
Average AR days
40+
Specialties covered
What We Do
Medical Billing That Works
Medical Billing That Works
As Hard As You Do
Most practices lose 10–20% of collectible revenue to billing errors, missed follow-up, and denied claims that never get appealed. We eliminate those losses.
- Complete charge capture review and CDM analysis
- Real-time insurance eligibility verification before each visit
- Automated claim scrubbing with 3,000+ built-in edits
- Electronic and paper claim submission to all payers
- ERA/EOB posting with variance analysis
- Patient statement generation and follow-up
- Secondary and tertiary billing management
- Workers' compensation and no-fault billing
- Monthly performance analytics with physician-level breakdowns
Charge Capture & Review
Superbills and encounter notes reviewed for completeness and modifier accuracy before any claim is created.
Eligibility Verification
Coverage verified for every patient - benefits, deductibles, authorizations, and coordination of benefits.
Coding Validation
Certified coders review all diagnosis and procedure codes for accuracy, specificity, and payer policy compliance.
Claim Scrubbing & Submission
3,000+ edit scrub, then transmitted electronically within 24 hours. Paper claims same business day.
Follow-Up & Appeals
Every open claim actively followed up. Denials appealed within 24–72 hours with full documentation.
Payment Posting & Reporting
ERAs processed daily. Variances resolved. Monthly financial reports with full collections transparency.
The Health Billing Advantage
24-Hour Submission
Claims submitted within one business day of receiving encounter documentation - always.
3,000+ Claim Edits
Proprietary scrubbing maintains our 93.2% first-pass acceptance rate.
All Payers Covered
Medicare, Medicaid, all commercial payers, specialty plans - all 50 states.
+34% Revenue Uplift
Average clients see 20–40% revenue improvement within 90 days of switching.
HIPAA + SOC 2
Full BAA available. SOC 2 Type II certified. Your patient data is protected.
Dedicated Manager
One contact who knows your practice, payers, and performance benchmarks.
For Physicians & Practice Owners
Everything Doctors Ask Us - Answered
Honest answers to the questions we hear from physicians, group practices, and hospital CFOs every single week.
How is Health Billing actually different from the other 200 billing companies pitching me? +
Three structural differences. (1) Specialty-aligned coders - your account is staffed by AAPC/AHIMA-certified coders who only work your specialty (cardiology coders for cardiology, ortho for ortho), not a generalist pool. (2) Daily denial work - denials are touched within 24 hours, not parked for the end-of-month report. (3) Transparent dashboards - you see every claim, every denial reason, every dollar in real time. No black-box "monthly summary."
How long does onboarding take, and what does my staff actually have to do? +
Most practices are fully live in 5–10 business days. Your staff's involvement is minimal: a 60-minute kickoff call, a credentials/EHR access handoff, and a 30-minute workflow walkthrough. We do the heavy lifting - clearinghouse setup, payer enrollment migrations, fee schedule loads, charge-capture mapping, and parallel-run validation. You keep seeing patients; we move the billing engine underneath you.
Will switching to you disrupt my cash flow during the transition? +
No. We run a two-week parallel transition: your current process continues while we mirror every claim, so nothing falls through. Most clients actually see increased deposits in month one because we immediately work the aged AR your previous biller was ignoring. We also guarantee no submission gaps in writing as part of the SLA.
What does it cost? Are there hidden fees? +
Simple percentage-of-collections model - typically 3% to 7% depending on specialty, volume, and payer mix. We only earn when you collect. No setup fees, no monthly minimums, no per-claim charges, no long-term contracts. Credentialing, AR cleanup, and reporting are included. The only line item outside the percentage is optional add-ons like full-service medical coding or transcription, which are quoted up front.
What kind of revenue lift should I realistically expect? +
Across our book of business, practices that switch from in-house or another billing company see a 20–40% net collections improvement within 90 days. The lift comes from four levers: higher first-pass acceptance (we run at 93.2%), aggressive denial recovery, identification of underpayments against contracted rates, and recovery of aged AR over 90 days that was previously written off. We model your specific upside in the free audit before you commit to anything.
Do you work with my EHR / PM system? +
Yes - we integrate with 100+ platforms including Epic, Cerner/Oracle Health, athenahealth, eClinicalWorks, Kareo/Tebra, DrChrono, NextGen, Allscripts/Veradigm, AdvancedMD, Practice Fusion, Meditech, CureMD, OfficeAlly, and more. If your platform isn't on the list, we'll build the integration at no charge during onboarding. We can work read-only, write-back, or via SFTP - whatever your IT prefers.
Are you HIPAA compliant? Where does my patient data live? +
Yes - HIPAA-compliant, SOC 2 Type II certified, and a signed BAA is included with every engagement. PHI is encrypted in transit (TLS 1.3) and at rest (AES-256), stored on US-based infrastructure, with role-based access controls and full audit logging. We undergo annual third-party penetration testing and quarterly internal access reviews. Your compliance officer can request our SOC 2 report and security questionnaire on day one.
Where is your team based? Is anything offshored? +
Your account manager, denials team, and AR specialists are US-based, headquartered in Jersey City, NJ. Some routine charge-entry work is performed by our credentialed offshore team under direct US supervision - this keeps your pricing competitive without compromising quality. PHI handling, payer escalations, and patient-facing communications are 100% US-based. You always speak to a US team member.
What specialties do you handle? +
40+ specialties including primary care, cardiology, orthopedics, nephrology, oncology, behavioral health/psychiatry, neurology, radiology, pathology/lab, ophthalmology, OB/GYN, pediatrics, urgent care, ED, PT/OT, anesthesia, pain management, dermatology, gastroenterology, and surgery (general & subspecialty). We also support ASCs, hospitals, FQHCs, RHCs, DME suppliers, and independent labs.
How do you handle denials? My current biller just resubmits and prays. +
Every denial is triaged within 24 hours and routed to a specialist by denial category - clinical (medical necessity, coding), administrative (auth, eligibility, COB), or payer-specific. We work the root cause, not just the resubmission: appeals are written by certified coders with payer-specific medical-necessity language, and recurring denial patterns are fed back into our edits engine so the same denial doesn't happen twice. Average recovery rate on previously denied claims: 67%.
Will I lose visibility into my revenue cycle? +
The opposite. You get a real-time dashboard showing charges, payments, AR aging, denial rates, payer mix, top CPT performance, provider productivity, and net collection rate - drillable down to the individual claim. We deliver a 30-minute monthly performance review with your dedicated account manager, plus on-demand custom reports for your CFO or board. Everything is exportable.
