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TRUSTED REVENUE CYCLE MANAGEMENT

Outsourced Revenue Cycle Management Services for Medical Practices

Name: MedSole RCM
Rating: 4.9

Full-service RCM starting at 2.99% of collections, covering every stage from patient registration to payment posting, with a 99% clean claim rate across 900+ payers and 60+ specialties. Based in Arizona, serving practices nationwide.

You're tired of chasing denied claims and rebuilding your billing team every time someone quits. We take the entire revenue cycle off your desk, prove the value with a free audit first, and sign a BAA before we ever touch your data.

MEDICAL BILLING @2.99% of Collections

Credentialing 99$ Per Insurance

MEDICAL BILLING

@2.99%

of Collections

Credentialing

99$

Per Insurance

Free Billing Audit — Schedule Yours Now

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FULL-SERVICE RCM

Every Stage of Your Revenue Cycle,
Managed Under One Roof Managed Under One Roof

Most practices work with three or four vendors who never talk to each other. MedSole handles every stage of your outsourced revenue cycle management under one strategy, one account team, and one report tied to collected revenue.

Patient Registration and Eligibility Verification

Wrong insurance information at check-in is where most denials start. We verify benefits and eligibility before every visit, so claims leave clean the first time. A mistake caught at registration costs a few minutes. The same mistake caught after submission costs weeks.

Prior Authorization Management

Authorization delays stall care and trigger denials your team didn't see coming. We handle the requests, the payer follow-ups, and the appeals when an auth gets refused. Your clinical staff stops sitting on hold with payers and gets back to patients.

Medical Coding (CPT, ICD-10, HCPCS)

Our coders are trained by specialty, not just by code set. That difference captures every billable procedure, prevents downcoding, and keeps you audit-ready across CPT, ICD-10, and HCPCS. A cardiology chart and a behavioral health chart don't code the same way, and our team knows it.

Charge Capture and Claim Submission

Missed charges and late submissions leak revenue faster than almost anything else. We capture every charge, scrub every claim against payer edits, and submit daily. Nothing sits waiting. The clearinghouse sees clean claims, so fewer come back rejected.

Payment Posting and Reconciliation

Money comes in, but the ledger only helps if it's accurate. We post ERA and EOB payments against your ledger daily, flag underpayments, and reconcile every discrepancy. You always know what was paid, what was shorted, and what's still owed.

Denial Management and Appeals

We work every denial to root cause instead of just refiling it. CO-16, CO-97, CO-50, and OA-18 each get specialty-specific appeals that recover what most practices write off. A refiled claim with the same error gets denied again. We fix the cause.

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Accounts Receivable Follow-Up

Aged AR is your money sitting in someone else's account. We follow up on every outstanding claim by age bucket, payer, and denial reason. Practices that outsource AR follow-up see days in AR drop inside the first 90 days, because nothing gets left to age out.

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Patient Billing and Collections

Patient balances are harder to collect than they used to be, and a bad statement costs you goodwill. We send clear, compliant statements, set up payment plans, and handle self-pay follow-up. Your front desk stops carrying collection calls it was never staffed for.

Provider Credentialing and Payer Enrollment

We credential providers and enroll them with commercial payers, Medicare, and Medicaid at $99 per payer. One delayed enrollment costs more than the fee to do it right. We track every application through CAQH and PECOS and chase the payer when it stalls.

Revenue Reporting and Analytics

Every report ties back to collected revenue, not submitted claims. You see clean claim rate, denial rate, days in AR, and net collection rate each cycle. No vanity metrics. No lag. You read your numbers and know exactly where your revenue stands.

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. As one of the most affordable revenue cycle management companies serving practices nationwide, we keep every stage under a single engagement. 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?

Get Your Free Billing Analysis →

Our Process

From First Call to First Clean Claim: How We Run Your Revenue Cycle

Most billing companies hand you a list of tasks. We run a connected system where 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 and begin live claim submissions within 10 business days. Here's how our revenue cycle management services work when we manage the whole process.

