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MZ Medical Billing

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Group Practice Medical Billing Services

When a group adds providers, it does not just add claims. It adds enrollments to track, coding styles to align, locations to keep active, and more places for revenue to slip through.

A new physician sees patients before every payer has linked them to the group. A partner bills a new patient visit for someone a colleague saw last year. One location checks eligibility at every visit, while another skips it on busy days. Each problem is small. Across 10, 20, or 50 providers, they add up fast, and nobody has a clear view of where the group is losing money.

That is the billing problem specific to group practices: the more the group grows, the harder it gets to run billing as one operation.

MZ Medical Billing works as the central billing office for your group. We handle the revenue cycle for every physician, NP, and PA under your group NPI and Tax ID, from eligibility and credentialing through coding, claim submission, payment posting, denials, appeals, and A/R follow-up.

You keep your existing EHR, practice management system, payer contracts, and front desk workflow. Our team fits into your current setup across every location, without forcing the group to rebuild its operations around a new billing process.

Where your locations bill differently, we bring them onto one standard. We review how charges move from each provider and site to the claim, find where claims and payments get held up, and give every location the same clean workflow.

Your group stays as it is. Your billing starts working like one operation.

Talk to a Group Practice Billing Specialist

Share your number of providers and specialties and our team will build a billing plan for your full group. Quick response.

Certified Coders

24-Hour Submission

Any EHR

Dedicated Manager

ProvenExpert 5 Stars
Serchen 5 Stars
Superb Companies 5 Stars
Trustpilot
Who It's For

Is Group Practice Billing Right for Your Practice?

Billing gets harder when several providers, locations, specialties, and payer relationships all work under one Tax ID. MZ Medical Billing is built for groups that need one billing operation across all of them, including:

  • Physician groups under one group NPI and Tax ID
  • Single-specialty groups with several physicians, NPs, or PAs
  • Multi-specialty groups with different coding and payer rules
  • Multi-location practices
  • Growing groups adding providers or locations
  • Groups replacing in-house billing
  • Groups switching billing companies
  • Groups formed through mergers or acquisitions
  • Groups with inconsistent billing between sites
  • Groups with growing or aging A/R
Talk to Our Billing Team
Same billing structure at any size
3Provider office
100Provider organization

Operational demands differ, but every provider, location, payer, and claim still needs to work as part of one revenue cycle.

No need to replace your EHR or practice management system
One revenue cycle
Group Practice Billing For All Your Needs

One Billing Office for Every Provider and Location

A group's revenue cycle runs through many hands: front desks at each location, providers with different documentation habits, and payers with different rules. We handle every stage for the whole group, so tasks are never split between locations, local billers, and outside vendors.

Stage 01

Before the Visit

Patient, provider, and payer line up before the visit happens.

  • Eligibility and benefits verification at every location
  • Provider network status by payer
  • Prior authorization
  • Credentialing, reassignment, and group linking
Stage 02

After the Visit

Each encounter becomes a clean claim under the correct group and rendering provider.

  • Charge entry by rendering provider
  • CPT, HCPCS, and ICD-10 coding
  • Same-specialty, global period, and split/shared checks
  • Claim scrubbing and electronic submission
Stage 03

After the Claim

Every claim from every provider is followed through payment.

  • Payment posting by provider and location
  • ERA/EFT reconciliation
  • Contract-level underpayment review
  • Denial management, appeals, and A/R follow-up
Group Level

Across the Group

Leadership gets one view of how the whole group is performing.

  • Reporting by provider, location, specialty, and payer
  • wRVU and collections data for compensation
  • Denial trends by root cause
  • Patient balances and statements for all locations
One billing team for every provider, from the first eligibility check to final payment.
Common Billing Risks

Billing Risks That Make Group Practices Outsource Their Billing

Every practice goes through the same billing steps. What changes in a group is scale. These are the areas where one setup error can repeat across the whole group.

Solo practice One provider affected

A setup error may affect one provider and a limited number of claims.

Group practice Repeats across the group

The same error can repeat across providers, locations, and payers before anyone notices.

01

Billing vs. Rendering Provider

Group claims go out under the group's Type 2 NPI and Tax ID, with each provider's Type 1 NPI as the rendering provider. If the provider isn't linked to the group with that payer, the claim is denied, even when fully credentialed.

02

Medicare Reassignment

Every provider must reassign Medicare benefits to the group through CMS-855R. Without an approved reassignment, Medicare rejects claims billed under the group.

03

New Provider Enrollment Gaps

Commercial credentialing can take months. A new hire who sees patients before enrollment is complete creates claims that can't be paid or must be held.

04

Departing Providers

When a provider leaves, their reassignment and payer links must be ended. Left open, they cause payment errors and compliance problems for the group.