Do you handle credentialing and payer enrollment? +
Yes, end-to-end: CAQH setup and maintenance, NPI registration, Medicare/Medicaid enrollment, commercial payer enrollment, hospital privileging support, re-credentialing, and ongoing roster maintenance. New providers are typically fully credentialed in 60–90 days (versus the 120–180 industry average). Included for clients on our full RCM package; available standalone for new practices and provider additions.
Do you bill patients too, or only insurance? +
Both. We handle full patient AR: statement generation, online payment portal (branded to your practice), payment plans, automated reminders by SMS/email, and live phone support staffed by US patient-services reps. Patients have one number to call with billing questions - and it's not your front desk. Average patient collection rate: +38% versus in-house.
What if I'm a small solo practice - am I too small for you? +
No. We serve solo physicians all the way up to 500-provider hospital systems. Roughly 40% of our clients are 1–5 provider practices. Our pricing scales - solo practitioners pay the same percentage rate as a multi-site group, with the same dedicated account manager and same dashboards. There's no minimum revenue requirement.
What's the contract - am I locked in? +
Month-to-month with a 30-day out clause. No long-term commitment, no exit penalties, no clawback on collected AR. If we don't perform, you leave - and we hand off all data, denials in flight, and AR work-in-progress to your next biller in a clean transition packet. We earn the renewal every month.
How do I get started - what does the free audit actually involve? +
30 minutes of your time. Send us a recent AR aging report and a sample of recent EOBs/denials (de-identified is fine). Within 5 business days we deliver a written report covering: estimated leakage, top 5 fixable denial categories, underpayment exposure against your top contracts, and a projected revenue recovery range. Zero cost, zero obligation, no sales pressure. You can use the findings to improve your in-house team if you decide not to outsource.
See How Much Revenue You're Missing
A free 30-minute audit reveals exactly where your practice is leaking revenue - and what it would take to fix it.
Revenue Cycle Management
(RCM) Services
End-to-end RCM strategy and operations that transforms how your organization generates and collects revenue - systematically and sustainably.
+34%
Average revenue increase
52%
Reduction in denials
40%
Operating cost savings
18 days
Average AR days
What is RCM
Revenue Cycle Management is the Financial Backbone of Your Practice
RCM encompasses every administrative and clinical function that contributes to the capture, management, and collection of patient service revenue - from scheduling through final payment. Health Billing optimizes all of it.
Front-End RCM
Scheduling optimization, pre-registration, eligibility verification, prior authorization, and financial counseling - clean data from day one.
Mid-Cycle RCM
Charge capture integrity, clinical documentation improvement, coding accuracy, CDM review, and compliance auditing.
Back-End RCM
Claims management, denial resolution, AR follow-up, patient billing, collections, and payment reconciliation.
Our Full-Cycle RCM Process
Patient Scheduling & Registration
Demographic capture, insurance collection, authorization verification, and financial counseling before any service is rendered.
Eligibility & Benefits Verification
Real-time checks for every patient, every visit - deductibles, copays, covered services, and COB.
Prior Authorization Management
Timely auth requests, real-time status tracking, and proactive follow-up to eliminate auth-related denials.
Charge Capture & Clinical Documentation
Every billable service captured completely. Every diagnosis documented to the highest specificity for maximum legitimate reimbursement.
Coding, Claim Creation & Submission
Certified coders assign precise codes. Claims built with payer-specific formatting. Transmitted within 24 hours.
Payment Posting & Reconciliation
ERA and EOB posting within 24 hours. Underpayment identification and payer dispute resolution.
Denial Management & AR Follow-Up
Every denial investigated, appealed, resolved. Aging AR worked systematically. Nothing written off without exhausting every recovery option.
Increase Net Collections
Average 20–34% increase in net collections within the first 90 days.
Reduce Overhead
Eliminate in-house billing staff, training, software costs - saving 30–50%.
Accelerate Cash Flow
Reduce days in AR from 40+ to under 20. Faster payments, better cash position.
Data-Driven Decisions
Real-time dashboards and monthly strategic reports on every metric that matters.
Is Your Revenue Cycle Leaking?
Free RCM assessment: we'll map your cycle, identify the top 3 revenue gaps, and build a customized improvement roadmap - no cost.
Medical Coding by
Certified Specialists
CPC, CCS, and CPMA-credentialed coders across 40+ specialties. Accurate ICD-10-CM, CPT, HCPCS coding that maximizes reimbursement while maintaining full compliance.
99.1%
Coding accuracy
40+
Specialties
CPC/CCS
Certified coders only
72hr
Standard coding TAT
Coding Services
Every Code Has a Dollar Value.
Every Code Has a Dollar Value.
We Capture All of It.
Upcoding creates liability. Downcoding leaves money on the table. Incorrect codes trigger denials, audits, and compliance investigations. Our certified coders assign the right codes, with the right modifiers, every time.
- ICD-10-CM diagnosis coding to highest specificity
- CPT-4 procedure coding for all specialties
- HCPCS Level II coding (DME, drugs, supplies)
- E&M visit level determination and documentation review
- Surgical and procedural coding with modifier assignment
- Outpatient and inpatient facility coding
- DRG assignment and optimization for hospitals
- Clinical documentation improvement (CDI) queries
- Pre- and post-payment coding audits
- Coding compliance program development
Why Coding Accuracy is Mission-Critical
A single missing ICD-10 digit can turn a valid claim into a denial. A wrong CPT modifier can cut your reimbursement by 50%. Our coders average 8+ years of specialty-specific experience and maintain continuous AAPC/AHIMA certification.
Specialty-Specific Coding Teams
Cardiology codes differently from orthopedics. Oncology requires a different knowledge base than behavioral health. We assign coders who specialize in your exact service lines - not generalists covering everything.
Audit-Ready Documentation
Every code we assign is traceable to specific documentation. In the event of a payer audit or OIG review, you have a complete, defensible record of every coding decision.
Specialties We Code
Cardiology
Orthopedic Surgery
Neurology
Pathology & Lab
Oncology
Internal Medicine
Ophthalmology
Behavioral Health
Radiology
Anesthesiology
Emergency Medicine
Outpatient Surgery
Free Coding Audit - Find Out What You're Missing
We'll review 100 recent claims and identify coding errors, missed codes, and underpayment patterns - at no charge.
Provider Credentialing &
Payer Enrollment Services
Every day a provider isn't credentialed is revenue lost. We enroll with Medicare, Medicaid, and every major private insurer - faster than anyone else in the business.
28 days
Average enrollment
500+
Payers in network
99%
Success rate
All 50
States active
Credentialing Services
Credentialing Delays Cost You Thousands. We Eliminate the Wait.
A new provider who isn't credentialed can't bill. An expired CAQH attestation can cost you payer contracts. Our credentialing specialists manage every detail so your providers are enrolled, active, and generating revenue on schedule.