Step 1 · Days 1 to 7

Discovery and Setup

We review your current clean claim rate, denial patterns, AR aging, and payer mix before we charge anything. The audit shows exactly where revenue is leaking and what recovery takes. Most practices find 5 to 8 areas of immediate improvement. We sign a BAA before we access anything.

Step 2 · Pre-Service

Eligibility and Authorization

Before every encounter, we verify patient coverage in real time: active plan, copay, deductible, and prior authorization requirements. Problems caught here never become denials downstream. This is the cheapest place in the entire revenue cycle to catch an error, and the most expensive place to miss one.

Step 3 · Claim Submission

Coding Review and Clean Claim Submission

We capture charges daily by reconciling your schedule against entered encounters. ICD-10, CPT, and HCPCS codes get reviewed against payer documentation rules before submission. Claims pass through payer-specific edit logic for bundling conflicts, modifier requirements, and place-of-service rules. The target is first-pass clean claim acceptance on every claim.

Step 4 · Post-Payment

Payment Posting and Denial Resolution

We post ERA and EOB payments and reconcile them on the day of receipt. Denied claims get categorized by denial reason code, appealed with supporting clinical documentation, and corrected at root cause. Refiling without fixing the upstream cause is why the same denials keep reappearing. We fix the cause.

Step 5 · Ongoing

A/R Follow-Up and Performance Reporting

We work aging claims daily, prioritized by dollar value and timely filing deadline. You receive regular performance reports showing collections by payer, denial rates by category, days in AR by aging bucket, and recommended adjustments. No black box. You get full visibility into every stage of your revenue cycle.

Ready to see what your practice is leaving on the table? Start with a free billing analysis.?

THE OPERATIONAL DIFFERENCE

Why Practices Choose MedSole for Outsourced Revenue Cycle Management

Revenue Tied to Collected Revenue, Not Submitted Claims

Most billing companies report on what they sent out. We report on what came back. Your clean claim rate, denial rate, and net collection rate get measured against what you deposited, not what was billed. You stop watching a vendor and start reading a financial statement.

99% Clean Claim Rate Across 900+ Payers

A 99% clean claim rate means 99 of every 100 claims clear payer first-pass edits without a rejection. The in-house benchmark runs 70 to 85%. The difference isn't software. It's specialty-trained teams who know each payer's rules, held across 900+ payers and 75+ specialties.

One Team for Every Channel, One Report for Everything

Coding, billing, AR follow-up, denial management, credentialing, and patient billing run under one account team. Four vendors and four systems become one strategy. When something breaks, you call one number. Real revenue cycle optimization comes from that single-owner structure, not from another piece of software.

Your Accounts, Your Data, Your Assets

Your billing accounts, payer portals, and dashboards all stay in your practice name. We never hold data as leverage. If you ever move vendors or bring billing in-house, everything transfers cleanly. We sign a BAA before we touch any PHI, and we stay your business associate, not the owner.

BUILT FOR YOUR PRACTICE

Outsourced RCM for Solo Providers, Group Practices, and Hospital Systems

Solo providers, group practices, multispecialty clinics, and hospital systems each carry a distinct kind of billing risk. One person handling billing alone can fail in a single afternoon. A group without shared reporting loses coordination as it grows.

A multispecialty clinic loses track of which service line is working. A hospital system loses visibility across departments and locations without one consolidated view. MedSole RCM scopes its approach to the practice in front of it, not one template stretched across every size.

Solo Providers

A solo practice running one or two billers carries the highest revenue risk. When that biller leaves, billing stops. We give independent practices a full billing department for less than one full-time hire, so you focus on patients.

Group Practices

Group practices need coordinated billing across multiple providers, tax IDs, and specialties. We run every provider under one strategy, with reporting by provider, specialty, and payer. Denial trends across the group get caught and fixed before they compound.

