MedCare MSO delivers end-to-end medical billing services that manage your entire revenue cycle insurance eligibility verification, medical coding, claim submission, and payment posting across 50+ specialties, with a 98.5% first-pass clean-claim rate and go-live in as little as 14 days. As a HIPAA-compliant medical billing company, we help physicians, clinics, and hospitals collect more of what they earn while spending far less time on administrative work.
Ready to maximize reimbursements and reduce administrative burden? Partner with us a MedCare MSO revenue cycle expert will reach out within 12 hours to scope the right billing services for your practice.
Real performance benchmarks from practices that outsource medical billing services to MedCare MSO. These are the standards are measured against every month across specialties, payers, and practice sizes.
96%
Collection Ratio
98.5%
First Pass Clean Claims Rate
Up to 35%
Revenue Increase
35%
Reduction in A/R
A clean, compliant billing process depends on front-end accuracy, payer-rule awareness, fast claim submission, disciplined follow-up, and transparent reporting. Here is how our best medical billing team manages your end-to-end workflow, from the first eligibility check to final reconciliation.
Clean revenue starts before the visit. We capture and validate patient demographics, insurance details, and coordination of benefits, then run real-time eligibility verification (EDI 270/271) to confirm active coverage, copays, deductibles, and plan limitations.
Missing or expired authorizations are among the most preventable and most expensive denials in medical billing. Our team flags which CPT and HCPCS procedures require prior authorization or pre-certification, submits each request with the right clinical documentation, and tracks every approval through to its expiry date with automated follow-ups.
Accurate coding is where compliance and reimbursement meet. Our AAPC- and AHIMA-certified coders assign ICD-10-CM, CPT, and HCPCS Level II codes with 99%+ accuracy, applying the correct modifiers and bundling logic while honoring NCCI edits and the annual AMA CPT updates.
Before a claim ever reaches a payer, it passes through a multi-layer scrubbing engine that applies payer-specific edits, LCD/NCD medical-necessity rules, and clearinghouse checks to catch errors at the source. Our best medical billing services submit up to 75,000 clean claims within 24–48 hours of charge capture, driving a 98.5% first-pass acceptance rate.
Once payers adjudicate, we post electronic remittances (ERA/EOB) automatically and reconcile them line by line against your expected contractual allowables. Every adjustment is mapped to its payer-specific CARC/RARC reason code, so underpayments, short-pays, and takebacks are flagged the moment they happen not months later.
A denial is not the end of a claim, it is a workflow. Our denial management specialists triage every denied and underpaid claim by root cause, correct the issue, and file payer-specific appeals with full supporting documentation, usually within 48 hours, so the revenue you already earned never gets written off.
You cannot improve what you cannot see. Real-time KPI dashboards give you complete visibility into net collection ratio, first-pass clean-claim rate, days in A/R, denial rate by reason code, and payer performance sliced by provider, location, and specialty.
See how our billing experts identify reimbursement gaps, improve claim accuracy, and optimize revenue cycle performance.
Schedule a Free DemoIn today's complex healthcare environment, effective revenue cycle management is critical to the financial health of your practice. MedCare MSO's medical billing company take a strategic approach that integrates seamlessly with your EHR, ensuring a clean transfer of clinical and financial data while minimizing the manual-entry errors that trigger denials.
The result is medical billing services that behave less like data entry and more like a financial-performance function for your practice.
Native connections to leading EHR and practice management platforms accelerate the billing cycle and give you a unified, real-time view of clinical and financial data that keeps your medical billing accurate.
Disciplined, audit-ready coding reduces claim rejections and payer audits while optimizing physician reimbursement across every encounter.
Root-cause investigation and prompt, payer-specific appeals continuously refine your revenue cycle and defend the revenue your practice has already earned.
If your practice has under $5M in annual collections and fewer than four full-time billers, outsourcing medical billing services typically returns a higher net collection rate at 30-50% lower fully-loaded cost. Here is the line-by-line comparison most practices land on after running the math on outsourced medical billing services.
| Factor | In-House Billing | Outsourced with MedCare MSO |
|---|---|---|
| Fully-loaded cost | Salary + benefits + software + training + space ≈ $75–$120k per FTE | 3-7% of net collections, with zero overhead |
| Clean-claim rate (industry avg.) | 82–86% | 98.5% |
| Days in AR | 45+ | 30 or fewer |
| Coverage on PTO / turnover | Your responsibility | Built-in and uninterrupted |
| Payer-rule updates | Manual, monthly | Automated, real-time |
| Compliance audits | Quarterly, internal | Continuous, SOC 2 + OIG-aligned |
| Scaling to a new specialty / state | Hire + train (8–12 weeks) | Same-day |
| Reporting / KPI dashboards | Built ad-hoc | Real-time BI dashboard included |
With MedCare MSO's outsourced medical billing services, salaries, software, and overhead become one variable fee that scales with collections, not headcount. Let's map it out for your practice.