- Medicare Part A & B enrollment (CMS-855 applications)
- All 50 state Medicaid programs enrollment
- All major commercial payer credentialing
- CAQH profile setup and continuous re-attestation
- NPI registration (Type 1 & 2) and taxonomy management
- Group practice enrollment and re-credentialing
- Hospital privilege applications and peer review
- State medical license verification and tracking
- DEA and CDS registration management
- TRICARE, CHAMPVA, and VA Community Care enrollment
- Credentialing status tracking and proactive expiration alerts
Payers We Credential With:
Medicare
All 50 Medicaid
BCBS
Aetna
UnitedHealthcare
Cigna
Humana
Molina
Centene
TRICARE
+ 490 more →
Provider Data Collection
We gather all required documentation: licenses, DEA, malpractice, NPI, training certificates, and work history. Our checklist ensures nothing is missed on the first submission.
CAQH Profile Management
Complete CAQH setup or audit of existing profiles. Continuous re-attestation monitoring - we alert you 60 days before expiration and re-attest automatically.
Payer Application Submission
Simultaneous enrollment with Medicare, Medicaid, and all targeted commercial payers. Payer-specific applications prepared correctly the first time.
Active Weekly Follow-Up
Weekly payer follow-up from day one. We escalate when payers stall. Our relationships with credentialing departments move applications faster.
Enrollment Confirmation & Activation
We confirm effective dates, obtain provider IDs, and update your billing system immediately so billing can begin the same day enrollment is confirmed.
28-Day Average Enrollment
vs. 90+ days managed in-house. We know the payers, portals, and people.
Zero Application Errors
Dual-review before every submission. Incomplete applications are the #1 cause of delays - we eliminate them.
Proactive Expiration Monitoring
We track every license, DEA, and CAQH attestation - alerting you 60–90 days before expiration.
Protect Your Revenue
Each unresolved credentialing issue costs $10K–$50K/month in delayed billing. We keep that number at zero.
New Provider? Credentialing Backlog? We Can Help.
Whether onboarding one provider or fifty, we handle the entire credentialing process so your team can focus on patient care.
Denial Management &
Claims Appeals Services
The average provider writes off 3–5% of gross revenue as uncollectible denials. That's money you've earned - and we recover it. Our resolution rate is 93.4%.
93.4%
Denial resolution rate
72hr
Appeal turnaround
52%
Denial rate reduction
$380K
Avg annual recovery/client
Denial Management
Most Denied Claims Are Recoverable. We Prove It.
65% of denied claims are never reworked - they're written off. Health Billing's denial management team doesn't accept denial as a final answer. We investigate, document, appeal, and escalate until every recoverable dollar is collected.
- Root-cause categorization of all denial types
- First-level appeal letters with clinical documentation
- Second-level and peer-to-peer review coordination
- External appeals and state Insurance Department complaints
- Authorization and medical necessity appeals
- Timely filing appeals with proof of prior submission
- Underpayment identification and payer dispute letters
- Monthly denial scorecards and root-cause reports
- Front-end process improvements to prevent recurrence
Top 7 Denial Reasons - And How We Fix Them
1. Missing/invalid patient info → front-end verification. 2. Authorization issues → retroactive auth + medical necessity appeals. 3. Duplicates → claim history audit. 4. Timely filing → recovery with proof of submission. 5. Coding errors → corrected claims with certified coder review. 6. Medical necessity → clinical appeal letters. 7. COB issues → proper claim sequencing.
Prevention Is Better Than Cure
We don't just recover denied claims - we eliminate the conditions that cause them. Monthly denial reports identify patterns, and we work with your front desk and clinical teams to stop errors from recurring. Most clients see 50%+ reduction in denial rate within 6 months.
Government Payer Appeals
Medicare and Medicaid appeals have strict processes - Redeterminations, Reconsiderations, ALJ hearings. We navigate every level with precision, maximizing recoveries from government payer denials.
How Much Denied Revenue Are You Sitting On?
Let us review your last 90 days of denied claims and show you exactly how much is recoverable - completely free.
Accounts Receivable (AR)
Recovery & Follow-Up
Aging AR is silent revenue leakage. Our AR recovery team hunts down every balance - regardless of age - and brings it to resolution.
18 days
AR days post-engagement
87%
Recovery on 90+ day AR
100%
All claims worked
AR ServicesWe Work Every Dollar.
We Work Every Dollar.
No Balance Left Behind.
Most billing companies prioritize easy wins. The hard stuff - old claims, complex denials, government payer disputes - gets ignored. We work all of it. Our AR specialists are assigned by payer type and aging bucket with specific protocols for each category.
- Insurance AR follow-up for all payer types
- Patient balance resolution and payment plan setup
- 60/90/120/180+ day aging bucket management
- Payer portal follow-up and phone escalations
- Re-billing and corrected claim submission
- Secondary insurance identification and billing
- Write-off review before any finalization
- AR cleanup projects for practices switching billing companies
AR Analysis & Stratification
We segment all open AR by payer, aging bucket, denial reason, and dollar value. Each segment gets a tailored follow-up protocol.
Insurance Follow-Up
Daily payer portal checks, outbound calls, and online dispute submissions. We don't wait - we chase payers on a set schedule.
Patient Balance Management
Automated statements, outbound calls, and payment plan setup. Collecting patient balances compliantly without damaging relationships.
Resolution & Write-Off Review
Every balance resolved, appealed, or recommended for write-off with full documentation. No balance written off without manager review.
Let Us Work Your Aging AR
Send us your AR aging report and we'll tell you - for free - exactly how much we can recover and in what timeframe.
Medical Transcription Services
HIPAA-Secure & Accurate
99.5%+ accuracy. Fast turnaround. Direct EHR integration. We turn your dictations into structured, compliant clinical documentation - reliably.
99.5%+
Accuracy rate
4hr STAT
Emergency TAT
100+
EHR integrations
HIPAA
Fully compliant + BAA
Transcription ServicesClinical Documentation
Clinical Documentation
Done Right. Every Time.
Poor documentation causes coding errors, medical necessity denials, audit exposure, and clinical communication failures. Our transcriptionists are trained across 40+ specialties, producing documentation that is accurate, complete, and billing-ready.
- Acute care and ambulatory transcription
- Discharge summaries and operative reports
- Office visit and consult notes
- Radiology and pathology reports
- Psychiatric evaluations and therapy notes
- Emergency medicine documentation
- PT, OT, and speech therapy notes
- Direct EHR upload via HL7 and direct interfaces
- STAT, 24-hour, and standard TAT options
Human + AI-Assisted Workflow
AI-assisted transcription as a first pass, then every document reviewed and quality-assured by an experienced human transcriptionist. AI speed at human accuracy levels.
HIPAA Security You Can Count On
256-bit AES encryption in transit and at rest. Signed BAA. Role-based access controls. Regular security audits. Patient data protected at every step.
