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. MedSole RCM is among the best revenue cycle management services for medical practices in 2025, covering all of these components under a single percentage rate starting at 2.99% of collections.

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.

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

The most common billing errors in-house teams miss are charge capture gaps, undercoded E/M visits (billing a 99213 when documentation supports a 99214), incorrect modifier application, expired prior authorizations submitted as active, and denied claims sitting unworked past payer filing deadlines. MedSole's certified coders and billing specialists review every claim against payer-specific rules and provider documentation before submission, and every denial is categorized by reason code and root-cause corrected so it doesn't repeat.

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

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. 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.

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. The onboarding process 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.

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. Solo practices often benefit the most because they have the least redundancy in their billing process, meaning a single missed charge or unworked denial has a proportionally larger revenue impact. MedSole's percentage-based pricing scales with your collections, so smaller practices never overpay for capacity they don't use.

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. 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. Net collection rates consistently exceed 95% across active client accounts.

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. MedSole charges one rate with no setup fees and no long-term contracts. A practice generating $50,000 in monthly collections pays $1,495, which includes eligibility, coding, claims, denials, A/R, credentialing from $99, and reporting.

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 $55,000 per year, plus overhead. MedSole provides a dedicated team, certified coders, and full-service revenue cycle management for a fraction of that cost, with no hiring risk, no coverage gaps, and payment tied to results rather than hours.

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 EHR access is configured through role-based permissions, and MedSole executes a Business Associate Agreement (BAA) with every client before any patient data is accessed. Data transmission uses encrypted channels, and every data interaction is documented through access logging and audit trail protocols.

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. Reports are delivered inside your existing EHR dashboard or via shared document, and your dedicated team is available by phone or email with no ticket queues.

Info@medsolercm.com

+1 (602) 563 5281

Info@medsolercm.com

Full-service dental RCM, built for practices nationwide

Dental Billing Services and Revenue Cycle Management for Dental Practices

Name: MedSole RCM
Rating: 4.9

MedSole RCM runs dental billing services for practices in all 50 states. We verify benefits, code treatment, submit clean claims, post payments, work your AR, and bill your patients, so your team stays focused on the chair.

Most practices lose money at two points: claims that get rejected and balances nobody follows up on. We close both gaps and keep your cash flow moving.

99% Clean Claim Rate
900+ Payer Networks
4,000+ Providers Served
All 50 States Served

Get Your Free Billing Audit

No long-term contracts. Most practices are live in two weeks

Free Billing Audit — Schedule Yours Now

What Makes MedSole RCM the Best Dental Billing Company

Providers choose MedSole RCM as their dental billing partner because we keep collections predictable, fast, and fully managed. Every claim gets personal attention, clean coding, and clear communication. You always know where your money sits, and you never chase payers on your own. That experience is how you unlock your practice's full revenue potential.

99% Clean Claim Rate

Most denials trace back to small errors. Our billing experts check every claim before it goes out, so it lands payer-ready and pays the first time.

Dedicated Account Manager

You work with one billing specialist who knows your payers, your software, and your practice. No tickets, no call centers, no repeating yourself.

Billing in All 50 States

From a solo office to a multi-location group, we run dental billing and payer work for practices in every state, at one clean national standard.

Transparent Weekly Reporting

We track every claim and send clear reports each week. You see your first-pass rate, your AR, and where your revenue sits, with no black box, ever.

We Work in Your Software

We log into Dentrix, Eaglesoft, Open Dental, and Curve Dental and work inside your current setup. No migration, no new system, and no disruption.

What full-cycle billing covers

End-to-End Dental Billing Services, Handled So You Can Focus on Patients

Strong dental billing services don't stop at claim submission. They cover the full revenue cycle, where each step feeds the next and one weak link drains your collections. We manage all eight stages below for your practice, from the first eligibility check to the final reconciled payment and report.

Insurance Verification and Eligibility

We confirm benefits, frequency limits, copays, and deductibles before every visit, working payer portals and live calls so denials stop right at the front desk.

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Prior Authorization and Predeterminations

We file predeterminations and prior authorizations before major work, confirming coverage on crowns, implants, and surgery, so patients know their real costs.

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Dental Coding and Charge Entry

Our certified coders assign accurate CDT codes and enter charges, checking each line against payer rules so claims leave clean and first-pass rates stay high.

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Reporting and Analytics

You get clear monthly reports on claim status, AR aging, collection rates, and revenue trends, so you always know where your money sits, in numbers you can use.

