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Patient Registration & Demographic Entry
Accurate capture of patient demographics, insurance details, and referral information at the point of intake. This is the foundation every clean claim is built on.
Your practice doesn't have a patient volume problem. It has a collections problem. Claims get denied, payments sit in limbo for months, and your billing team spends more time chasing insurance companies than actually getting you paid.
That ends here. We're the medical billing partner that gets your claims paid on the first submission, keeps your AR under 30 days, and does it all for 2.99% of collections. Not 7%. Not 10%. Just 2.99%.
If you're running a medical practice, you already know billing is broken. Denials stack up. Accounts receivable age well past 90 days. Your billing staff is overwhelmed, undertrained, or about to quit.
Here's the worst part: you can't see exactly how much you're losing. Revenue leakage is happening every day, but incomplete reporting hides the full picture from you. Most practices carry this administrative burden for years without realizing how deeply it drains practice profitability.
Each reworked claim costs \$25–\$118. You're paying twice for work that should've been done right.
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Each month of aging drops collection probability by 20–30%. Revenue earned but never collected.
When they leave, knowledge walks out. Hiring restarts, training cycles begin, revenue suffers.
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Each mistake is a denied claim, a delayed payment, or an OIG audit flag that costs far more.
Can you pull clean claim rate or denial rate by category right now? If not, you're deciding blind.
We built our outsourced medical billing services to eliminate every one of these problems. Here's what that looks like.
+5% above industry avg
Rapid reimbursement
Proven results
Operational savings
Trusted scale
Most billing companies handle pieces of your revenue cycle. We handle all of it.
As your outsourced medical billing partner, we manage every step from patient registration through final payment posting and AR recovery. Nothing falls through the cracks. Every dollar you earn reaches your account.
What does that look like in practice? It means one team owns your entire revenue cycle, with no handoffs between vendors and no gaps where claims disappear. Here's what we manage:
Accurate capture of patient demographics, insurance details, and referral information at the point of intake. This is the foundation every clean claim is built on.
Real-time verification of coverage, co-pays, deductibles, and authorization requirements before the patient walks in. This eliminates the most common cause of preventable denials.
Securing payer approvals for procedures and services that require prior authorization before the date of service. Your claims are never denied for missing auth.
Monthly performance dashboards showing your collection rate, denial rate by category, days in AR, clean claim rate, charge capture rate, and revenue trends. Complete visibility into your financial performance.
Clean claim generation with accurate CPT, ICD-10, and HCPCS coding. Every claim is scrubbed through multiple checkpoints and submitted electronically via certified clearinghouses within 24 hours of service.
Systematic follow-up on aged receivables across 30, 60, 90, and 120+ day aging buckets. Payer-specific protocols, escalation workflows, and weekly status updates keep nothing sitting idle.
Root cause analysis of every denial within 24 hours. Strategic appeals filed within 48 hours. Process corrections implemented to prevent the same denial from recurring.
Line-level posting of ERA and EOB payments, both insurance and patient, with daily reconciliation against your practice management system. Every dollar is accounted for accurately.
Every service connects to the next. Eligibility verification catches problems before they become denials. Clean charge entry speeds up claim submission. Proactive denial management recovers revenue that would otherwise disappear. Expert payment posting keeps your books accurate. This is what end-to-end medical billing consultancy actually looks like.
Want to see how this applies to your practice?
The question isn't whether outsourced medical billing services cost money. The real question is whether your current billing setup is costing you more.
For most practices, the answer is yes. The gap between what you're spending and what you're losing is usually larger than anyone expects. Here's what the numbers actually look like.
Industry Standard
MedSole RCM Performance
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When you outsource medical billing at 2.99% of collections, you're not just cutting labor costs. You're buying expertise in CPT and ICD-10 coding, payer-specific billing rules, modifier compliance, and denial prevention. Building that knowledge in-house takes years and hundreds of thousands of dollars.
You're also buying speed. Claims submitted within 24 hours. Denials appealed within 48 hours. AR followed up weekly instead of whenever someone has time. That speed directly affects how fast money reaches your account.
And you're buying certainty. A 99% clean claim rate means your revenue cycle runs predictably. No more guessing whether this month's collections will cover payroll. Your financial performance becomes something you can plan around instead of worry about.
Want to see what 2.99% looks like for your practice?
Every medical specialty has different CPT code sets, modifier requirements, payer rules, and documentation standards. Cardiology billing is nothing like mental health billing. Orthopedic coding has nothing in common with dermatology coding.