Turnaround Times That Match Your Workflow
STAT (4 hours), Priority (12 hours), and Standard (24 hours) options. Customizable scheduling to match your dictation volume and clinical needs.
Start Receiving Accurate Transcriptions Within 48 Hours
Setup is fast, integration is seamless, and we offer a free trial for new clients.
Claims Management
From Submission to Payment
Real-time claim scrubbing, electronic submission, status tracking, and proactive payer follow-up - managed end-to-end so not a single claim falls through the cracks.
93.2%
First-pass acceptance
24hr
Submission turnaround
3,000+
Automated edits
100%
Claims tracked to resolution
Claims ServicesEvery Claim Tracked.
Every Claim Tracked.
Every Payment Collected.
Claims management isn't just about submitting - it's about knowing where every claim stands, at every moment, and acting immediately when something goes wrong.
- Real-time eligibility verification before submission
- Proprietary scrubbing with 3,000+ payer-specific edits
- Electronic and paper claim generation and submission
- Clearinghouse management and EDI transmission
- Real-time claim status tracking by payer
- Automated 277/835 processing
- Rejection management and same-day resubmission
- Payer portal follow-up on unpaid claims
- Claim adjustment and corrected claim submission
Pre-Submission Scrubbing
3,000+ payer-specific edits catch coverage gaps, coding errors, and demographic issues before a claim ever leaves our system - protecting your first-pass rate.
Real-Time Status Visibility
Log in at any time and see the exact status of every claim - submitted, in adjudication, pending, paid, or denied - with action notes from our team.
Zero-Lag Rejection Response
Clearinghouse rejections are identified and corrected within the same business day. No claim sits rejected for more than 24 hours without action.
See Your Claims Managed the Right Way
Free claims assessment - we'll show you what a fully managed claims pipeline looks like for your practice.
We Bill Every Major Insurance
Payer in America
Medicare. Medicaid. Every private insurer. Every managed care plan. Health Billing is credentialed, contracted, and actively billing with 500+ payers across all 50 states - so your providers get paid no matter who the patient's insurer is.
500+
Payers in network
50
States covered
100%
Government payer compliant
28 days
Avg enrollment time
Government Payers
Medicare & Medicaid - Done Right, Every Time
Medicare and Medicaid are America's largest healthcare payers - and also the most complex to bill. Our government billing specialists handle it all with precision and full compliance.
Medicare
CMS / Federal Program
- Part A - inpatient, SNF, hospice
- Part B - physician, outpatient, DME
- Part C - Medicare Advantage (all plans)
- Part D - pharmacy coordination
- MIPS / QPP compliance & reporting
- MSP coordination
- RAC, MAC, OIG audit defense
- LCD/NCD policy compliance
Medicaid
All 50 State Programs
- All 50 state Medicaid programs
- Medicaid MCOs and managed care
- CHIP (Children's Health Insurance)
- Dual-eligible (Medicare + Medicaid)
- FQHC billing
- Behavioral health Medicaid
- LTSS and waiver programs
Other Government
Federal & State Programs
- TRICARE / CHAMPVA
- VA Community Care Network
- Federal Employee Health Benefits (FEHB)
- Workers' Compensation (all 50 states)
- Auto / No-Fault billing
- Indian Health Service (IHS)
- Ryan White HIV/AIDS program
Major Commercial Insurers
Every Private Insurer. Every Plan. We Handle Them All.
Commercial payers each have unique billing rules, fee schedules, auth requirements, and claim formats. Our payer-specific billing teams know the nuances of every major insurer.
BCBS
Blue Cross Blue Shield
All 36 BCBS Regional Plans
We bill all 36 independent BCBS plans - from Anthem and BCBS of Illinois to Hawaii and Montana - with plan-specific fee schedules and claim requirements applied.
AET
Aetna / CVS Health
Commercial, Medicare Advantage & Medicaid
Full Aetna billing including commercial PPO/HMO, Medicare Advantage, and Medicaid managed care plans - with proper modifier and bundling rules applied.
UHC
UnitedHealthcare
UHC / UnitedHealth Group / Optum
America's largest insurer requires specialized knowledge. We navigate UHC's portal, authorization requirements, and reimbursement policies for maximum collections.
CIG
Cigna / Evernorth
Commercial & Medicare Advantage
Cigna billing across commercial, Medicare Advantage, behavioral health, and pharmacy benefit plans - including reference-based pricing arrangements.
HUM
Humana
Medicare Advantage, Commercial & Medicaid
One of America's top Medicare Advantage payers. We handle Humana's authorization workflows, HEDIS quality reporting, and star rating optimization alongside billing.
CNT
Centene Corporation
Medicaid, Medicare & ACA Plans
The largest Medicaid managed care organization in the US. Centene's brands include WellCare, Health Net, Ambetter, and Fidelis - we bill them all.
ANT
Anthem / Elevance Health
14 States - Commercial, MA & Medicaid
The largest BCBS licensee. We manage Anthem/Elevance commercial, Medicaid, and Medicare Advantage billing across all 14 Anthem-affiliated states.
MOL
Molina Healthcare
Medicaid & Medicare - 19 States
A leading managed Medicaid payer in 19 states. We navigate Molina's state-specific billing requirements and ensure proper claim adjudication and appeals.
KAI
Kaiser Permanente
Commercial & Medicare Plans
Kaiser's closed-network model requires specialized non-member billing workflows. We handle commercial and out-of-network Kaiser claims with full documentation support.
+400
400+ More Payers
Regional, Specialty & Niche Plans
Oscar Health, Bright Health, Clover, Devoted Health, SelectHealth, Independence Blue Cross, Geisinger, CHRISTUS, Scott & White, and hundreds more regional plans.
Specialty Insurance Programs
Beyond Standard Insurance - We Handle All of It
Auto / No-Fault
MVA billing with proper lien management, attorney coordination, and no-fault payer follow-up across all no-fault states.
Workers' Compensation
State-by-state workers' comp billing, fee schedule compliance, utilization review responses, and IME documentation support.
TRICARE / Veterans
TRICARE West, East, For Life, and VA Community Care Network - all authorization types and billing configurations covered.
Employer Self-Funded Plans
TPA and employer-sponsored self-funded plan billing - including reference-based pricing and direct contracting models.
Self-Pay & Uninsured
Charity care screening, sliding-scale fee management, financial counseling, and compassionate patient payment administration.
International / Travel
International traveler and expat insurance billing - including proper documentation for foreign insurance reimbursement claims.
Not Yet Credentialed with a Payer?
We don't just bill these insurers - we get your providers enrolled with every payer that matters to your practice. Average enrollment: 28 days.
Every Payer. Every State. Every Claim Paid.