05

Location Enrollment

Each location must be on the group's Medicare enrollment and payer records. A new office that isn't added can cause denials for every provider who works there.

06

Shared Patients

A patient seen by any same-specialty physician in the group within three years is established for all of them. New patient codes billed for them are denied or recouped later.

07

Coding Differences Between Providers

When partners code the same visits at different levels, the group loses revenue on undercoded visits and draws audit attention on overcoded ones. Payer reviews often look at the whole Tax ID.

08

Location-Level Turnover

When a local biller leaves, billing for that site slows or stops, even if the rest of the group is running fine.

09

Contract Underpayments

One contract covers every provider. If payments are never checked against contracted rates, the same underpayment repeats across the whole roster.

Credentialing, reassignment, location enrollment, roster changes, coding consistency, and contract review are all part of the work we handle.

What You Get

What You Get When You Outsource Your Group's Billing to MZ

Many groups run billing through a mix of local staff, a practice manager, and one or two experienced billers who hold most of the knowledge. With MZ, your group gets a full billing department built to work across every provider and location.

A Central Billing Team

Your group is worked by specialists, each handling the part of the cycle they know best.

  • CCAAPC- and AHIMA-certified coders for coding review and provider feedback
  • BSBilling specialists for claim submission and payment posting
  • DSDenial specialists for appeals and underpayments
  • CRCredentialing support for enrollment, reassignment, and roster changes
  • AMAn account manager who runs your group's account
If one person is out, no location's billing stops.

One Point of Contact for the Group

Your account manager knows your providers, locations, payers, and open issues. They bring leadership what needs a decision, bring providers what needs their input (a missing signature, appeal documentation, an authorization detail), and coordinate the rest of the team.

Roster and Enrollment Management

A provider-by-payer enrollment matrix shows who is active, so schedulers book in-network providers before the visit, not after the denial. It tracks:

ProviderPayerLocationEffective date

Your Existing Systems

We work inside the EHR and practice management system you already use, and across systems if locations differ.

Daily Claim Management

Claims from every location are submitted and worked every business day, so problems never age for weeks at one site.

A/R Ownership

Unpaid claims are our job. We work them by payer, age, and value, so high-dollar claims are followed first.

Monthly Group Reporting

Partners and administrators see where the group stands without pulling reports from each office.

  • Charges, collections, and wRVUs by provider
  • Results by location and specialty
  • Denials and their root causes
  • A/R aging by payer
  • Underpayments found and recovered
Outsource Your Group Practice Billing to MZ
Switching, Starting Out, or Handing Off

How Getting Started with MZ Works for Groups

The steps are the same no matter where you're coming from. Most of the work falls on our side; your part is mainly granting access and answering questions. See our full onboarding process.

  • In-house billing office
  • Another billing company
  • Merger or acquisition
  • Rapid growth into new locations

Group Billing Review

We learn your group before we change anything.

  • Switching companies: we review A/R, denials, collections, coding by provider, and payer results.
  • From in-house: we also look for unsubmitted claims, unworked denials, and incomplete enrollments.
  • After a merger: we review both setups, enrollments under each Tax ID, and legacy A/R.

Roster and Enrollment Check

We confirm every provider's enrollment, reassignment, and group linking with each payer, and every location's place on the group's enrollment. Gaps are fixed before they cause denials.

Billing Handoff

We tell you what we need and help you find it:

  • Provider roster and payer enrollments
  • EHR and practice management access for each location
  • Clearinghouse information
  • Payer contracts and fee schedules
  • Existing A/R and current workflows

Leaving another billing company? We request your claim and A/R data from them and plan around your end date so no claims go unworked.

System Setup

We connect to the systems your group already uses, map every provider and location, set up ERA and EFT, and load contracted fee schedules for payment checks.

Claims Start Moving

New claims from every location go through coding, scrubbing, submission, posting, and follow-up. Existing A/R is worked at the same time, so older balances don't wait behind new claims.

Ongoing Management

After the transition, your group receives monthly reporting, account support, denial trends, enrollment updates as the roster changes, and A/R status for every provider and location.

Your providers keep working the way they do now. The billing work moves to us.

Switch Your Group to MZ Medical Billing
Payer Coverage

Payer-Specific Billing for Group Practices

We bill every major payer group practices work with across the United States and track each provider's enrollment with each one. For a group, a payer problem rarely affects one claim. It affects every provider billing that payer.

Medicare and Medicare Administrative Contractors

We bill through every major MAC and manage your group's PECOS enrollment, reassignments, and practice locations.

  • Noridian
  • Novitas Solutions
  • Palmetto GBA
  • National Government Services
  • WPS
  • CGS Administrators
  • First Coast Service Options
  • Railroad Medicare

Medicare Advantage Plans

Medicare Advantage billing with HCC risk adjustment support across your patient panel.

