MedSole RCM
REVENUE CYCLE MANAGEMENT SERVICES

The Medical Billing Company That Catches What Your Current Process Misses

MedSole RCM delivers end-to-end revenue cycle management services built to find and fix the billing gaps that quietly cost your practice money. We handle eligibility verification, coding review, claim submission, payment posting, denial management, credentialing, and A/R recovery. Everything runs inside your existing EHR. Nothing changes on your end.

Your practice gets a dedicated billing team, weekly performance reports, and outsourced medical billing services designed around one standard: every dollar your providers earn gets collected.

Service Fee Starting As Low As @2.99% of Monthly Collections Credentialing Service Starting At $99 Per Insurance Credential
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Medical Billing @2.99% of Collections
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Credentialing $99 Per Insurance
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Performance Metrics

MedSole RCM Performance: Real Numbers From Active Practice Accounts

99%

First-Pass Claim Acceptance

99.8%

Coding Accuracy Rate

24 Days

Average Accounts Receivable

$200M+

Total Claims Managed

50+

EHR/EMR Systems Supported

75+

Specialties Covered

30%

Faster Payment Cycles

10% to 15%

Average Revenue Improvement

100%

Payer-Compliant Formatting

100%

Audit-Ready Documentation

99%

Documentation-Backed Claims

20%

A/R Aging Reduction

Complete Revenue Cycle Management

Everything Your Revenue Cycle Needs, Under One Team, One Rate

MedSole RCM covers every stage of your revenue cycle, from the moment a patient schedules an appointment to the final dollar posted to your account. When you outsource revenue cycle management services to MedSole, every service below is included in one flat rate. No add-ons. No line-item invoicing. No surprises on your monthly statement.

Medical Billing Services

Claims submitted clean, coded accurately, and followed through until paid. Your providers deliver care; MedSole makes sure that care gets reimbursed at the full contracted rate.

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Revenue Cycle Management

Complete revenue cycle management services covering every process between patient registration and final payment posting. One team owns the entire cycle, so nothing falls between the gaps.

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Credentialing and Contracting

Provider enrollment applications submitted complete, followed up weekly, and tracked through approval. Every week of credentialing delay is revenue your practice can't recover.

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Eligibility Verification

Real-time insurance verification before every encounter: active coverage, copay, deductible, and prior authorization requirements confirmed. When a patient checks in, your team already knows what's covered and what isn't.

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Our 8-Step
Process

Revenue Cycle

Prior Authorization Services

Payer approvals secured before the procedure date. An expired or missing prior authorization is one of the most preventable denial types in medical billing, and MedSole prevents it.

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Payment Posting and Reconciliation

ERA and EOB payments posted on the day of receipt, matched against billed charges, and flagged for contractual discrepancies. Every payment reconciled. Every variance documented.

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AR Follow-Up Services

Aging claims worked daily, prioritized by dollar value and filing deadline proximity. Your accounts receivable don't sit in a queue at MedSole; they move forward until resolved or exhausted.

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Denial Management Services

Denied claims categorized by denial reason code, appealed with clinical documentation, and root-cause corrected. That way the same denial doesn't keep showing up on next month's report.

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MedSole's medical billing and credentialing services operate under one team and one rate, so you're never managing separate vendors for separate parts of the revenue cycle.

Every service above is included, starting at 2.99% of collections. No setup fees. No long-term contracts.

Want to see how this applies to your practice?

Our Process

From First Call to First Clean Claim: Here's Exactly How MedSole Runs Your Revenue Cycle

Most billing companies describe what they do as a list of tasks. MedSole describes it as a connected system; each step depends on the one before it. Skip or weaken any step, and the next one pays the price.

Most practices complete the transition to MedSole RCM and begin live claim submissions within 7 to 10 days. Here's how your revenue cycle management services work when MedSole manages them.

Step 1 · Days 1 to 7

Discovery and Setup

We review your current EHR, payer mix, fee schedules, denial history, and A/R aging report. Your dedicated billing team is assigned, and we configure HIPAA-compliant access through role-based permissions. Nothing changes in your system. When you outsource medical billing to MedSole, we document your existing workflows before adjusting anything.

