Private Practice Revenue Cycle Management Services for Independent Physicians Nationwide

Full-cycle RCM for practices already up and running, from patient registration through final payment. A 99% clean claim rate across 900+ payers. Sixty-plus specialties covered. Based in Arizona, working with independent practices in all 50 states.

You built this practice. You shouldn't have to guess where your revenue is going. MedSole RCM handles registration, coding, claims, denials, and reporting for practices already seeing patients, so nothing slips through while nobody's watching.

99%

Clean Claim Rate

4,000+

Providers Served

2.99%

of Collections

$99

Per Payer Credentialing

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* 100% HIPAA Compliant & Secure. No Credit Card Required.

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 payment posted to your account. Every service below comes included in one flat rate the moment you outsource revenue cycle management to MedSole. No add-ons, no line-item invoicing, no surprises on your monthly statement.

Medical Billing Services

We send claims out clean and post every payment to the right claim. Your providers see patients; MedSole makes sure every visit turns into revenue at your full contracted rate.

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Revenue Cycle Management

Every process between patient registration and final payment posting runs under one roof. One team owns the full cycle, so nothing falls through the gap between two different vendors.

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Credentialing and Contracting

We submit provider enrollment applications complete, follow up weekly, and track every application through approval. Every week of credentialing delay is revenue your practice can't recover.

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Eligibility Verification

We verify active coverage, copay, deductible, and prior authorization requirements before every encounter, in real time. Your front desk knows what's covered before the patient checks in.

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Prior Authorization Services

We secure payer approval before the procedure date. A missing or expired prior authorization is one of the most preventable denials in medical billing, and MedSole prevents it.

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Payment Posting and Reconciliation

We post ERA and EOB payments the day they arrive, match them against billed charges, and flag every discrepancy. Nothing sits unexplained on your ledger.

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AR Follow-Up Services

Aging claims don't sit in a queue at MedSole. We work them daily, prioritized by dollar value and filing deadline, until each one is resolved or exhausted.

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Denial Management Services

We categorize every denied claim by reason code, appeal it with clinical documentation, and fix the root cause, so it doesn't keep showing up on next month's report.

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MedSole's medical billing and credentialing services run under one team and one rate. You're never managing separate vendors for separate parts of the revenue cycle. Every service above comes included, starting at 2.99% of collections, with no setup fees and no long-term contracts. Want to see how this applies to your practice?
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Our Process

From First Call to First Clean Claim: How MedSole Runs Your Revenue Cycle

Most billing companies describe their process as a list of tasks. MedSole treats it as a connected system, where each step depends on the one before it. Skip or weaken any step, and the ones after it get harder.

Most practices complete the transition and begin live claim submission within 7 to 10 days. Below is how your revenue cycle runs once MedSole takes it over.

Step 1 · Days 1 to 3

Discovery and Setup

We review your EHR, payer mix, fee schedule, denial history, and accounts receivable aging report. We assign your dedicated billing team and configure HIPAA-compliant, role-based access. Nothing in your system changes while we document your existing workflow, before we adjust anything.

Step 2 · Pre-Billing

Eligibility and Authorization

We verify active coverage, copay, deductible, and prior authorization requirements in real time before every encounter. A problem caught here never turns into a denial later. It's the lowest-cost point to catch an error in the entire revenue cycle.

Step 3 · Claim Submission

Coding Review and Clean Claim Submission

We capture charges by reconciling your schedule against entered encounters, then review ICD-10, CPT, and HCPCS codes against provider documentation. Claims pass through payer-specific edit logic, bundling rules, modifier requirements, and place-of-service checks. The target on every claim: first-pass acceptance.

Step 4 · Post-Payment

Payment Posting and Denial Resolution

We post and reconcile ERA and EOB payments the day they arrive. We categorize each denied claim by reason code, appeal it with clinical documentation, and trace it to the root cause. Resubmitting a denial without fixing what caused it brings the same denial back next month. We fix the cause.

Step 5 · Ongoing

A/R Follow-Up and Performance Reporting

We work aging claims daily, prioritized by dollar value and how close the payer's filing deadline is. You receive regular performance reports showing collections by payer, denial rate by category, days in accounts receivable 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?

THE OPERATIONAL DIFFERENCE

Why Independent Practices Choose MedSole for Private Practice Revenue Cycle Management

MedSole Medical Professional Representative

National Scale, Built for Independent Practices

MedSole RCM works with 4,000+ providers and 900+ payers, and every private practice revenue cycle management client still gets one dedicated account team. A ten-provider group and a solo physician get the same reporting schedule and the same denial-response time. That scale funds a deeper bench of specialty-trained billers for every account we run.

Revenue Tied to What You Collect

We track collected revenue instead of submitted claims. We calculate clean claim rate, denial rate, and net collection rate against what posts to your account, the same standard MedSole RCM applies on its main revenue cycle management page, scoped to the numbers an independent practice owner reviews each month.