No matter who insures your patients, we make sure you get paid - correctly, compliantly, and on time.
Medical Billing for Every
Healthcare Specialty
From solo family practice to multi-site hospital networks - Health Billing has specialty-trained billing teams for every type of provider. Your specialty has unique codes, unique payer rules, and unique compliance requirements. We know them all.
40+
Specialties covered
480+
Providers served
Dedicated
Specialty billing teams
All 50
States active
Primary & Preventive Care
The Front Line of Healthcare
Primary Care / Internal Medicine
E&M coding optimization, Annual Wellness Visits, chronic care management (CCM), preventive services, and MIPS quality reporting.
- E&M level optimization (99202–99215)
- Chronic Care Management (CCM) billing
- Annual Wellness Visit (AWV) codes
- Transitional Care Management (TCM)
Urgent Care
High-volume same-day billing, urgent care E&M coding, occupational health billing, and telehealth urgent care.
- Urgent care facility fee billing (S9083)
- Same-day claim submission
- Occupational medicine and work injury
- Pre-employment physical billing
Pediatrics
Well-child visits, immunization billing, developmental screenings, and CHIP/Medicaid pediatric billing.
- Well-child visit codes (99381–99395)
- Vaccine administration (90460/90461)
- EPSDT / developmental screening
- CHIP and pediatric Medicaid
OB/GYN & Women's Health
Global OB packages, antepartum care, gynecological procedure coding, and preventive screening billing.
- Global obstetric package billing
- Antepartum and postpartum care
- Mammography and screening billing
- Fertility treatment billing
Surgical & Procedural
High-Complexity Billing for High-Stakes Procedures
Orthopedics & Spine Surgery
Total joint replacement, spinal fusion, sports medicine, fracture care, arthroscopy. Modifier 62, 80, assistant surgeon billing. Implant cost reporting.
Cardiology
Invasive and non-invasive cardiology - cardiac cath, EP studies, echo, stress testing, remote monitoring (RPM), and heart failure management programs.
Neurology & Neurosurgery
EEG, EMG, nerve conduction, cranial/spinal surgery, sleep study billing, and deep brain stimulation program billing.
Ophthalmology
Cataract surgery, glaucoma management, retinal procedures, vision therapy, and OCT diagnostic billing.
General Surgery
Laparoscopic and open surgical procedures, hernia repair, bariatric surgery billing, and global surgical package management.
Anesthesiology
Base unit and time unit anesthesia billing, CRNA and physician billing, MAC coding, and pain management procedure billing.
Medical Specialties
Complex Medical Specialties - Billed Right
Nephrology
Dialysis billing (in-center and home), ESRD monthly capitation, kidney transplant follow-up, CAPD/CCPD billing, and CKD management coding.
Oncology & Hematology
Chemotherapy infusion billing (96401–96549), immunotherapy, drug administration, oncology E&M, clinical trial billing, and radiation oncology.
Pulmonology
Spirometry and PFT billing, bronchoscopy coding, COPD management, sleep study billing, and critical care pulmonology coding.
Gastroenterology
Colonoscopy and EGD billing, polyp removal coding, ERCP, liver biopsy, and capsule endoscopy - including screening vs. diagnostic billing.
Rheumatology
Joint injection billing, infusion therapy for biologics, autoimmune disease management coding, and documentation support.
Endocrinology
Diabetes management billing, thyroid procedure coding, insulin pump (CSII), continuous glucose monitoring (CGM), and RPM billing.
Pain Management
Epidural injection billing, nerve block coding, spinal cord stimulator, fluoroscopy guidance, drug testing, and controlled substance compliance billing.
Infectious Disease
HIV/AIDS management, antimicrobial stewardship, complex antibiotic infusion billing, hospital consultation coding.
Dermatology
Lesion removal coding, Mohs surgery billing, cosmetic vs. medically necessary distinction, biopsy coding, and phototherapy billing.
Behavioral Health
Mental Health & Substance Use -
Mental Health & Substance Use -
A Specialty That Demands Precision
Behavioral health billing has unique parity requirements, licensure considerations, and payer-specific authorization rules. Our behavioral health billing team navigates all of it.
Psychiatry & Psychology
Psychiatric evaluation coding, psychotherapy time-based billing, neuropsychological testing, and inpatient psychiatric billing.
Counseling & Therapy
Individual, group, and family therapy billing for LCSWs, LPCs, MFTs, and licensed counselors with parity law compliance.
Substance Use Treatment
OTP/MAT billing, ASAM level of care coding, methadone/buprenorphine billing, IOP and residential treatment, and SBIRT coding.
ABA Therapy
ABA therapy billing for autism spectrum disorder - protocol modification, technician supervision, and Medicaid ABA waiver program billing.
Diagnostic & Post-Acute
Diagnostic Services & Long-Term Care
Radiology & Imaging
Professional and technical component billing, diagnostic and interventional radiology, MRI/CT/X-ray, PET scan, and teleradiology billing.
Pathology & Clinical Laboratory
Clinical lab billing with CLIA compliance, anatomic pathology coding, molecular diagnostics, genetic testing, and PAMA payment rules.
Physical & Occupational Therapy
Therapy billing with KX modifier management, functional limitation reporting, Medicare therapy cap tracking, and group vs. individual billing compliance.
Emergency Medicine
ED E&M level assignment (99281–99285), critical care coding, trauma activation billing, and No Surprises Act compliance management.
Hospital Medicine
Admission, subsequent, and discharge E&M coding, critical care billing, observation services, and hospitalist group billing.
Home Health & Hospice
PDGM episode billing, OASIS coding, home health certification, hospice benefit period billing, and routine home vs. continuous care coding.
Skilled Nursing (SNF)
PDPM billing, Part A SNF billing, Part B ancillary services, attending physician visits, and Medicare triple-check audit preparation.
Telehealth / Virtual Care
Telehealth billing across all payers, place of service compliance, audio-only vs. video coding, RPM/PCM billing, and interstate telehealth support.
Speech-Language Pathology
SLP billing for dysphagia, communication disorders, voice therapy, cognitive rehabilitation, and AAC device billing through Medicaid and commercial payers.
Every Specialty. Without Exception.
Don't see yours? If healthcare providers bill for it, we bill it.
Family Medicine
Cardiology
Orthopedics
Neurology
Nephrology
Oncology
Gastroenterology
Pulmonology
Rheumatology
Endocrinology
Ophthalmology
OB/GYN
Pediatrics
Psychiatry
Radiology
Pathology & Labs
Anesthesiology
General Surgery
Emergency Medicine
Hospital Medicine
Urgent Care
Physical Therapy
Speech Therapy
Occupational Therapy
Oral Surgery
ENT
Podiatry
Pain Management
Infectious Disease
Home Health
Hospice Care
Skilled Nursing
ABA Therapy
Substance Use
Dermatology
Telehealth
Sports Medicine
Vascular Surgery
Multispecialty Groups
Concierge Medicine
Your Specialty. Our Expertise. More Revenue.