Step 2 · Pre-Service

Eligibility and Authorization

Before every encounter, patient coverage is verified in real time: active plan, copay, deductible, and prior authorization requirements. Problems caught here never become denials downstream. It's the most cost-effective quality control point in the entire revenue cycle.

Step 3 · Claim Submission

Coding Review and Clean Claim Submission

Charges are captured daily by reconciling your schedule against entered encounters. ICD-10, CPT, and HCPCS codes are reviewed against provider documentation before submission. Claims pass through payer-specific edit logic: bundling conflicts, modifier requirements, and place-of-service rules. The target: first-pass clean claim acceptance.

Step 4 · Post-Payment

Payment Posting and Denial Resolution

ERA and EOB payments are posted and reconciled on the day of receipt. Denied claims are categorized by denial reason code, appealed with supporting clinical documentation, and root-cause corrected. Medical billing outsourcing that stops at resubmission without fixing the upstream cause is why the same denials keep appearing on your reports. MedSole fixes the cause.

Step 5 · Ongoing

A/R Follow-Up and Performance Reporting

Aging claims are worked daily, prioritized by dollar value and payer filing deadline proximity. You'll receive regular performance reports showing collections by payer, denial rates by category, days in A/R by aging bucket, and recommended adjustments. No black box. Full visibility into every stage of your revenue cycle.

Ready to start your revenue cycle transformation?

Revenue Leak Detection

Most Billing Problems Do Not Announce Themselves — Here Is Where Practices Lose Revenue Without Realizing It

Your billing may be running, but running and running right are two different operations. The gaps that cost practices the most money are rarely obvious — they appear as slightly lower collections, slightly higher denial rates, and A/R reports that age without intervention. These are not signs of a bad team. They are signs of a system without enough redundancy to catch what slips through. MedSole RCM exists to find these gaps and fix the processes that create them.

Which of These Challenges Are You Facing as a Provider?

See What Your Billing Is Missing

Get a free analysis of your revenue cycle gaps — no commitment required.

Provider Credentialing Services

Every Week Your Provider Isn't Enrolled Is Revenue You Can't Bill: Start for $99

Credentialing delays are among the most underestimated revenue problems in healthcare. Say a provider generates $8,000 per week in billable services and stays unenrolled with a payer for eight weeks. That's $64,000 in services that can't be submitted to that plan. Not delayed. Gone.

Here's the thing: most practices treat medical billing and credentialing as two separate workflows. They're not. Credentialing is the prerequisite that determines whether your revenue cycle management services can even function for that provider.

MedSole RCM handles the full payer enrollment process, from application through confirmation — getting you enrolled in 30 to 90 days.

Best Pricing
$ 99
per enrollment

What's Included at $99 Per Enrollment

A premium, headache-free onboarding experience for your providers.

CAQH profile creation, cleanup, and attestation management, handled entirely by MedSole
Payer enrollment application submission with complete documentation review before it goes out
Proactive weekly follow-up on application status; we call the payers so your staff doesn't have to
Recredentialing deadline tracking with advance notice before expiration
Status updates at every milestone until enrollment confirmation is in hand

Your Enrollment Timeline: 30–90 Days

From application submission to full enrollment, here's how MedSole accelerates the process.

Day 1

Application Submitted

Complete, error-free paperwork sent to all required payers — no missing fields, no rejected starts from day one

Week 1–4

Weekly Follow-Up

We contact payers every 7 days, track status in real time, and clear every obstacle before it becomes a delay

Day 30–60

Enrollment Confirmed

Provider fully approved and credentialed — retroactive billing rights secured where available so no revenue is left behind

You're Live

Start Billing

Revenue cycle fully active — submit clean claims from day one with zero enrollment gaps or payer delays

Day 1

Application Submitted

Complete, error-free paperwork sent to all required payers — no missing fields, no rejected starts

Week 1–4

Weekly Follow-Up

We contact payers every 7 days, track status and clear every obstacle before it becomes a delay

Day 30–60

Enrollment Confirmed

Provider fully approved — retroactive billing rights secured so no revenue is left behind

You're Live

Start Billing

Revenue cycle fully active — submit clean claims from day one with zero enrollment gaps

An incomplete application is the most common reason credentialing takes longer than it should. Ours don't go out incomplete.