  • UnitedHealthcare
  • Humana
  • Aetna
  • Cigna
  • Anthem
  • Wellcare
  • Devoted Health
  • Alignment Health
  • Clover Health
  • SCAN Health Plan
  • Kaiser Permanente Senior Advantage

Medicaid and Medicaid Managed Care Plans

State Medicaid programs and managed care plans, with provider-level Medicaid enrollment tracking.

  • Molina Healthcare
  • Centene
  • Ambetter
  • Anthem Medicaid
  • Amerigroup
  • Aetna Better Health
  • UHC Community Plan
  • CareSource
  • AmeriHealth Caritas
  • Superior HealthPlan
  • Sunshine Health
  • Fidelis Care
  • Healthfirst

Blue Cross Blue Shield Plans

Blue plans across the country, including BlueCard claims.

  • Anthem
  • Elevance Health
  • Highmark
  • Florida Blue
  • BCBS of Texas
  • BCBS of Illinois
  • BCBS of Michigan
  • Horizon BCBS
  • Independence Blue Cross
  • CareFirst
  • Excellus
  • Regence
  • Premera
  • Wellmark
  • Blue Shield of California

Commercial Insurance Payers

Commercial billing with every payment checked against your group contracts.

  • UnitedHealthcare
  • Optum
  • Oxford
  • Aetna
  • Cigna
  • Humana
  • Kaiser Permanente
  • Oscar Health
  • Health Net
  • EmblemHealth
  • Medica
  • Priority Health
  • Harvard Pilgrim
  • Tufts Health Plan
  • Geisinger
  • UPMC Health Plan
  • HAP

Tricare, VA Community Care, and CHAMPVA

Military and veteran programs, with referral and authorization tracking.

  • Tricare via Humana Military
  • Tricare via TriWest
  • VA Community Care Network
  • CHAMPVA

Workers' Compensation and Auto Insurance

Injury and auto claims, including PIP and letter of protection cases.

  • Travelers
  • Liberty Mutual
  • The Hartford
  • Zenith
  • AmTrust
  • Sedgwick
  • Gallagher Bassett
  • State Farm
  • GEICO
  • Progressive
  • Allstate
  • USAA

Coordination of Benefits

Multi-payer claims handled correctly across every provider in the group.

  • Secondary claims
  • Tertiary claims
  • Medigap crossovers
  • Medicare Secondary Payer rules

Why Payer-Specific Billing Matters for Groups

Each payer has its own enrollment process, linking rules, authorization requirements, and bundling edits. In a group, one missed rule repeats across every provider who bills that payer. We track these rules for your whole roster and appeal every denial and underpayment that should have been paid.

Group-Level Rules

Group-Specific Billing Requirements We Manage for You

Group practices follow the same payer rules as everyone else, but several apply differently when providers share a Tax ID, a specialty, and a patient panel. We apply each one to every claim.

Requirement
The Rule
How We Handle It

01New vs. Established Patients

If any physician of the same specialty and subspecialty in the group saw the patient face to face in the past three years, the patient is established for every physician of that specialty.

We check group visit history before assigning new patient codes.

02Global Surgery Across Partners

The global surgical period covers post-op care by other providers of the same specialty in the group. A partner's routine post-op visit is not separately billable.

We apply global periods at the group level.

03Incident-To Billing

NP and PA office follow-ups can be billed under a supervising physician at the full rate when the physician started the plan of care and direct supervision is in place. New patients and new problems are billed under the NP or PA.

We decide this visit by visit.

04Split/Shared Visits

In hospitals and facilities, a visit shared by a physician and an NP or PA is billed by the provider who performed the substantive portion, with modifier FS.

We review notes to pick the right billing provider.

05Same-Day Visits by Multiple Providers

Two same-specialty providers seeing a patient on the same day are usually paid as one visit. Different specialties can bill separately.

We check same-day claims across the group to stop duplicate denials.

06Multi-Location Claims

Each claim must show the correct service location and place of service, and that location must be on the group's enrollment.

We match each claim to the right site.

Modifier Accuracy

Modifiers That Matter Most in Multi-Provider Billing

Group practices use the same CPT and HCPCS codes as any practice. What changes is how they're reported when several providers share patients and procedures. The modifier often tells the payer who did the work and why two similar claims are not duplicates.