Tell us your specialty and we'll show you exactly how we've increased collections for practices just like yours - with real numbers, not promises.
Medical Billing for Every Department
and Every Type of Clinic
Primary care, urgent care, nephrology, cardiology, OB/GYN, pediatrics, behavioral health, labs, imaging, surgery centers, and specialty groups all have different codes, payer rules, authorizations, and denial patterns. Health Billing builds department-specific billing workflows so every visit, procedure, test, and follow-up is coded, submitted, appealed, and collected correctly.
40+
Departments covered
24hr
Claim submission target
500+
Payers supported
All 50
States served
Department-Specific RCM
Built Around How Each Specialty Actually Gets Paid
A primary care clinic loses revenue differently than a nephrology group. Urgent care needs speed, OB/GYN needs package accuracy, cardiology needs documentation and modifier precision, while behavioral health needs authorization and parity-aware follow-up. We create a custom billing lane for every department.
Primary Care & Internal Medicine
High-volume E&M, preventive visits, AWV, CCM, TCM, vaccine administration, lab coordination, and chronic disease billing.
- E&M leveling and modifier checks
- Annual wellness visit capture
- CCM, RPM, and care management billing
Urgent Care
Fast-paced billing for walk-ins, occupational health, minor procedures, X-rays, flu tests, injections, and payer-specific urgent care rules.
- Same-day charge entry
- S9083 and POS handling
- Occupational medicine and work injury claims
Nephrology
ESRD, dialysis, CKD, transplant follow-up, monthly capitation, home dialysis, and complex Medicare and Medicaid coordination.
- ESRD MCP billing
- Dialysis visit reconciliation
- Dual-eligible payer coordination
Cardiology
Echo, stress testing, EKG, cath lab, EP studies, device monitoring, RPM, and cardiovascular procedure documentation review.
- Modifier and global period checks
- Diagnostics and procedure billing
- Prior authorization follow-up
OB/GYN & Women’s Health
Global maternity packages, antepartum and postpartum care, gynecology procedures, screenings, fertility, and ultrasound billing.
- Global OB package accuracy
- Split billing where required
- Preventive versus diagnostic coding
Pediatrics
Well-child visits, vaccine administration, Medicaid, CHIP, developmental screening, sick visits, and pediatric preventive care.
- EPSDT and CHIP workflows
- Immunization code pairing
- Age-specific coding checks
Behavioral Health
Psychiatry, therapy, counseling, substance use treatment, IOP, MAT, ABA, and authorization-heavy payer workflows.
- Session and time-based billing
- Auth and medical necessity tracking
- Parity-aware denial appeals
Orthopedics & Pain Management
Fracture care, injections, procedures, spine, sports medicine, DME coordination, global surgical periods, and imaging linkage.
- Procedure and modifier review
- Global package management
- Implant and DME documentation
Labs, Pathology & Diagnostics
Clinical lab, pathology, molecular diagnostics, toxicology, imaging, radiology, and payer policy-driven testing workflows.
- Medical necessity checks
- CLIA and LCD/NCD alignment
- Professional and technical components
Emergency Medicine
ED E&M, trauma, critical care, observation, facility coordination, no-fault, and complex payer dispute handling.
- ED level validation
- Critical care documentation
- No Surprises Act awareness
Surgery & ASC Billing
General surgery, ambulatory surgery centers, anesthesia, assistant surgeon billing, implants, global periods, and post-op care.
- ASC and professional claim split
- Global period monitoring
- Authorization and operative note review
Telehealth & Virtual Care
Telehealth, remote patient monitoring, chronic care management, principal care management, and virtual-first clinic billing.
- POS and modifier accuracy
- Audio-only versus video billing
- RPM and CCM recurring claims
What We Customize for Each Department
Coding Rules
Specialty-specific CPT, ICD-10, HCPCS, modifiers, bundling edits, global periods, and documentation requirements.
Payer Rules
Cigna, Aetna, UHC, BCBS, Humana, Medicare, Medicaid, and MCO rules mapped to your specialty and state.
Collection Strategy
Follow-up queues built by denial type, payer, aging bucket, authorization risk, and claim value.
Tell Us Your Department. We Will Show the Revenue Leaks.
Book a free billing assessment and get a specialty-specific review of claims, denials, AR aging, payer mix, and collection opportunity.
Collections from Private Insurance,
Medicare, and Medicaid
We help practices collect from Cigna, Aetna, UnitedHealthcare, Blue Cross Blue Shield, Humana, Medicare, Medicaid, managed care plans, secondary payers, workers' comp, and patient responsibility balances. Our team does not stop at claim submission. We pursue payment until the claim is paid, appealed, adjusted, or escalated.
Cigna
Commercial claims
Medicare
CMS compliant billing
Medicaid
State MCO follow-up
AR
Aging bucket recovery
Payer Collection Engine
We Work the Claim Until Money Hits the Account
Many billing teams submit claims and wait. Health Billing uses payer-specific follow-up, denial appeals, underpayment review, secondary billing, and patient balance workflows to improve net collections across commercial, Medicare, and Medicaid payers.
Private Insurance
Cigna, Aetna, UHC, BCBS, Humana and more
- Eligibility and benefit verification
- Prior authorization tracking
- Claim status checks through portals and clearinghouses
- Denial appeal packets with documentation
- Underpayment and fee schedule review
- Secondary and tertiary claim follow-up
Medicare
Traditional Medicare and Medicare Advantage
- LCD and NCD policy checks
- Modifier and medical necessity review
- MSP and coordination of benefits handling
- Medicare Advantage plan follow-up
- RAC, MAC, and audit response support
- Appeals and redetermination support
Medicaid
State Medicaid and Medicaid MCOs
- State-specific Medicaid rules
- Managed care plan billing workflows
- Eligibility, spend-down, and dual eligibility handling
- CHIP, EPSDT, and waiver billing support
- Timely filing and resubmission tracking
- Denied claim correction and appeals
How We Increase Collections
1. Verify Before the Visit
We confirm active coverage, copay, deductible, authorization requirements, referral rules, and coordination of benefits before claims are created.
2. Submit Clean Claims
Claims are checked for coding, modifiers, medical necessity, provider enrollment, place of service, payer edits, and documentation gaps.
3. Follow Up by Payer and Aging Bucket
Open AR is worked by payer, dollar value, denial reason, timely filing risk, and 0 to 30, 31 to 60, 61 to 90, 90 plus day buckets.