MedSole delivers complete medical billing and credentialing services under one team and one rate.

See our full Revenue Cycle Management services →

Discover Your True Billing Costs — And How Much You Can Save

Compare your in-house billing costs with MedSole RCM's revenue cycle management services — transparent, percentage-based pricing that covers everything from eligibility through reporting.

Serving all 50 States
US Based Billing Team
State-Specific Payer Knowledge
Fast Credentialing Support
USA Coverage Map
MedSole RCM revenue cycle management services coverage — all 50 US states

Where most practices lose revenue before partnering with MedSole RCM

1

Unmonitored Denials (5–15%)

Unattended rejections result in thousands of dollars in lost income, all because no one cared to follow up on time.

2

In-house billing overhead

Internal billing drains revenues through employee turnover, downtime, and training, costing significantly more than you realize.

3

Slow or inconsistent payer follow-ups

When payer follow-ups fail, payments stall, leaving your practice underfunded and constantly waiting.

Practices that switch from in-house billing to MedSole RCM save an average of $39,500 per year in combined billing staff costs, overhead reduction, and recovered revenue.
Client Success Stories

What Providers Say After Their Billing Gaps Get Fixed

We work with over 4000 providers across 75+ specialties, and most come to us with the same frustration. Claims are unpaid. Denials are recurring. Revenue is down, and nobody can explain why. These reviews are from practice owners and office managers who stopped guessing and started fixing the root cause. They didn't just get a new biller. They got a team that found the gaps, recovered the lost revenue, and finally gave them visibility into their own practice finances.

Google Reviews rating for MedSole RCM revenue cycle management services
Trustpilot rating for MedSole RCM medical billing services
GoodFirms rating for MedSole RCM billing services
Clutch rating for MedSole RCM revenue cycle management
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Brooke Douglas

Registered Dietitian

Nutrition Authority PLLC

I have used the credentialing services at MedSole for my entire team. The team at MedSole (especially Scott and Jack) have been incredibly professional. I am a small business owner which means I don't have a team to run things, I do it all. Working with a company that immediately returns every email, every call and follows up with 100% efficiency for every question I have or every favor I have asked for is PRICELESS. This is a wonderful company to partner with. I strongly recommend MedSole without any hesitation at all.

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Andrea Piazza

Licensed Mental Health Counselor

Dreavita Counseling Coaching and Consulting INC

"Medsole is a practice saver"

Medsole helps me optimize my time and learn the best strategies for creating value as a practice while offering affordable care to our patients.

These results aren't outliers. They're what happens when efficient billing management meets specialty expertise and real accountability. Every practice we work with gets the same level of attention, the same process rigor, and the same focus on measurable outcomes.

What would results like these look like for your practice?

Trusted by 4000+ Healthcare Providers Nationwide
Specialty Expertise

Specialty-Specific Billing That Knows Your Payer Rules — Not Just Your Specialty Name

Most billing companies list your specialty on their website and call it coverage. MedSole knows your specialty by its denial triggers, modifier requirements, coding edge cases, and payer-specific documentation standards. MedSole RCM offers specialty-specific medical billing services for over 75 specialties — here are the billing challenges our team manages daily.

