DocBilling RCM handles coding, claims, denials, A/R and payer credentialing for independent practices and specialty groups, so your staff can stay with patients instead of on hold with payers.
| CPT | Description | Status | Paid |
|---|---|---|---|
| 99214 | Office visit, est. patient | Paid | $128.40 |
| 45380 | Colonoscopy w/ biopsy | CO-16 | $0.00 |
| 45380 | Corrected: modifier + NPI | Resubmitted | — |
| 45380 | Colonoscopy w/ biopsy | Paid · day 9 | $412.75 |
| 88305 | Surgical pathology, level IV | Paid | $71.20 |
Illustrative example of a denial worked by our A/R team
Pick a single service or hand us the full cycle. Either way you get a named account manager and monthly reporting you can read in five minutes.
End-to-end claim handling from charge capture to final payment, coded by certified coders against current CPT, ICD-10-CM and HCPCS rules.
Get new providers in network faster and keep existing ones from lapsing. We track every application and expiration date for you.
Automate the repetitive parts of the revenue cycle and connect the systems your practice already uses.
The same six-step cycle runs every day for every client, with a checkpoint at each stage so nothing sits unworked.
Insurance verified and prior auths flagged before the visit.
Certified coders assign CPT, ICD-10 and modifiers from your notes.
Payer-specific edits catch errors before submission.
Clean claims go out electronically within 48 hours.
Every denial is corrected, appealed or escalated. Nothing is written off without review.
Monthly KPIs: collections, days in A/R, denial rate by payer.
Each specialty has its own codes, modifiers and payer traps. Your account is staffed by coders who work that specialty every day.
Also supported: family medicine, internal medicine, radiology, anesthesiology, urgent care, behavioral health, physical therapy, pediatrics, OB/GYN, nephrology and more.
We connect, clean up and automate the software behind your revenue cycle, so fewer tasks depend on someone re-typing data.
New system go-lives, data migration and template cleanup with minimal downtime.
Automated eligibility checks, claim status lookups and payment posting.
AI flags under-coding and missing documentation before claims go out. A human coder signs off.
Lab, imaging and clearinghouse interfaces that keep records in sync.
| In-house team | DocBilling RCM | |
|---|---|---|
| Cost | Salaries, benefits, software and training | A percentage of collections. We earn when you do. |
| Coverage | Stalls when someone is sick or leaves | A dedicated team with backup coders |
| Coding updates | Staff must track annual CPT and payer changes | Certified coders trained on every update |
| Denials | Often left to age past timely filing | Worked within 72 hours of receipt |
| Visibility | Reports pulled by hand, if at all | Monthly KPI report and a named account manager |
Don’t see yours? Ask it in the form below and we’ll answer within one business day.
Most practices pay a percentage of monthly collections, typically quoted after we review your specialty, claim volume and payer mix. Credentialing and IT projects are priced per provider or per project.
No. We work inside the EHR and practice management system you already use. If you are planning a change, we can manage the migration.
Most practices are fully live in two to four weeks. We start with a revenue audit, set up system access, then take over claims in stages so cash flow is never interrupted.
We can work your existing aged A/R alongside new claims, prioritizing balances that are still within timely filing limits.
Yes. We sign a Business Associate Agreement, use role-based access and encrypted connections, and train all staff on HIPAA every year.