Medical Billing Consulting Services

Struggling with high denials, underpayments, or billing inconsistencies? As Medical Billing Consultants focused on Revenue Cycle Management (RCM) and the broader Healthcare Revenue Cycle, our medical billing consulting services fix the gaps in your revenue cycle through in-depth audits, payer trend analysis, and workflow assessments.

We work side-by-side with your team to provide strategies that streamline daily operations, optimize technology use, and speed up Insurance Claim Processing and Patient Payment Solutions timelines. Connect with us today, and together we will build a roadmap to financial success for your practice.

Drive Substantial Revenue Growth Through Strategic Billing Consulting

98.12%

Claim Approval Rate

99.02%

Fast Reimbursement Speed

97.85%

Reduction in Denial Rates

We Recommend Solutions That Align with Your Practice’s Budget and Needs

With over 12 years of experience, we understand that every practice has unique needs and billing complexities. We thoroughly analyze your processes and recommend RCM Solutions and Healthcare Practice Management improvements that align with your practice’s goals, budget, and operations.

Our Range of Medical Billing Consulting Services

We start by looking closely at each step of your revenue cycle. The goal is to find out where your practice is losing time or money. Our team checks for missing charges, coding errors, and billing delays. We also look at how your staff handles Claims Processing, Denial Management, and follow-ups. After reviewing everything, we share specific strategies you can improve. Our Medical Coding Experts provide Medical Coding and Billing guidance to clean up coding issues that often go unnoticed, ensuring quicker reimbursements.

Comprehensive Revenue Cycle Audit

Thoroughly analyze every stage of your RCM from patient intake to collections—including Accounts Receivable (A/R) Management, charge lag, workflow issues, and underpayment trends.

Medical Billing & Coding Compliance Review

Review CPT, ICD-10, HCPCS, and E&M codes for compliance with NCCI edits, LCD/NCD policies, and payer guidelines, delivering Billing Compliance Services that safeguard revenue.

Demographic and Eligibility Verification Review

Focus on real-time Insurance Verification and coordination of benefits to reduce denials and ensure accurate claims.

Claims Management with RPA Optimization

Assess claim creation, scrubbing, and submission workflows while recommending Medical Billing Software Solutions and RPA to reduce manual effort.

Payment Posting & Collections Workflow Enhancement

Automate ERA/EOB processing, map denial adjustments, and create structured collections ladders, complemented by A/R Recovery Services for faster cash flow.

Staff Training & Workflow Optimization

Train your team on updated billing codes, financial tasks, and technology, embedding best practices for Healthcare Financial Management.

Advanced Billing Software & A/R System Review

Check how well your Electronic Health Records (EHR) Integration (and EHR Billing Integration) work with your PMS and clearinghouse, recommending upgrades where necessary.

Performance Tracking with BI Dashboards

Deploy Healthcare Financial Analytics dashboards to monitor KPIs such as clean-claim rate, net collection ratio, and denial trends.

Benefits for Physicians

Bringing Together Technology and Human Expertise to Redesign Your Existing Workflows

Healthcare is ever-evolving, so our medical billing consulting services incorporate Healthcare Billing Optimization and Medical Billing Audits to keep your practice ahead of the curve.

Value-Based Care Model Implementation

MedCare MSO makes it easy for your practice to transition to the future of healthcare—value-based care model. We help your practice achieve a MIPS 75+ score while ensuring compliance with programs like ACO, and PCMH. Our medical billing consulting services also assist in meeting the required quality metrics, such as patient outcomes, preventive care measures, and cost-effectiveness.

Provider Enrollment and Credentialing

Our provider enrollment consultancy simplifies the complex process of getting your practice properly credentialed with Medicare, Medicaid, and commercial insurers. We handle everything from CAQH profile setup to NPI registration and PECOS enrollment to ensure clean claim submissions. Our healthcare billing consultants also manage payer-specific applications, revalidations, and fee schedule negotiations to keep your practice compliant and profitable.

Medcare MSO Specialize

Reimbursement Forms Filing Support

Filing claims doesn’t have to be stressful. Our CMS reimbursement consultants guide you through every step of the process. We help with CMS 1500 and UB-04 forms, making sure they are filled out accurately. Our experts audit codes to ensure compliance and reduce errors. We take care of all the CMS paperwork, so your practice can get the reimbursements it deserves, without the hassle.

EHR Adoption and Integration Consultation

As certified EHR implementation specialists, we guide you through every step of adopting and integrating an EHR system. Our 24/7 consultants are here to assist you in selecting the system that best suits the needs of your practice. We manage data migration and workflow redesign to ensure smooth integration with your current operations. With our support, your practice will transition to electronic billing and EHR adoption without disruption.

Medical Billing Consulting Services Available for 50+ Specialties

We offer medical billing consulting across all specialties—from urgent care to mental health. With smarter resources, you get clean claims, faster reimbursements, and fewer administrative headaches.

Ambulatory Surgery
Cardiology
Census Entry
Clinical Lab
Dental Billing
Dermatology
For Disabled
DME

Explore the wide spectrum of medical specialties we serve through expert billing consulting.

Secure Accurate Reimbursements Across All Payers with Expert Medical Coding Consulting

Front-desk inefficiencies like missed insurance checks, registration mistakes, and poor collection practices often lead to delayed or denied payments. A medical billing consultant can help fix that from the ground up. Our medical coding audit services identify coding issues early to support timely claim approvals and consistent reimbursement.

Frequently Asked Questions

Our medical billing and consulting services are priced based on the size of your practice, the volume of claims, and the level of support required. We offer flexible, competitive pricing models to ensure you get the best value. Contact us for a customized quote based on your specific needs and billing requirements.

No, we do not require long-term contracts for our medical billing and coder consulting services. We offer flexible, month-to-month agreements that allow you to scale services according to your practice’s needs. Our focus is on building long-lasting relationships based on performance, not binding contracts.

Our medical billing consultants ensure medical liens are handled correctly, helping providers get paid from a patient’s settlement. They manage the paperwork, track the lien process, and make sure all legal requirements are met, so your practice gets the payment it’s owed.

Minimize Claim Denials and Increase Your Practice Revenue by Up to 30%

Claim denials often lead to significant revenue loss for healthcare providers, typically due to billing and coding mistakes. Our medical billing consulting services help eliminate these errors by ensuring your claims meet payer rules and regulations. The result? A noticeable reduction in claim denials and a more efficient revenue cycle.

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Let’s Get in Touch

If you’d like to talk to someone now, give us a call at 800-640-6409. ​
To request a call back, just fill out this form. Please let us know your interest so we can be sure to have the best person call you.

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