Cardiology medical billing services
Cardiology Modifier 26/TC splits and echo bundling require payer-specific expertise.
Orthopedics medical billing services
Orthopedics Global periods and implant billing demand procedure-level precision.
Dermatology medical billing services
Dermatology Destruction stacking limits and biopsy bundling trigger frequent denials.
Neurology medical billing services
Neurology EEG duration and EMG frequency rules require strict documentation.
Gastroenterology medical billing services
Gastroenterology Anesthesia crossover for endoscopy requires dual-claim coordination.
Pulmonology medical billing services
Pulmonology Sleep study rules and inhaler tiers create prior auth hurdles.
Radiology medical billing services
Radiology Professional and technical splits must match place-of-service rules.
Oncology medical billing services
Oncology J-codes and biosimilar substitution create layered complexity.
OB/GYN medical billing services
OB/GYN Global obstetric packages require accurate antepartum documentation.
Pediatrics medical billing services
Pediatrics Weight-based dosing and vaccine codes risk charge capture errors.
Urology medical billing services
Urology Lithotripsy global periods require precise sequencing.
ENT medical billing services
ENT Sinus endoscopy periods need specific modifiers to bypass edits.
Physical Therapy medical billing services
Physical Therapy Timed code rules determine reimbursement per 15-minute unit.
Pain Management medical billing services
Pain Management Prior auth variance is administratively intensive.
Internal Medicine medical billing services
Internal Medicine CCM and AWV codes are consistently underbilled.
Family Practice medical billing services
Family Practice Preventive versus problem-oriented miscoding costs revenue.
General Surgery medical billing services
General Surgery Multiple procedure discounting varies by payer.
Ambulatory Surgery medical billing services
Ambulatory Surgery Facility versus professional fee splits need correct POS coding.
Behavioral Health medical billing services
Behavioral Health Time-based add-ons require encounter-level review.
Home Health medical billing services
Home Health Face-to-face documentation is a strict pre-claim requirement.
Nephrology medical billing services
Nephrology Monthly capitation claims vary by payer rules.
Rheumatology medical billing services
Rheumatology Biologic prior auths require detailed clinical justification.
Ophthalmology medical billing services
Ophthalmology Modifier 79 for post-op care demands specific documentation.
Endocrinology medical billing services
Endocrinology CGM supply rules require diagnosis linkage.

Don't see your specialty? We cover over 75+ medical specialties and sub-specialties. Our custom payer edit rules ensure your claims process cleanly regardless of clinical focus.

EHR Integration

MedSole Works Inside Your System — Your Staff Never Touches a New Platform

MedSole RCM operates inside your existing EHR and practice management system from day one. We configure role-based, HIPAA-compliant access during onboarding — your team does not learn a new platform, export data, or change any workflow. Your revenue cycle management services team at MedSole has hands-on operational experience in athenahealth, eClinicalWorks, Kareo (Tebra), DrChrono, AdvancedMD, NextGen, Allscripts, ModMed, Practice Fusion, SimplePractice, TherapyNotes, and 40+ additional systems. If you use a separate clearinghouse, we integrate with that too. Not seeing your system? Bring it to the first call — we have yet to find an EHR we cannot work in.

Support Center

Revenue Cycle Management: Questions Practices Ask Before Switching

Everything you need to know about our services, pricing, onboarding, and how we protect and grow your revenue cycle.

Still have questions?

Can't find the answer you're looking for? Our billing specialists are ready to walk you through every detail of your revenue cycle.

Q1 What are revenue cycle management services and what do they include?

Revenue cycle management services are the complete set of administrative, clinical, and financial processes that healthcare practices use to submit claims, collect payments, manage denials, and optimize reimbursement from patient scheduling through final payment posting.

At MedSole RCM, this includes eligibility verification, prior authorization, charge capture, ICD-10 and CPT coding review, claim scrubbing and electronic submission, ERA and EOB payment posting, denial management and appeals, accounts receivable follow-up, patient statement processing, provider credentialing, and monthly performance reporting.

Every process is managed by a dedicated billing team inside your existing EHR. Every process is managed by a dedicated billing team inside your existing EHR. MedSole RCM provides end-to-end revenue cycle management services for medical practices, covering these components under a single percentage rate starting at 2.99% of collections.

Q2 How does outsourcing medical billing work without disrupting my practice?

Outsourcing medical billing works by assigning a trained, dedicated billing team to manage your claims, payments, and denials remotely inside your existing EHR and practice management system.