4. Appeal Denials and Underpayments
We prepare appeal packets, attach clinical documentation, cite payer policy, correct coding issues, and pursue payer reconsideration.
5. Post, Reconcile, and Report
ERA and EOB payments are posted daily, underpayments are flagged, patient responsibility is moved correctly, and monthly payer performance is reported.
Private Insurance, Medicare, Medicaid, We Collect Across All of Them.
Let us review your payer mix and AR aging to show which insurance companies are holding your money.
Medical Billing Collections Calculator
Estimate how much more your clinic may collect by improving clean claim rate, denial follow-up, AR recovery, and net collection performance. This is a planning calculator, actual collections depend on payer mix, specialty, contracts, documentation, and claim history.
Live Revenue Estimate
See the Collection Opportunity Before You Switch
Total completed visits or billable encounters per month.
Typical range is 70 to 95 percent depending on specialty, payer mix, and billing quality.
Higher-complexity specialties often have more room for coding, denial, and AR improvement.
Estimated Opportunity
Potential additional collections per month
$0
Potential additional collections per year
$0
Current monthly collections
$0
Projected monthly collections
$0
AR recovery estimate
$0
Improvement gap
0%
This calculator is not a guarantee. It is an estimate designed to start a revenue conversation. For an accurate projection, Health Billing reviews your payer mix, claims, denial codes, aging AR, EHR reports, and specialty workflows.
Resources for Modern Practices
Practical, doctor-focused content on billing, coding, denials, payer rules, and the financial side of running a practice in the US.
From the Blog
View all articles
Insights, Updates & Playbooks
Case Studies
Real Practices. Real Revenue Lifts.
Multi-Site Cardiology - +$2.1M / yr
4-location cardiology group cut denials 62%, lifted NCR from 91% to 97.4%, and recovered $480K in aged AR within 90 days.
↑ 23% net collections in 6 months
Solo Internal Medicine - +$184K / yr
Independent IM practice replaced an in-house biller, automated eligibility, and recovered 5 months of stalled credentialing revenue.
↑ 31% monthly collections
Behavioral Health Group - +$640K / yr
22-clinician group rebuilt auth tracking, fixed parity-related denials, and reduced days in AR from 58 → 27 in one quarter.
↓ 53% denials
Urgent Care Network - +$1.4M / yr
9-location urgent care chain corrected POS errors, occ-med workflows, and same-day charge entry to lift clean-claim rate to 98%.
↑ 18% net collections
Orthopedic Surgery - +$920K / yr
Ortho practice fixed global-period leakage, implant documentation, and auth tracking to recover 11 months of underpayments.
↑ $920K recovered underpayments
Independent Lab - +$2.8M / yr
Reference lab realigned medical-necessity documentation with LCD/NCD policies and renegotiated 3 commercial payer contracts.
↑ 27% reimbursement per test
Guides & Whitepapers
Free Downloads for Doctors & Administrators
The Independent Practice RCM Playbook
A 38-page guide covering eligibility, charge capture, coding, denials, AR, and reporting for solo and small-group practices.
Denial Prevention Cheat Sheet
Top 25 denial reasons mapped to root causes, payer policies, and the exact corrective workflow for each.
Credentialing Checklist (US)
Every document, deadline, and payer-specific requirement - Medicare, Medicaid, BCBS, Aetna, UHC, Cigna, Humana and more.
KPI Dashboard Template
The 12 KPIs every practice owner should track weekly - with formulas and benchmark ranges by specialty.
HIPAA & SOC 2 Vendor Checklist
What to ask any billing vendor before handing over PHI. BAAs, audit logs, encryption, breach response, access controls.
No Surprises Act Quick Guide
Good-faith estimates, IDR process, balance billing rules, and the workflows that keep you compliant.
Want a Personalized Resource Pack?
We'll send specialty-specific benchmarks, denial trends, and a free revenue audit tailored to your practice.
Get Your Free Revenue Audit
Fill out the form and one of our revenue cycle specialists will be in touch within 4 business hours - at no cost and no obligation.
Tell Us About Your Practice
All fields marked * are required.
Get in Touch Directly
Phone
Address
97 Newkirk Street
Jersey City, NJ 07306
Jersey City, NJ 07306
Office Hours
Mon–Fri: 8:00 AM – 8:00 PM ET
Saturday: 9:00 AM – 2:00 PM ET
Saturday: 9:00 AM – 2:00 PM ET
What Happens After You Submit?
- A revenue cycle specialist contacts you within 4 hours
- We schedule a 30-minute discovery call at your convenience
- We review your current billing data (no PHI required initially)
- We deliver a written assessment with specific revenue opportunity numbers
- You decide if and when to proceed - zero pressure
America's Most Trusted Medical Billing Partner
Rated #1 for clean claim rate, denial resolution, and client satisfaction - three years running.
Insights for Modern Practices
Coding updates, payer policy changes, denial prevention and revenue-cycle playbooks from the Health Billing team.
No articles match your search.
Turn Coding Changes Into Clean Claims
Our specialty coders keep your code sets, edits and documentation current, so annual updates never interrupt cash flow.
Terms of Service
The terms that apply to the Health Billing website, our communications and our SMS text messaging program.
Effective and last updated: November 2, 2026
These Terms of Service (“Terms”) are an agreement between you and Health Billing Solutions LLC (“Health Billing US,” “Health Billing,” “we,” “us” or “our”), located at 97 Newkirk Street, Jersey City, NJ 07306. They apply when you use healthbilling.us (the “Website”), contact us, or join our SMS program. If you do not agree, please do not use the Website or join the program.
1. Use of the Website
You may use the Website to learn about our services and contact us. You agree to give accurate information and not to misuse the Website, including by interfering with its operation, attempting unauthorized access, or submitting unlawful or misleading content. You must be at least 18 years old to submit a form or join our SMS program.
Do not submit patient information or other protected health information (PHI) through the Website’s forms or by text message.
2. Our Services
The Website describes our medical billing, coding, revenue cycle management, credentialing and related services in general terms. Service descriptions are not an offer or a binding contract. Any engagement is governed by a separate written agreement between you and Health Billing, including a Business Associate Agreement where required by HIPAA. If that agreement conflicts with these Terms, that agreement controls.
Figures, benchmarks, testimonials and calculator estimates on the Website are for general information only. Actual results depend on factors such as specialty, payer mix, contracts and documentation. We do not guarantee any particular reimbursement, payer decision, credentialing outcome or revenue result. Website content is not legal, medical, tax or financial advice.
3. SMS Text Messaging Terms
Health Billing US SMS Program
Program description: By opting in, you agree to receive text messages from Health Billing US about medical billing, credentialing services, free revenue reviews, and appointment scheduling.
Message frequency: Varies.
Costs: Message and data rates may apply.