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Our 8-Step
Process

Revenue Cycle

Claims Submission

We scrub every claim, attach the documentation payers expect, and submit primary and secondary claims on time, cutting the back-and-forth that stalls revenue.

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Patient Billing and Statements

We send clear statements on a 30, 60, and 90 day cycle and follow up on balances with a human tone, protecting both your cash flow and patient trust together.

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Accounts Receivable Management

We work your aging report by payer, appeal denials, and chase stuck balances on a fixed schedule, recovering revenue you earned before it ages past the window.

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Payment Posting and Reconciliation

We post insurance payments and EFTs, reconcile against the ERA, record write-offs, and flag underpayments, so your ledger stays clean and exact to the dollar.

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MedSole runs all eight services under one team and one rate, so you never manage separate vendors for separate parts of your revenue cycle.

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

Want to see how this works for your practice?

Dental Credentialing

The step that gets you paid in-network

Dental Credentialing Services

Claims for an uncredentialed provider get denied, every time. Our dental credentialing services run alongside billing, so a new associate starts earning in-network without months of lost revenue.

Credentialing runs $99 per payer, with no surprise add-ons. Adding an associate or joining a new network? We can start this week.

$99 per payer

No surprise add-ons

Provider enrollment and payer applications
CAQH setup and ongoing maintenance
Re-credentialing flagged before it lapses

Get credentialed this week

Dental Billing Services for Every Specialty You Practice

Billing isn't the same across dental specialties. An orthodontic practice bills phased treatment and continuation claims, while oral surgery crosses into medical billing. We tailor coding, claims, and payer rules to your specialty, so nothing gets left on the table no matter what you treat.

Don't See Your Specialty Listed?

Get Your Free Billing Audit

Switching is easier than you think

How We Onboard Your Dental Practice, From Audit to Go-Live

Switching billing partners sounds disruptive. It isn't. Most dental practices move to MedSole and see their first clean claims go out within two weeks. We document your current workflow before we change anything, so nothing breaks and no revenue stalls during the handoff.

STEP 1 / DAYS 1 TO 3

Free Billing Audit

We start by reviewing your claims, current AR, payer mix, fee schedules, and workflow. You get a written audit that shows where revenue is leaking and what we would fix first. No cost, no obligation, and nothing changes in your system yet.

STEP 2 / DAYS 3 TO 7

Custom Plan and Secure Access

Next, we build a billing plan around your practice and set up secure, role-based access to your existing software. Your dental billing services get mapped to your specialties and payers. You review and approve the plan before we touch a single claim.

STEP 3 / DAYS 7 TO 10

Onboarding and Handoff

We map your payers, fee schedules, predeterminations, and processes, then take the work over cleanly. Your team meets a dedicated account manager. We document every workflow before adjusting anything, so the handoff stays smooth and your front desk feels no disruption.

STEP 4 / DAYS 10 TO 14

Go-Live and Reporting

Claims start flowing, and your first reports land within the cycle. You see clean-claim rates, AR movement, and collections in plain numbers from week one. Most dental practices are fully live within two weeks, with no gap in your cash flow.

Ready to Switch Without the Headache?

Most dental practices are fully onboarded in about two weeks, with no system migration and no gap in cash flow.

Live in about two weeks No system migration Dedicated account manager No long-term contracts

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 How much do dental billing services cost?

Our billing runs 2.99% of collections, and credentialing is $99 per payer. You pay on what we collect, with no setup fees and no long-term contract. For a number tied to your claim volume, a quick call gets you an exact quote.

Q2 What does a dental billing company do?

A dental billing company manages the revenue side of your practice: insurance verification, coding, claims submission, payment posting, AR follow-up, and patient statements. We handle the payer work so your team handles patients, acting as an extension of your front office.

Q3 Is outsourcing dental billing worth it for a small practice?

Yes, and small practices often see the biggest lift. When you outsource dental billing, you stop paying for a full-time biller, software, and training, and you remove the risk of one person leaving. The cost flexes with your collections.

Q4 How fast will we see results?

Most practices see cleaner claims within the first billing cycle and a lower AR within 60 to 90 days. The exact pace depends on your starting backlog, payer mix, and how much cleanup your aging report needs.

Q5 Do you handle dental credentialing too?

We do. Our dental credentialing services cover provider enrollment, payer applications, and CAQH maintenance at $99 per payer. Billing and credentialing under one roof means a new provider starts earning in-network faster.

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.

Dental Billing Services and Revenue Cycle Management for Dental Practices

Free Billing Audit — Schedule Yours Now

What Makes MedSole RCM the Best Dental Billing Company