At MedSole RCM, the transition takes 7 to 10 days. During onboarding, we configure HIPAA-compliant role-based access, review your payer mix and denial history, and start processing claims alongside your current workflow. Your staff doesn't change platforms, learn new software, or take on additional tasks.

When you outsource revenue cycle management services to a specialized team, one of the key benefits of outsourcing medical billing is that your front office gets time back while experienced billers handle the complexity that was consuming their day. Healthcare outsource revenue cycle management services through MedSole include every component of the billing lifecycle with no additional vendor required.

Q3 What types of billing errors does MedSole catch that in-house teams commonly miss?

Charge capture gaps, undercoded E/M visits, incorrect modifier application, expired prior authorizations submitted as active, and denied claims sitting unworked past payer filing deadlines. Those are the five most common billing errors in-house teams miss.

Here's the thing: these aren't mistakes made from negligence. They're the natural result of a small team handling high claim volume without dedicated quality assurance built into every step.

Take undercoding as one example. A practice billing a 99213 when documentation supports a 99214 loses the reimbursement difference on every visit. Across a full day's schedule, that compounds fast.

MedSole's certified coders and billing specialists review every claim against payer-specific rules and provider documentation before submission. Every denial is categorized by reason code and root-cause corrected so it doesn't repeat.

Q4 What's included in MedSole's medical billing and credentialing services?

MedSole's medical billing and credentialing services include every component of the revenue cycle under one team and one rate.

Billing covers eligibility verification, coding review, claim submission, payment posting, denial management, A/R follow-up, and performance reporting. Credentialing covers CAQH profile management, payer enrollment application submission, proactive weekly follow-up, recredentialing deadline tracking, and status updates, starting at $99 per enrollment.

Both medical billing and credentialing operate inside your existing EHR with no platform changes required and no separate vendor relationship to manage.

Q5 How does MedSole handle claim denials and prevent them from recurring?

MedSole handles claim denials through a three-stage process: immediate categorization by denial reason code (CO-16, CO-4, PR-1, and others), prioritized appeal submission with supporting clinical documentation, and upstream root-cause correction that changes the workflow or data entry pattern that generated the denial.

That third stage is what separates effective denial management from simple resubmission.

Most denied claims recur because nobody fixes the process that caused them. MedSole tracks denial patterns by payer, provider, and code, then implements specific corrections to prevent recurrence. This root-cause approach helps MedSole improve denial recovery while reducing repeat denial patterns.

Q6 How quickly can my practice go live with MedSole after the first call?

Most practices complete the transition to MedSole RCM and begin live revenue cycle management services within 7 to 10 days of the initial discovery call.

Onboarding includes EHR access configuration, fee schedule review, payer mix analysis, denial history audit, and dedicated team assignment. MedSole processes the first batch of claims while your previous billing system is still active, so there's never a gap in your revenue cycle during the transition.

Your first performance report is delivered within the first full billing cycle.

Q7 Is MedSole the right fit for a solo practice or only larger groups?

MedSole RCM works with solo practitioners, small groups, and multi-provider practices across all 50 states. Outsourced medical billing services aren't a size-dependent decision; they're a workflow decision.

Solo practices often benefit the most because they have the least redundancy in their billing process. A single missed charge or unworked denial has a proportionally larger revenue impact than it would in a group with multiple billers.

MedSole's percentage-based pricing scales with your collections, so smaller practices never overpay for capacity they don't use.

Q8 What makes MedSole different from other medical billing outsourcing companies?

MedSole RCM is built around one principle that most medical billing outsourcing companies don't follow: finding and fixing the gaps that already exist in your billing before they compound into larger revenue losses.

Most outsourced billing companies take over your process and run it the same way your previous team did, just from a different location. MedSole audits your revenue cycle during onboarding, identifies the specific leaks in your claims, denials, coding, and A/R, and builds a corrected workflow around those findings.