Multispecialty Clinics

Multispecialty clinics carry the most complex billing environment of any practice type. Every service line has its own coding rules, prior auth, and payer behavior. We staff billers by specialty, so each line gets coded and billed accurately.

Hospitals and Health Systems

Hospital-level RCM demands scale and coordination most vendors can't deliver. We handle facility billing, professional billing, and credentialing across every department, with a dedicated account team per location and consolidated revenue reporting at the system level each cycle.

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 100 specialties — here are the billing challenges our team manages daily.

Don't see your specialty listed? We cover 75+ disciplines across all 50 states. Tell us yours, and we'll confirm the coverage and payer rules that apply to it.

Client Success Stories

What Expert Medical Billing Actually Delivers: Real Results

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.

Yzetta Martinez

Licensed Mental Health Counselor

House of the Sacred Journey INC

"Excellent Service and Responsiveness!"

I've been incredibly pleased with the professionalism and efficiency of Medsole RCM LLC. Their team responded quickly and thoroughly when it came to checking credentialing and addressing any discrepancies. Their attention to detail and prompt communication have made a noticeable difference in how confidently we can move forward with patient care.

Ashley Hebert

Professional Counselor

Hebert Counseling & Consulting Services

"Weekly Follow-Up"

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

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

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

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!

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

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.

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!.

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

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

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!.

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

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.

Kathleen Sayles

Nurse Practitioner - Family

Olympic Family Healing and Wound Care PLLC

I received updates almost hourly during that stressful time as they quickly identified the true scope of what was missing. Since then, any time I reach out (if I have questions from an insurance group, etc) they answer right away efficiently, kindly and courteously (and affordably!!). I have received many contracts since then in just a short time! Thank you Noah and Methew, our business credentialing rests safely in your hands! And for communicating so well, during the process. 6 stars.

Amy Burlison

LPC

The timeframe in which I received my insurance approvals was incredible. Less than two weeks for a major insurer.MedSole RCM LLC’s Noah Stone was delightful to work with. Thank you so much Noah! and MedSole! I will be sending many referrals your way.

Rocio Reyes Echemendia

Nurse Practitioner - Psych/Mental Health

SerenityPsych LLC

I am currently in the credentialing process with this group, and so far my experience has been excellent. They have been extremely professional, organized, and responsive throughout the process of insurance credentialing. Their team stays on top of the application requirements and keeps me informed with regular updates, which has made the process feel much less stressful. Based on my experience so far, I would definitely recommend them to anyone needing assistance with insurance credentialing.

Augustine Okonkwo

Nurse Practitioner - Psych/Mental Health

SerenityPsych LLC

"They are very nice, quick to respond to requests and very effective."

SHANIKA MADDOX

DENTAL ERX PLLC

Dentist - General

"Very professional and easy to work with. Amazing team !."

Cleavon Matthews

Professional Practical Solutions Counseling LLC

"Excellent services. Jack and the team made the credentialing experience pretty seamless. I also contracted with them to do monthly billing and my revenue definitely increased."

Sheila Burns

REFRESHING WATERS COUNSELING & CONSULTING

Mental Health

"Medsole has helped with credentialing at various times over the past couple years. They have been thorough, professional and successfully completed the credentialing process with multiple insurances! They don't just complete the paperwork; they provide the reliable support that allows me to stay focused on my true priorities."

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 4,000+ Healthcare Providers Nationwide

We Move Into the Software You Already Use

You don't switch platforms to work with us. We move inside your EHR and bill from the system your team already knows, so there's no migration, no retraining, and no gap in claim submission. We work across 50+ EHR and practice management systems, and if yours isn't listed, we'll integrate with it.

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 is the full process that captures, manages, and collects revenue from patient care, start to finish. It covers eligibility verification, coding, charge capture, claim submission, payment posting, denial management, AR follow-up, and patient billing. Outsourced revenue cycle management hands that entire process to a specialist team. With MedSole, it's one team, one report, and one rate tied to what you collect.