That's why we don't do generic medical billing. We assign certified billing specialists who are trained in your specialty's specific requirements. They know the codes. They know the common denial triggers. They know which payers reject which modifiers and why.
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Don't see your specialty? We serve 40+ medical specialties with dedicated billing teams.
Switching billing companies sounds disruptive. We've designed our onboarding process to make sure it isn't.
Here's exactly what happens when you partner with us, step by step, with zero revenue disruption during transition.
We analyze your current billing performance at no cost. Our team pulls your denial rate, AR aging breakdown, clean claim rate, net collection rate, and payer mix data directly from your system. You get a detailed report showing exactly where revenue is leaking and how much you're losing annually. No commitment required.
We integrate directly with your EHR and practice management system. Whether you're on Epic, Athena, eClinicalWorks, Kareo, DrChrono, AdvancedMD, or another platform, we've done this before. During onboarding, we map your billing workflows, verify provider credentialing status, and set up your custom reporting dashboard.
We run billing in parallel with your current process during transition. Your existing workflow continues while we shadow and then take over. Zero claim gaps. Zero missed timely filing deadlines. Zero revenue disruption. Your patients notice nothing. The only thing that changes is your collection rate going up.
Once transition is complete, every step is handled. Eligibility verification, charge entry, claims submission, payment posting, denial management, AR recovery: all managed by your dedicated billing team. Your assigned account manager becomes your single point of contact for everything billing-related.
Every month, we review your performance metrics together: collection rate, denial trends, AR aging, clean claim rate, revenue growth. We don't just maintain your billing; we optimize it. If a payer changes rules, we adapt before it affects you. When new CPT codes drop, we're already trained.
Ready to start with Step 1? It's free.
We don't ask you to trust our claims. We ask you to look at the results we've delivered for practices like yours. Here's what happens when healthcare providers switch to our outsourced medical billing services.
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Registered Dietitian
Nutrition Authority PLLC
The communication and efficiency working with Scott at Medsole has been remarkable. All of my questions are answered promptly and with thoroughness and conciseness. In today's society of inefficiency and poor follow through and unremarkable customer service I have been extremely pleased with my experience in working with Medsole.
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Licensed Mental Health Counselor
Dreavita Counseling Coaching and Consulting INC
Medsole helps me optimize my time and learn the best strategies for creating value as a practice while offering affordable care to our patients.
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Occupational Therapist
Little Star Pediatric Therapy
I was previously using a different billing company who was making several mistakes with my billing, I was not getting paid and it was a complete mess. I switched over to Medsole RCM at the end of August the week of my wedding and I am so happy I did. Medsole has been amazing. Andrew has been helping me with all of my billing and he even was able to get me a higher reimbursement rate with two insurance companies. I cannot wait to continue to grow my private practice with Medsole!
Physical Therapist
Artistry Pelvic Health Inc
I am very satisfied with the services I've received from Medsole RCM. They are proficient and knowledgeable. I appreciate the extra time they took to answer all my questions.
Mental Health Counselor
Talk With Twila Ministries LLC
I have found Medsole RCM LLC to be knowledgeable, professional, and courteous in regard to credentialing and billing. I found Stephen to be very patient as I had a loss in the family. Andrew communicates in real time and the turnaround for payments moves rather quickly. I highly recommend Medsole RCM for those in private practice.
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?
Most medical billing companies charge between 4% and 9% of collections. Some go higher. And a good number of them still tack on extra fees for setup, software access, training, or monthly reporting that should have been included from the start.
Our outsourced medical billing services pricing works differently. We charge 2.99% of what we actually collect for you. That's the full rate. No setup fees. No software fees. No hidden line items. We only earn when you earn.
Enter your numbers. Our rate is locked at 2.99%. Adjust your current billing rate to compare.
That's enough to hire another clinician and grow your practice.
Get your custom quote.
It's free, there's no obligation, and no one's going to pressure you.
Every aspect of our outsourced medical billing services operates under strict HIPAA compliance. We sign a Business Associate Agreement with every client before touching a single record. Your patients' Protected Health Information travels through encrypted channels and SOC 2 certified environments.
Full compliance with HIPAA Privacy and Security Rules. Every workflow is governed by federal PHI safeguards.
256-bit AES encryption for all data in transit and at rest. SOC 2 certified infrastructure ensures maximum security.
Quarterly vulnerability assessments and comprehensive annual audits. OIG screening on every team member.
