Physician Medical Billing delivers full-cycle revenue management for solo physicians and group practices. From charge capture to aggressive denial appeals, our AAPC-certified billing team secures every dollar your clinical expertise earns.
Clearinghouse pre-scrubbed
Average 90-day practice uplift
Every phase of your practice cash flow managed with institutional rigor and specialty precision.
Complete charge capture, EDI claims transmission, ERA payment posting, and electronic reconciliation within 24 hours of encounter closure.
Our CPC and COC certified specialists review clinical documentation for exact CPT, ICD-10-CM, and HCPCS coding compliance with proper modifiers.
We don't accept write-offs. Our dedicated recovery pod investigates root causes and files clinical appeals with supporting documentation in 48 hours.
Speed up network onboarding and maintain continuous active status with Medicare, Medicaid, and all commercial health insurance plans.
Catch coverage lapses and authorization requirements prior to the patient visit to guarantee zero preventable front-desk write-offs.
We relentlessly follow up on claims past 30, 60, and 90+ days. Our team turns stagnant aging balances into realized cash for your medical group.
See exactly how much uncollected revenue your clinic is leaving on the table due to delayed A/R and denial backlogs.
Projected reclaimed cash with Physician Medical Billing's 98.6% clean claim protocol
We integrate directly inside your current EHR system so your clinicians and reception staff experience zero disruption.
We inspect your last 90 days of clearinghouse logs to pinpoint exact revenue leaks, unworked denials, and coding under-leveling.
We establish secure remote access into your existing EHR software. No migrating systems, no software license switch.
A specialized team of certified coders and account managers is dedicated exclusively to your practice specialty.
Enjoy faster reimbursement deposits within 14-21 days, accompanied by transparent weekly performance dashboards.
Every clinical specialty features unique CPT modifier traps and payer guidelines. We speak your clinical language.
Complex multi-morbidities, Annual Wellness Visits (G0438/G0439), Chronic Care Management (CCM), and RPM billing.
Avg 98.9% Clean Claims10-to-90 day global surgical packages, complex fracture treatments, unbundled joint injections, and durable equipment.
Modifier 58, 78 & 79 PrecisionDiagnostic caths, peripheral vascular interventions, nuclear SPECT imaging, echocardiograms, and device checks.
Rapid Prior-Auth ClearancesPsychotherapy add-on codes (90833/90836), diagnostic psychiatric evaluations, IOP programs, and Parity Act defense.
Commercial Parity EnforcementVaccine administration, minor office surgical procedures, developmental screenings, and preventive physical exams.
Same-Day Claim BatchingFacility fee billing, implant carve-outs, multiple procedure discounting, and Medicare pass-through devices.
Facility & Pro-Fee SyncEMG/NCS studies, routine and video EEG monitoring, polysomnography, and botulinum toxin injections for migraine.
Prior Authorization MasteryEPSDT preventive visits, hearing & vision screenings, developmental questionnaires (96110), and state Medicaid rules.
Medicaid Portal AutomationNo upfront setup fees. No software licensing surcharges. We only get paid when you collect.
For independent physicians and solo medical practitioners desiring hands-free RCM.
For practices with 2 to 10 providers seeking full clinical revenue cycle control.
For large multi-specialty medical groups, surgical centers, and hospital networks.
Discover how medical practices transformed their billing efficiency and recovered lost collections.
“Before Physician Medical Billing, our orthopedics practice was drowning in modifier 59 denials and aging A/R past 60 days. Within 45 days of handover, their coders cleaned out our entire backlog and raised our monthly revenue by 19.2%. Truly indispensable.”
“Switching to Physician Medical Billing was seamless. We didn't change our Athenahealth system at all. Their team logs in, codes our visits, submits within 24 hours, and aggressively appeals denials. Our days in A/R plummeted from 51 days to 19 days.”
“As a Practice Administrator managing 6 providers, tracking billing errors used to consume my entire week. With Physician Medical Billing, I receive transparent weekly dashboards and our first-pass clean claim rate has held steady above 99%. Highly recommend them.”
Everything you need to know about partnering with Physician Medical Billing for your medical billing.
No. We operate directly within the EHR/PM systems your practice already utilizes—including Epic, Athenahealth, eClinicalWorks, Kareo, AdvancedMD, DrChrono, NextGen, and others. There are zero software migration costs or staff re-training requirements.
Most practices are fully transitioned within 10 to 14 business days. During this period, we conduct a free 90-day claim audit, set up secure role-based EHR credentials, sync with your clearinghouse, and conduct test claims to guarantee zero billing interruptions.
We execute a legally binding Business Associate Agreement (BAA) with every client. Our infrastructure uses 256-bit AES encryption at rest and TLS 1.3 in transit, strict multi-factor authentication, SOC 2-aligned access logging, and regular staff HIPAA training.
Our pricing is purely performance-based—a transparent percentage of collections received (typically between 5.8% and 6.9%). There are no setup fees, no monthly minimum penalties, and no multi-year lock-in contracts. You can cancel with 30 days notice at any time.
We believe no legitimate medical claim should be written off. Every denial is categorized by CARC/RARC code within 24 hours of ERA posting, corrected, and resubmitted. Complex clinical denials are handled by certified coders who draft formal Level I and II appeals with chart notes.
We support over 40 medical and surgical specialties—ranging from Internal Medicine, Cardiology, and Orthopedics to Behavioral Health, Ambulatory Surgery Centers (ASCs), Pediatrics, and Neurology. Each practice is assigned coders with credentialed background in that exact discipline.
Our certified billing directors will analyze your recent claims data, spot unworked denials, and show you exactly how to boost your collections by 12% to 20%.
Signed BAA protection before any data inspection.
Pinpoints which payer codes and modifiers cause leaks.
Delivered within 48 hours of initial consultation.
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