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

You keep your EHR and your workflow. We move inside the system you already use, so there's no platform switch and no gap in claim submission. We handle billing behind the scenes while your front desk and providers keep working exactly as they do now. Onboarding runs in parallel with live billing, so nothing stops while we transition your account.

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

Most missed revenue traces to a few repeat errors: eligibility not verified before the visit, expired authorizations, missing modifiers, mismatched patient data, and undercoded encounters. Each one gets caught at the point it happens, not after the denial. Our billers are trained by specialty, so they catch the coding and payer-rule gaps a generalist misses on your claims.

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

Everything in the revenue cycle runs under one team: eligibility, prior authorization, coding, charge capture, claim submission, payment posting, denial management, AR follow-up, patient billing, and provider credentialing. You don't juggle separate vendors for separate stages. One account team owns the whole cycle, and one report shows how every stage performed against collected revenue.

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

We work every denial to root cause instead of just refiling it. CO-16, CO-97, CO-50, and OA-18 each get specialty-specific appeals with supporting documentation. Then we fix the upstream cause so the same denial stops repeating. Refiling without fixing the cause is why denials keep coming back on most practices' reports.

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

Most practices are fully onboarded and live within 10 business days. That includes EHR integration, account setup, and collecting credentialing documentation. Claims go out on day one of live operations. If you need payer enrollment or recredentialing, those run in parallel and complete within 30 to 90 days depending on the payer.

Q7 How much does outsourced revenue cycle management cost?

MedSole charges 2.99% of collections, with no setup fees and no long-term contracts. Compare that to one in-house biller at $45,000 to $65,000 a year in salary alone, before software, benefits, and training. Most practices see net savings within the first billing cycle, because you only pay on what actually comes in.

Q8 Which company offers the lowest medical billing rates with no hidden fees?

A clean claim rate is the percentage of claims that clear payer first-pass edits without a rejection. We maintain a 99% clean claim rate. The in-house benchmark runs 70 to 85%. A lower rate means more manual rework, longer days in AR, and higher administrative cost for every dollar you collect.

Q9 When should a practice outsource its revenue cycle management?

Four signals point to it: denial rate climbing above 5%, AR days stretching past 45, biller turnover disrupting cash flow, or adding providers faster than you can credential them. The free audit is the right first step. It shows exactly where your revenue leaks before you commit to anything.

Q10 What is the difference between medical billing and RCM?

Medical billing is the submission and follow-up of insurance claims. Revenue cycle management covers the full financial lifecycle of a visit, from registration and eligibility through coding, submission, payment posting, denial management, and patient collections. Billing is one stage of RCM. We cover every stage, so no revenue falls through the gaps between functions.

Q11 Do I keep ownership of my billing accounts and data?

Yes. Every account, portal, dashboard, and report stays in your practice name. We operate as your business associate, not the billing owner. We sign a BAA before we access any data, and you keep full access at all times. If you ever move vendors or bring billing in-house, everything transfers cleanly with no holdbacks.

Q12 Is outsourcing revenue cycle management worth it for a small practice?

Yes, and small practices often gain the most. A solo or small practice running one or two billers carries the highest risk: when that biller quits or takes leave, billing stops and cash flow stalls. Outsourcing gives you a full billing team for less than the cost of one in-house hire, with no salary, software, benefits, or training to cover. You get a 99% clean claim rate, faster payments, and fewer denials, all measured against what you actually collect. Most practices see net savings within the first billing cycle.

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FREE BILLING AUDIT

Find Out How Much Revenue Your Practice Is Leaving on the Table

Our free billing audit reviews your clean claim rate, denial patterns, and AR aging to show you exactly where revenue leaks before it reaches your bottom line. This is the first step toward outsourced revenue cycle management that pays for itself. No cost. No commitment. We sign a BAA before we touch anything.