MedSole is positioned as the team that diagnoses your billing health before it prescribes a treatment. Gap identification first, process correction second, ongoing management third. That sequence is what produces measurably different results from the first billing cycle, with net collection rates consistently exceeding 97% across active client accounts.

Q9 Is MedSole the most affordable medical billing company for small practices?

MedSole offers one of the lowest rates in the industry at 2.99% of collections, which makes it highly competitive for small practices that need full-service billing without paying enterprise-level fees.

Most medical billing companies charge 4% to 7% or add setup fees, per-claim charges, and monthly minimums that eat into thin margins. MedSole charges one rate. No setup fees. No long-term contracts. You pay only on what we actually collect.

If your practice generates $50,000 in monthly collections, your billing cost is $1,495. That includes eligibility, coding, claims, denials, A/R, credentialing from $99, and reporting. At a 6% billing company, that same practice pays $3,000 per month before add-ons. That's $18,060 in additional billing cost every year for the same scope of service, or less.

Q10 How does MedSole pricing compare to hiring an in-house biller?

MedSole pricing typically costs 30% to 50% less than hiring a full-time in-house biller when you factor in salary, benefits, payroll taxes, software licenses, and ongoing training.

The average medical biller salary in the US runs $45,000 to $65,000 per year, plus overhead. MedSole provides a dedicated team, certified coders, and full-service revenue cycle management for a fraction of that cost.

You eliminate the hiring risk, the training burden, and the coverage gaps when your biller goes on vacation or quits without notice. With MedSole, your billing operation never stops, and you pay only for results, not hours.

Q11 Is MedSole HIPAA compliant, and how does it protect patient data?

MedSole RCM is fully HIPAA compliant across every workflow, from eligibility verification through payment posting and denial management.

All access to your EHR and practice management system is configured through role-based permissions during onboarding. Each team member sees only the data required for their specific function. MedSole executes a Business Associate Agreement (BAA) with every client before any patient data is accessed, which is a federal requirement under HIPAA that some billing companies skip or delay.

Data transmission uses encrypted channels, and MedSole's internal systems follow access logging and audit trail protocols so every data interaction is documented. Your practice retains full ownership and control of all patient records at all times.

Q12 What kind of reporting does MedSole provide, and how will I track my billing performance?

MedSole delivers detailed performance reports on a regular cycle, typically weekly claim status updates and monthly full-cycle performance reviews.

Each report covers collections by payer, denial rates broken down by reason code category, clean claim acceptance rate, days in A/R by aging bucket, payment posting accuracy, and specific recommendations for process adjustments. You're not getting a one-page summary with totals. You're getting the same data your billing team works from, organized so you can see exactly where money is moving and where it isn't.

Reports are delivered inside your existing EHR dashboard or via a shared document, depending on your preference. If something looks off, your dedicated team is a call or email away. No ticket queues. No chatbot. A person who knows your account and your payer mix.

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Still have questions?

Can't find the answer you're looking for? Our billing specialists are ready to walk you through every detail of your revenue cycle.

Revenue Cycle Audit

Your Billing Is Running.
But Is Every Dollar Making It to Your Account?

Your claims are going out. But are they coming back at full value? Clean claims, worked denials, recovered A/R, credentialing on track — and complete revenue cycle management that finds what your current billing misses.

Practices that outsource medical billing to MedSole see specific gap identification within the first billing cycle. Not vague promises. Not a pitch deck. Actual findings from your actual data, with a clear path to fix what's leaking.

A 20-minute billing analysis call shows you exactly where the gaps are and what they're costing you. No commitment. No pressure. Just the numbers your practice needs to make an informed decision.

When you're ready to choose a medical billing company that proves its value before you sign anything, here's where to start.

Medical Billing @2.99% of Monthly Collections
Credentialing $99 Per Insurance Credential
No Setup Fees No Long-Term Contracts HIPAA Compliant Results in First Cycle
+1 (602) 563‑5281
MedSole billing specialist
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Medical Billing @2.99% of Collections
Credentialing Shield Icon
Credentialing $99 Per Insurance