Book a Free Billing AnalysisMedCare MSO is a medical billing company built on best-in-class, specialty-specific coding. Our experts bring in-depth knowledge of payer-specific requirements, state-level regulations, and regional-to-commercial payer behavior. Our medical billing and coding services are tailored to your specialty and your state's payer landscape – so your practice is reimbursed accurately and on time. It is the level of rigor you should expect from any serious medical billing company.
We streamline your billing operations so you can focus on patient care. Our comprehensive medical billing services ensure every stage of your revenue cycle is optimized for maximum efficiency and financial return.
We believe in transparent, performance-based pricing. Our medical billing company fees are customized to your practice's volume, specialty, and service mix – so our success is tied directly to yours. Simply put, we only get paid when you get paid.
Because our best medical billing services are priced on performance, scaling your practice never means a bigger fixed bill just more collections to share in.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
Most billing partners rent their software. MedCare MSO builds it and the same AI RCM ecosystem that powers our medical billing services is available to your practice as four modular products. Keep your current systems and let our team run them for you, license a single tool to fix one bottleneck, or deploy all four as one connected revenue engine.
Outsource medical billing services to MedCare MSO today, then add the product that moves your numbers most, no rip-and-replace, no long lock-in, and every tool priced to pay for itself in recovered revenue.
A billing-aware EHR where clinical and financial data never drift apart. HealUs centralizes records with AI-assisted workflows that feed straight into the claim. Run it as your primary EHR or integrate it with what you already use either way it hands our billers the clean data they need to get you paid faster.
Turn every conversation into a coding-ready note. Salus documents each encounter in real time, so charts are finished before the patient leaves and complete documentation means cleaner claims and fewer denials for your billing team to chase. Add it to your billing workflow when thin or late notes are quietly costing you revenue.
Machine-speed coding, validated by certified coders. Sophus proposes accurate CPT, ICD-10, and HCPCS codes for each encounter; our specialists confirm them before submission automation with a human check. Paired with your billing, it shortens the charge-to-claim gap and protects your first-pass rate. Ideal for coding-heavy specialties like urgent care, radiology, and cardiology.
Replace the patchwork of front-desk tools with one system for scheduling, eligibility, and claims. Maximus gives your staff and our billers a single source of truth, so nothing slips between the calendar and the claim. Bolt it onto your outsourced medical billing services to shrink days in A/R and track every claim's status in real time.
From documentation to a paid claim, every layer of this ecosystem works together so no aspect of your RCM
gets ignored.
Every product above, and every claim we file runs on the same technology stack, and it is included when you outsource your medical billing services to MedCare MSO. No extra license, no separate bill.
Securely links your EHR, practice management system, and clearinghouse for real-time, two-way data exchange, so nothing is re-keyed by hand between systems.
Bots handle the repetitive billing work charge entry, eligibility checks, claim-status follow-ups cutting turnaround time and the errors that come with manual data entry.
A living library of payer-specific rules and claim edits is applied to every claim automatically, so issues are fixed before submission instead of appealed after a denial.
Machine learning drives coding assistance, denial prediction, and revenue forecasting across your account, the intelligence layer that makes each product sharper the more you use it.
Professional
Our experience with MedCare MSO has been consistently positive and in particular the support and professionalism provided by James Archer.
Travis Gannon
Founder, ODAT Services
Recommended
I highly recommend MedCare MSO if you are looking for help with your billing and gain some freedom to see more patients or manage your business.
Dr. Jose Correa
Practice Owner, TXEC
Outstanding
MedCare MSO has been an excellent organization to work with, I highly recommend them for their quality of service and commitment to excellence.
Shaunna Mock
Back Office Manager, STST
Talented
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Max Owens
Director of Corporate Development, SC & SF
Exceptional
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Kelly Ballou
Owner, R.D.
Communicative
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Bret
Co-Owner, PCP
Great
JOSHUA ARANT
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Efficient
SHOBHA SOLOMON
Chief Executive Officer, CARE NOW CLINIC
Outstanding
JAMES BERG
Chief Operations Officer, ION DIAGNOSTICS
Responsive
Doctor Godfred Mensah
Co-Founder, AW Care
Efficient
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Dr. Chess
Practice Owner, F&A Clinic
Excellent
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
Daniel
President/CEO, RLT
Impressive
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Dr. Neufeld
Practice Owner/FBH
A medical billing service manages the process of submitting and following up on claims with health insurance payers so a provider gets paid for care delivered. It spans patient registration, eligibility verification, medical coding (translating procedures and diagnoses into CPT and ICD-10 codes), claim submission, payment posting, and denial management. This work can be run in-house or handed to a specialized medical billing company like MedCare MSO for higher collections and lower administrative burden.
Most outsourced medical billing services are priced as a percentage of net collections typically 3–7% so your cost scales with revenue instead of fixed salaries and overhead. MedCare MSO offers transparent, performance-based pricing with no hidden fees or setup costs, customized to your specialty, claim volume, and service mix. You only pay when you get paid, which keeps our incentives aligned with your growth.