Opt out: Reply STOP at any time to cancel. You will receive one final confirmation message, and no further messages will be sent.
Help: Reply HELP for help, or contact us at sean@healthbilling.us or 551-298-5665.
Carriers: Carriers are not liable for delayed or undelivered messages.
Privacy: See our Privacy Policy at https://healthbilling.us/privacy-policy. Consent to receive messages is not a condition of purchase.
You agree to receive information messages (appointment reminders, account notifications, etc.) from Health Billing Solutions LLC. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at sean@healthbilling.us. You can opt out at any time by replying STOP.
How to opt in
You join by giving your express written consent: tick the optional SMS consent box on our contact form and submit the form. The box is never pre-ticked, and we keep a record of the date and time of your consent. To rejoin after opting out, reply START or submit the consent form again.
Your number
You confirm that you are the subscriber or authorized user of the mobile number you provide, and you agree to tell us if that number changes. Text messages are not a secure channel and are not used to send PHI.
4. Intellectual Property
The Website’s content, logos and design belong to Health Billing or its licensors. You may view and print content for your own business use, but you may not copy, modify or redistribute it without our written permission.
5. Third-Party Links
The Website may link to third-party sites, including sources cited in our articles. We do not control those sites and are not responsible for their content or practices.
6. Disclaimer of Warranties
The Website and its content are provided “as is” and “as available.” To the fullest extent permitted by law, we disclaim all warranties, express or implied, including merchantability, fitness for a particular purpose and non-infringement. We do not warrant that the Website will be uninterrupted or error-free, or that coding and payer information remains current.
7. Limitation of Liability
To the fullest extent permitted by law, Health Billing is not liable for indirect, incidental, special, consequential or punitive damages, or for lost profits or revenue, arising from your use of the Website, our content or the Program. Liability for services we provide under a written agreement is governed by that agreement.
8. Governing Law
These Terms are governed by the laws of the State of New Jersey and applicable U.S. federal law, without regard to conflict-of-law rules. Disputes will be brought in the state or federal courts located in New Jersey, unless applicable law requires otherwise.
9. Changes to These Terms
We may update these Terms by posting a new version here and changing the date above. Your continued use of the Website or the Program after an update means you accept the updated Terms. If any provision is found unenforceable, the rest remain in effect.
10. Contact Us
Health Billing Solutions LLC
97 Newkirk Street, Jersey City, NJ 07306
Phone: (551) 298-5665
Email: hello@healthbilling.us
Privacy Policy
What information Health Billing collects, how we use it, and the choices you have, including for text messages.
Effective and last updated: November 2, 2026
Health Billing Solutions LLC (“Health Billing US,” “Health Billing,” “we,” “us” or “our”) respects your privacy. This policy explains how we handle information collected through healthbilling.us (the “Website”), our forms, our communications with you and our SMS program.
1. Information We Collect
Information you give us. When you complete our contact form or contact us, we collect your practice or organization name, first and last name, work email, phone number, specialty, the service you are interested in, and anything you choose to tell us. If you tick the SMS consent box, we also record your consent.
Information collected automatically. Like most websites, our servers and service providers process technical data such as your IP address, browser type and the page you submitted a form from. We use this to run and secure the Website, including to limit abuse of our forms. The Website does not use advertising cookies or third-party analytics trackers. If that changes, we will update this policy. The Website’s fonts are delivered by Google Fonts, which receives your IP address when your browser loads them.
Text message information. If you join our SMS program, we collect your mobile number, your opt-in and opt-out status, and the date, time and source of your consent, along with message delivery records and your replies.
2. How We Use Information
- Respond to your enquiry and provide your free revenue audit
- Schedule and remind you about calls and meetings
- Provide, manage and support our services
- Send updates and information about our services, by text only if you have opted in
- Keep records of consent and honor opt-out requests
- Protect and improve the Website, prevent fraud and abuse
- Meet legal, regulatory and contractual obligations
3. SMS and Mobile Information
If you opt in to receive text messages from Health Billing US, we collect your mobile number and consent for the purpose of sending you messages about our billing and credentialing services. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Text messaging opt-in data and consent will not be shared with any third parties. You can opt out at any time by replying STOP. Reply HELP for help or contact us at sean@healthbilling.us / 551-298-5665.
We collect mobile numbers through our contact form, and we text you only if you have given your express written consent, as described in the SMS Text Messaging Terms. Service providers that operate the program, such as our messaging platform and mobile carriers, process your number only so that messages can be delivered and support provided. They may not use it for their own marketing. We do not sell mobile numbers. We never send PHI by text message, and we ask that you do not send it to us that way.
4. How We Share Information
We do not sell your personal information. We share it only as follows:
- Service providers that act on our behalf, such as website hosting, email and messaging providers, under obligations to protect it
- Legal and safety reasons, when required by law or legal process, or needed to protect rights, safety and security
- Business transfers, such as a merger or sale of assets, subject to this policy. SMS opt-in data and consent are not shared as part of any marketing arrangement.
- With your direction or consent
5. Protected Health Information
The Website is not intended for PHI, and this policy does not cover PHI we handle for clients. When we process PHI on behalf of a healthcare provider, we do so as a business associate under HIPAA and a Business Associate Agreement with that provider. Patients should contact their healthcare provider about their health information rights.
6. Data Retention
We keep personal information for as long as needed for the purposes above, then delete or anonymize it. We keep SMS consent and opt-out records for as long as needed to honor your choices and show compliance with messaging laws. Client records are retained as set out in the client’s agreement and applicable law.
7. Security
We use reasonable administrative, technical and physical safeguards to protect information. No website, email or text message transmission is completely secure, so we cannot guarantee absolute security.
8. Your Choices and Rights
You can ask us to access, correct or delete your personal information, or to stop sending you marketing communications, by contacting us below. You can opt out of texts at any time by replying STOP. Depending on where you live, including California and other U.S. states with privacy laws, you may have additional rights to know about, delete or correct personal information and to opt out of its sale or sharing. We do not sell personal information or share it for cross-context behavioral advertising, and we will not discriminate against you for exercising your rights. We may need to verify your identity and may keep information the law requires us to retain.
9. Children
Our Website and services are intended for businesses and adults. They are not directed to anyone under 18, and we do not knowingly collect personal information from children. If you believe we have, please contact us so we can delete it.
10. Third-Party Links
The Website links to third-party sites that we do not control. Their privacy practices are governed by their own policies.
11. Changes to This Policy
We may update this policy by posting a new version here and changing the date above. We will not use your information in materially different ways without giving notice as required by law.
12. Contact Us
Health Billing Solutions LLC
97 Newkirk Street, Jersey City, NJ 07306
Phone: (551) 298-5665
Email: hello@healthbilling.us
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