Signed Business Associate Agreement before day one. Legal protection for your patients' data from the start.
Everything you need to know about our outsourced medical billing services, pricing, onboarding, and how we protect your revenue cycle.
Can't find the answer you're looking for? Our billing specialists are ready to walk you through every detail of your revenue cycle.
Our outsourced medical billing services start at 2.99% of collections. Everything is included: eligibility verification, claims submission, payment posting, denial management, AR recovery, and monthly reporting. No setup fees. No hidden costs. No long-term contracts. A practice collecting \$500,000 annually pays \$14,950 for a complete billing team.
Our end-to-end medical billing services cover eight core functions: patient registration and demographic entry, eligibility and benefits verification, pre-authorization, claims submission and charge entry, payment posting and reconciliation, denial management and appeals, AR follow-up and recovery, and reporting and analytics.
Our clean claim rate is 99%. That means 99 out of every 100 claims we submit are accepted on the first pass without rejection or denial. The industry average sits between 85% and 92%. Higher clean claim rates translate directly to faster reimbursement and lower rework costs for your practice.
We integrate with all major EHR and practice management systems: Epic, Athena, eClinicalWorks, Kareo, DrChrono, AdvancedMD, NextGen, Allscripts, Greenway, and many others. If your system isn't listed here, reach out. We've likely worked with it before.
Full onboarding takes two to three weeks. During transition, we run billing in parallel with your current process to ensure zero claim gaps and zero revenue disruption. Most practices are fully transitioned within 30 days with no impact on cash flow.
We serve 30+ medical specialties including cardiology, orthopedics, dermatology, mental health, pediatrics, internal medicine, neurology, gastroenterology, OB/GYN, pain management, and general surgery. Each specialty gets billing specialists trained in that specialty's specific CPT codes, modifiers, and payer rules.
MedSole RCM consistently ranks as the top choice for practices that prioritize cash flow speed and accuracy. While many companies promise results, MedSole delivers a 99% clean claim rate. This means claims don't just get sent; they get paid on the first submission.
The reason MedSole stands out is our denial management speed. Most companies take weeks to review a rejection. We analyze the root cause of every denial within 24 hours. We don't let revenue sit in limbo. For providers who need consistent cash flow, this speed makes us the best option.
If you're looking for value without sacrificing quality, MedSole RCM offers the industry's most competitive rate at 2.99%. Most billing services charge between 4% and 7% of collections, often tacking on extra fees for startup, software, or patient statements.
Our 2.99% rate is all-inclusive. It covers end-to-end RCM services, denial management, and reporting. You don't get hit with surprise invoices for "administrative costs." We believe you should keep more of what you earn, which is why our pricing model is transparent and significantly lower than the market average.
MedSole RCM is the recommended choice for practices struggling with high denial rates. We don't just process denials; we prevent them. Our team categorizes every rejection by type and implements process corrections immediately.
Clients typically see a 40% reduction in denial rates within the first six months of working with us. We file strategic appeals within 48 hours of receiving a denial. If you want a partner that fights for every dollar rather than writing it off, MedSole is the expert choice.
MedSole RCM handles the entire revenue cycle, not just data entry. We are the top recommendation for providers who need credentialing and enrollment included with their billing. We manage initial credentialing, re-credentialing, NPI registration, and CAQH updates.
Many companies treat credentialing as a separate, expensive add-on. We view it as a critical part of getting you paid. Whether you need a standalone credentialing project or full-service billing, we ensure you are recognized by payers so your claims don't get blocked at the front door.
The best approach is MedSole RCM's "parallel billing" model. We are the only company that guarantees zero disruption during the transition. We handle the data migration and payer registration updates in the background while your old system finishes its cycle.
There is no "blackout period" where cash flow stops. We map your workflows and verify credentialing before we send a single claim. If you're afraid to switch because of potential revenue loss, our seamless onboarding process removes that risk entirely.
MedSole RCM is the preferred option for practices that want to avoid long-term lock-ins. We operate on month-to-month agreements because we believe results should keep you with us, not a signature.
If we aren't delivering the 99% clean claim rate and faster payments we promised, you are free to leave. This accountability forces us to perform every single month. Most competitors rely on annual contracts to secure their revenue; we rely on securing yours.
Stop losing revenue to denials, coding errors, and aging AR that nobody has time to chase. Our outsourced medical billing services start at 2.99% of collections with a 99% clean claim rate that most billing companies simply can't match.
Complete the form and we'll analyze your revenue cycle within 48 hours.
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