Onboarding with our medical billing company is fast most practices go live in as little as 14 days. It includes EHR/PM integration, payer enrollment and provider credentialing review, fee-schedule loading, and workflow mapping, with zero interruption to your cash flow. Larger multi-specialty groups may take a few weeks longer depending on system complexity.
Medical billing is the claim-to-payment engine: coding, scrubbing, submission, posting, and appeals. Revenue cycle management is the broader financial lifecycle from patient scheduling and eligibility to final reconciliation and analytics. MedCare MSO delivers both: full-service medical billing inside an end-to-end RCM framework, so no stage of your revenue cycle is left unmanaged.
Every denial is routed for root-cause analysis, corrected, and appealed with payer-specific language and documentation. Our denial management team resolves appeals within 48 hours and feeds each root cause back into front-end edits so the same denial does not recur. Disciplined denial management like this is where outsourced medical billing services earn their keep.
Yes. Every claim passes through an advanced scrubbing engine and AI rule engine that apply payer edits, NCCI checks, and medical-necessity logic before submission. Catching errors pre-submission is what drives our 98.5% first-pass clean-claim rate, the standard our certified medical billers and coders are held to on every claim.
Yes. MedCare MSO is a HIPAA-compliant medical billing company. All protected health information is handled under strict HIPAA security and privacy safeguards, with SOC 2-aligned controls, encrypted systems, role-based access, and continuous compliance auditing.
Electronic remittances (ERA/EOB) are posted automatically and reconciled daily, mapped to payer-specific CARC/RARC codes. Fast, accurate payment posting keeps your accounts receivable clean and your billing fully auditable.
Yes. Our medical billing company integrates natively with leading EHR and practice management platforms, so you can keep your current scheduling and clinical systems. Prefer a unified stack? Our HealUs EHR and Maximus PMS are available as part of the MedCare MSO ecosystem.
We serve solo physicians, group practices, clinics, hospitals, ambulatory surgical centers, urgent care centers, FQHCs, and multi-specialty organizations. Any provider that bills insurance can benefit from outsourced medical billing services that raise collections and cut administrative overhead.
Our certified medical billers and coders cover every major specialty. MedCare MSO handles medical billing and coding across 50+ specialties including orthopedics, neurosurgery, oncology, cardiology, dermatology, pathology, general surgery, ambulatory surgery, and urgent care each supported by coders trained in that specialty's payer rules.
If your practice collects under $5M a year or runs fewer than four full-time billers, outsourcing medical billing services usually delivers a higher net collection rate at 30–50% lower fully-loaded cost while removing PTO gaps, turnover risk, and compliance exposure. Larger enterprises often use a hybrid model. A free billing audit will show which is right for you.
Compare clean-claim rate, net collection rate, days in A/R, denial-overturn rate, specialty expertise, EHR integration, transparency of reporting, HIPAA and SOC 2 compliance, and contract flexibility. The best medical billing companies show their numbers and offer month-to-month terms rather than long lock-ins backed by certified medical billing and coding you can actually audit.
No, you gain visibility. MedCare MSO's real-time KPI dashboard shows collections, denials, and A/R aging at the provider, location, and payer level, so you have more insight into your revenue cycle than most in-house teams ever provide. With a transparent medical billing company, you see more of your numbers, not less.
ODAT Services
I am writing on behalf of ODAT Services to express our strong satisfaction with MedCare MSO, and in particular the support and professionalism provided by James Archer.
Our experience with MedCare MSO has been consistently positive. The team has demonstrated reliability, responsiveness, and a clear understanding of the operational and compliance needs of our organization. James Archer has been especially instrumental—bringing a high level of expertise, clear communication, and a solutions-oriented approach to every interaction.
James is proactive, knowledgeable, and dependable, making complex processes easier to navigate and helping ensure our operations run smoothly. His professionalism and commitment to service have made MedCare MSO a valued partner to our organization.
We are pleased to recommend MedCare MSO and James Archer without reservation and look forward to continuing our work together.
Travis Gannon
Founder
ODAT Services
TXEC
I have worked with MedCare MSO for the past eight months, and it has been a great experience. Moses, Mark, Travis, Sebastian, and Tammy have been a pleasure to work with, as well as the rest of the team, including the credentialing folks.
I highly recommend this group and MedCare MSO if you are looking for help with your billing. They will meet with you once a week to review the issues that need to be fixed to improve your payment and capture rate.
If you are looking for help with your billing and gain some freedom to see more patients or manage your business, this is the team you need to work with.
Dr. Jose Correa
Practice Owner
TXEC
STST
MedCare MSO has been an excellent organization to work with. Mark has consistently demonstrated outstanding attention to detail, thorough documentation, and strong professionalism in maintaining accurate records of his findings.
His reliability and dedication have contributed greatly to a positive experience.
I highly recommend MedCare MSO for their quality of service and commitment to excellence. I can’t say enough good things about Mark and his company.
Thank you
Shaunna Mock
Back Office Manager
STST
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
