Medical Billing Services for US Practices
One team owning the whole revenue cycle, paid as a percentage of what you actually collect.
- First-pass clean claim rate
- 98%
- Average days in A/R
- <30
- Denial rate across our book
- 4%
- Practices billed for
- 20+
First-pass clean claim rate
Average days in A/R
Denial rate across our book
Practices billed for
Outsourced medical billing means handing the full claims process to a team whose only job it is. Eligibility before the visit, coding from the clinical note, charge entry, scrubbing, submission, payment posting, denial work, A/R follow-up and patient balances.
Practices rarely have one broken step. They have several that each leak a little and nobody owning the total. A 6% denial rate feels survivable in any single month. Over a year, with the claims that quietly aged past timely filing on top, it is a number most owners have never actually calculated.
We run it as one process with one team accountable for the figure at the end, and we report that figure monthly whether it flatters us or not.
What in-house billing really costs
Worth doing the arithmetic before comparing a percentage against what feels like a fixed salary.
| Metric | Billing in house | With AsesorMD |
|---|---|---|
| Annual staffing cost | $55k to $95k per biller with benefits | Percentage of net collections |
| First-pass clean claim rate | Typically 80 to 87% | Target 97% and above |
| Days in A/R | Often 45 to 60+ | Target under 30 |
| Denials reworked | The urgent ones, when there is time | All, within 48 hours |
| Root-cause analysis | Rarely done | Monthly, by payer and reason code |
| Cover during leave or turnover | Billing stops | Team coverage, no gap |
| Cost when collections fall | Unchanged | Falls with them |
| Payer rule tracking | Whoever has time | Part of the service |
Everything included
- Insurance eligibility and benefits verification before the visit
- CPT, ICD-10 and HCPCS coding by AAPC-certified coders
- Charge entry and claim scrubbing against payer-specific rules
- Daily electronic claim submission
- Clearinghouse rejection handling, same day
- ERA and EOB payment posting with adjustment review
- Denial management with root-cause tagging
- Written clinical appeals where medical necessity is the issue
- A/R follow-up on every claim past 30 days
- Patient statements, payment plans and balance follow-up
- Credit balance and overpayment review
- Monthly reporting and a review call
How it runs
From signature to steady state
- 1
Free 90-day audit
BAA signed, then we analyse 90 days of your claims and show you what is recoverable. You see the number before committing to anything.
- 2
Agreement and access
Month-to-month agreement, then access to your existing PM, EHR and clearinghouse. We map your payer mix and fee schedule. No migration.
- 3
Aged A/R cleanup
Before steady-state billing we work your existing backlog. Highest value and closest to filing deadline first. This is usually where the first recovered dollars appear.
- 4
Steady state
Daily charge entry and submission, daily payment posting, denials worked within 48 hours, A/R touched on a fixed cycle rather than when someone remembers.
- 5
Monthly review
Collection ratio, clean claim rate, A/R aging, denial mix by root cause. On a call, with both of us looking at the same numbers.
- 6
Quarterly accuracy audit
We re-audit a sample of our own coding and send you the result. If our accuracy slips you hear it from us first.
Pricing, stated plainly
We charge a percentage of net collections. Not of billed charges, of money that actually arrives. If a claim never pays, we are not paid on it either.
The rate depends on specialty, monthly claim volume and average claim value. There is no setup fee, no software fee and no minimum. The agreement is month to month with 30 days notice, because a long lock-in mostly protects the billing company.
Credentialing is priced per provider per payer rather than as a percentage, since the work is fixed rather than proportional to collections.
Services in detail
Questions we get asked
What does outsourced medical billing include?
Eligibility verification, coding, charge entry, claim scrubbing and submission, payment posting, denial management, A/R follow-up, patient billing and monthly reporting. In short, everything between the patient booking and the money landing.
How much does medical billing cost?
We charge a percentage of net collections. The rate depends on specialty, claim volume and average claim value. There is no setup fee, no minimum and no long lock-in. You get the exact rate after the free audit.
Will we have to change practice management software?
No. We work inside your existing PM and EHR. Switching systems is a separate decision and usually an unnecessary one, so we do not make it a condition.
How quickly can you start?
Two to three weeks from a signed agreement to first claims submitted. Most of that window is waiting on system and payer portal access rather than anything on our side.
What happens to our aged A/R?
We work it as a cleanup sprint before steady-state billing starts. Most practices have recoverable money sitting past 90 days that nobody has had time to chase, and it is usually the first visible result.
What should our clean claim rate be?
A well-run practice should be submitting at 97% or better on first pass. Most practices that have never measured it are somewhere in the low to mid eighties, and the gap between those two numbers is the opportunity.
Do you work with small practices?
Yes, including solo providers. Smaller practices often benefit most, because billing eats a larger share of the owner’s own week and there is no one to cover when the biller is out.
Are you HIPAA compliant?
Yes. A BAA is signed before any protected health information moves, including during the free audit. Access is role-limited and logged, and every team member with PHI access completes HIPAA training annually.
See what your practice is leaving on the table.
We look at 90 days of your claims data and tell you what is recoverable. No cost, no obligation, BAA signed before anything changes hands.
- Recoverable dollars in your aged A/R, as a number
- Denials grouped by root cause, ranked by value
- A written summary you keep either way
Prefer to talk? (301) 786-0552
Or email info@asesormd.com