We Don't Slow Down When You Grow

CAQH profiles and payer applications move the moment a practice announces growth, whether that means a new provider or a second location. Paperwork does not gate revenue while a new hire waits to start billing.

Your Practice Owns Every Account and Every Report

Billing accounts, payer portals, and dashboards stay in your practice's name, not ours. A Business Associate Agreement governs data access from day one, and you keep full access at every point. If you ever change vendors, everything goes with you. Nothing gets held back as leverage.

Solo Providers

The Single Point of Failure

One or two billers means one person's absence stops your revenue. A biller who takes a two-week vacation, calls in sick during flu season, or leaves for a new job walks out with weeks of follow-up work still undone.

Claims age past their filing window while nobody works them, and denials pile up untouched. Most solo practices don't notice the damage until the monthly numbers fall behind, and by then the revenue is often gone for good.

A Full Team, Not a Backup Plan

MedSole RCM replaces that single biller with a full team built around your practice, not one person. Claims keep moving, denials keep getting worked, and follow-up continues without a gap, no matter who's out sick, on vacation, or transitioning to a new role.

Your revenue cycle doesn't depend on any single person showing up to work. Coverage is built into how MedSole runs your billing, not something you have to plan around yourself.

Medicaid Team Meeting

Stop Carrying Your Billing Risk Alone

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Group Practices

Growth That Outpaces Your Billing Setup

More providers means more billing complexity: more tax IDs, more payer relationships, and more room for a claim to fall through the gap between two systems. A practice that grows from two providers to six often keeps running the same billing process built for two.

The cracks start showing in denial rates and aging claims long before anyone notices in the bank account. Billing that worked at one size doesn't hold up without real changes as the practice scales.

One Strategy Across Every Provider

We run every provider under one shared report and one billing strategy, so growth adds revenue instead of adding separate billing relationships to manage. Whether your group has three providers or fifteen, credentialing, coding, and denial management all move through the same team and the same process.

Nobody at your practice has to learn which vendor handles which provider or chase down separate reports to see the full financial picture.

Medicare Operations

Scale Your Group Without Splitting Your Billing

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Multispecialty Independent Clinics

One Blended Number Hides the Real Story

A single collections total doesn't tell you which service line is performing and which one is losing revenue to denials without anyone noticing. A clinic running cardiology, dermatology, and physical therapy under one roof can show healthy overall numbers while one specialty bleeds revenue behind the average. One Consolidated Report Each service line gets a biller who knows its specific codes, and you get one report that breaks collected revenue out by specialty. A denial pattern in your dermatology billing gets caught and fixed by a biller who specializes in dermatology claims, not a generalist working across every specialty at once.

Specialty-Matched Billers, One Consolidated Report

One Consolidated Report Each service line gets a biller who knows its specific codes, and you get one report that breaks collected revenue out by specialty. A denial pattern in your dermatology billing gets caught and fixed by a biller who specializes in dermatology claims, not a generalist working across every specialty at once.

You see where each service line stands every month, not only the total at the bottom of the page.

Commercial Enrollment Team

See Revenue by Specialty, Not One Number

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SPECIALTY EXPERTISE

Specialty-Specific Billing That Knows Your Denial Triggers and Payer Rules

Most billing companies list your specialty on a website and call that coverage. MedSole RCM tracks denial triggers, modifier requirements, coding edge cases, and payer-specific documentation standards for each one. We provide specialty-trained billing across 100+ disciplines, and here are the ones our team manages daily.

Cardiology medical billing services
Cardiology
Orthopedics medical billing services
Orthopedics
Dermatology medical billing services
Dermatology
Neurology medical billing services
Neurology
Gastroenterology medical billing services
Gastroenterology
Pulmonology medical billing services
Pulmonology
Radiology medical billing services
Radiology
Oncology medical billing services
Oncology
OB/GYN medical billing services
OB/GYN
Pediatrics medical billing services
Pediatrics Weight-based dosing and vaccine codes risk charge capture errors.
Urology medical billing services
Urology
ENT medical billing services
ENT
Physical Therapy medical billing services
Physical Therapy
Pain Management medical billing services
Pain Management
Internal Medicine medical billing services
Internal Medicine
Family Practice medical billing services
Family Practice
General Surgery medical billing services
General Surgery
Ambulatory Surgery medical billing services
Ambulatory Surgery
Behavioral Health medical billing services
Behavioral Health
Home Health medical billing services
Home Health
Nephrology medical billing services
Nephrology
Rheumatology medical billing services
Rheumatology
Ophthalmology medical billing services
Ophthalmology
Endocrinology medical billing services
Endocrinology
Nephrology medical billing services
Wound Care
Rheumatology medical billing services
Geriatrics
Ophthalmology medical billing services
Hospice
Endocrinology medical billing services
Hematology

Don't see your specialty? We cover 100+ medical specialties and sub-specialties. Custom payer edit rules keep your claims moving regardless of clinical focus.

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CLIENT SUCCESS STORIES

What Providers Say After Their Billing Gaps Get Fixed

MedSole RCM works with 4,000+ providers across 100+ specialties, and most come to us with the same frustration: unpaid claims, recurring denials, falling revenue, and no clear explanation why. These reviews come from practice owners and office managers who stopped guessing and started fixing the root cause. They hired a team that found the gaps, recovered lost revenue, and gave them visibility into their own practice finances for the first time.

Brooke Douglas

Brooke Douglas

Registered Dietitian

Nutrition Authority PLLC

"Remarkable communication and efficiency…"

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.

Andrea Piazza

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.

Isabella Saffioti

Isabella Saffioti

Occupational Therapist

Little Star Pediatric Therapy

"I cannot thank Medsole RCM for all they've done"

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!

CS

Ciara Scott

Physical Therapist

Artistry Pelvic Health Inc

"Very satisfied with the services"

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.

Twila Jones Mojica

Twila Jones Mojica

Mental Health Counselor

Talk With Twila Ministries LLC

"Pleased with services"

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.

Christina Panaccion

Cristina Panaccion

Counselor - Professional

Cristina Panaccione – LPC

"Remarkable communication and efficiency"

Adam has been very helpful and responsive! It's a pleasure to have her support in navigating the credentialing process!.

JH

Jenise Harmon

Social Worker - Clinical

Private Practice

"Excellent Service"

I wanted to start accepting insurance at my private practice, but I had tried in the past with a different company to get credentialed. But in the end, they only got me credentialed with one insurance. With MedSole, My experience has been entirely positive. I was fairly quickly credentialed with over 10 different insurance companies. Jack, who I worked with, was incredibly responsive and helpful. If I got an email from an insurance company that I didn't understand, I'd forward it to him and he would help. Even now, well over a year after I had originally contracted with them, Jack is still helping me With the insurances, I'm credentialed with. At the time it seems like a big chunk of money, But it was worth every penny. Their customer support is top-notch. They deliver what they say they will and they keep in contact with you the entire time. I wanted to take insurance so I could see people from all walks of life and all different incomes. And I'm doing that now, and I am really appreciative.

Dr. Joe Nelson

Dr. Joe Nelson

Social Worker - Clinical

JClinic LLC

"Very great and honest company"

I have had such a positive experience working with MedSole RCM! They have answered all my questions and been patient with my busy schedule! Very great and honest company to work with!

Rachel Quam

Rachel Quam

SLP

SpeakStrong Therapy

"Staff are so helpful"

The staff I work with are so helpful! My representative is always very quick to respond to my questions and is knowledgeable and friendly. If he doesn't know the answer, he takes the initiative to respond to me and let me know he is working on it. I highly recommend them!

JM

Jennifer Mills

Physical Therapist

RENEWED WELLNESS COMPANY, PLLC

"Ongoing updates are appreciated"

I have received frequent updates from Alton and kept up to date on the credentialing process. The ongoing updates are much appreciated.

Alonda Callender

Alonda Callender

Clinical Social Worker

Hemera Home Care LLC

"Thorough, fast, and easy to contact"

MedSole RCM has been thorough, fast, and they are easy to get in contact with. My credentialing specialist Alton keeps me up to date with the whole process and I was approved with one panel in less than three weeks of starting the process. I will recommend to any mental health business to assist with credentialing.

Specialty expertise paired with real accountability produces results like these across every practice we work with, all held to the same standard of attention, process, and outcomes.

See what results like these could look like for your practice.

Trusted by 4,000+ Healthcare Providers Nationwide
COMPLIANCE AND SECURITY

Frequently Asked Questions About Private Practice Revenue Cycle Management

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 is revenue cycle management for a private practice?

Private practice revenue cycle management covers the full financial process for an independent practice: registration, eligibility, coding, claim submission, denial management, payment posting, accounts receivable, and patient billing. MedSole RCM runs all of it at 2.99% of collections with no long-term contract.

Q2 How much does RCM cost for an independent practice?

MedSole RCM charges 2.99% of collections. One in-house biller costs $45,000 to $65,000 a year before software and training even enters the picture.

Q3 I already have a biller or a billing company. Why would I switch?

Most switches happen because denials are climbing, accounts receivable is slowing down, or a biller left, not because the original setup was broken from day one. A free audit shows what is being missed before you commit to anything.

Q4 How long does onboarding take if I am switching vendors?

Five business days, with zero downtime and no change to your existing EHR.

Q5 Which specialties does MedSole bill for?

MedSole RCM covers 75+ specialties nationwide, with dedicated billing experience across urology, cardiology, dermatology, radiology, and dozens more.

Q6 Do I keep ownership of my billing data and accounts?

Yes. A Business Associate Agreement governs the relationship, you keep full access at all times, and everything transfers, no loose ends, if you switch vendors.