Shared Visits and NPP Billing

2 modifiers
FSSplit or shared E/M visit in a facility setting
SANP or PA working with a physician (payer-specific)

Global Surgery Across Same-Specialty Partners

6 modifiers
24Unrelated E/M during the post-op period
25Separate, significant E/M on the same day as a minor procedure
57Decision for major surgery
58Staged or planned procedure during the post-op period
78Unplanned return to the operating room
79Unrelated procedure during the post-op period

Surgeons Working Together

6 modifiers
62Two surgeons, each performing a distinct part of one procedure
66Team surgery with three or more surgeons
80, 81, 82Assistant surgeon, minimum assistance, and assistant when no qualified resident is available
ASNP or PA assisting at surgery

Repeat and Distinct Services

7 modifiers
76Repeat procedure by the same provider
77Repeat procedure by another provider in the group
59Distinct procedural service
XE, XS, XUSeparate encounter, separate structure, unusual non-overlapping service
XPDistinct service by a different practitioner

In-House Diagnostics and Coverage

4 modifiers
26 / TCProfessional and technical components
Q5Reciprocal billing arrangement
Q6Locum tenens physician

Behind every modifier sits the same requirement: the rendering provider on the claim must be enrolled with the payer and linked to the group. Our certified coders check both before any multi-provider claim is submitted.

Group Finance

The Financial and Billing Challenges of Managing a Group Practice

Provider Productivity and Compensation Reporting

Most groups pay physicians at least partly on productivity, using wRVUs, collections, or both. When reports are late or can't be traced back to claims, compensation becomes a point of conflict between partners.

  1. wRVUs by Provider

    Work RVUs per provider per month, based on codes actually billed and current Medicare RVU values.

  2. Charges and Collections by Provider

    Charges, payments, adjustments, and write-offs tied to the rendering provider for collection-based pay.

  3. NP and PA Attribution

    For incident-to and split/shared visits, both the billing provider and the provider who did the work are reported, so APP productivity is credited fairly.

  4. Claim-Level Traceability

    Every number traces back to individual claims, so any partner can see how their totals were built.

Group Payer Contract Management

A group holds one contract per payer for every provider. That gives the group more leverage than a solo physician, but only when payments are checked against the contract.

  1. Fee Schedule Loading

    Each payer's contracted rates are loaded by code into your billing system.

  2. Underpayment Detection

    Every 835 payment is compared to the contracted rate. Short payments, wrong multiple procedure reductions, and incorrect modifier cuts are appealed.

  3. Payer Scorecards

    Payment speed, denial rate, underpayment rate, and average payment per visit for each payer.

  4. Renewal Support

    Volume and payment data your group can bring to contract renegotiation.

Group MIPS and Value-Based Reporting

Your group's MIPS score affects Medicare payments for every provider under your Tax ID. We manage group reporting so your clinicians get credit for the care they already deliver.

  1. Reporting Path Selection

    We model your score as individuals, as a group, as an APM Entity, or through MVP subgroups, and choose the path that scores highest for your TIN.

  2. Quality Code Capture

    CPT Category II codes and quality G-codes are added at charge entry, so measures like blood pressure control, A1c, and depression screening count toward your score.

  3. HCC Recapture Tracking

    Patients whose chronic conditions haven't been coded this year under the V28 model are flagged, keeping ACO and Medicare Advantage risk scores accurate.

  4. Care Gap Reports

    Providers get lists of open care gaps for patients already on the schedule, so gaps close during routine visits.

In-Office Ancillary Billing for Groups

Lab, imaging, physical therapy, DME, and infusion services add strong revenue to a group, but only when they are billed under Stark Law rules.

  1. Correct Billing Entity

    Every ancillary claim is billed under the group's billing number or the performing or supervising physician, as the in-office ancillary services exception requires.

  2. Location Verification

    Each service is billed from a qualified same-building or centralized-building location listed on your enrollment.

  3. Component Billing

    Imaging and diagnostic tests are split into professional (26) and technical (TC) components, with anti-markup rules applied to purchased tests and interpretations.

  4. Supervision Checks

    Each diagnostic test is matched to its required supervision level and supervising physician.

Hospital Rounding and Call Coverage Billing

When several partners round on the same patients and share call, hospital charges are easy to lose and easy to bill wrong. Learn more about our hospital and hospitalist billing.

  1. Rounding Charge Capture

    Hospital census lists are reconciled against submitted charges daily, so no admission, subsequent visit, or consult goes unbilled.

  2. Same-Day Partner Visits

    When two same-specialty partners see a patient on the same day, the work is combined into one correct visit instead of a duplicate claim.

  3. Critical Care Time Across Providers

    Critical care time from multiple group providers is added up and billed as 99291 and 99292 under Medicare's shared time rules, with modifier FS when an NP or PA is involved.

  4. Admission and Discharge Accuracy

    Initial hospital care, observation, and discharge services (99238/99239) are billed by the right provider on the right date, even when patients change hands at shift change.

Let Us Handle Your Group Practice RCM

Our Group Practice Medical Billing Services

Choose a single service to fix a specific problem, such as a credentialing backlog for new hires or legacy A/R after an acquisition, or combine them into full revenue cycle management. Every service is built around shared Tax IDs, shared patients, shared payer contracts, and a roster that keeps changing.

Core and Front End

Keep Every Provider Billable

Clean claims start before the visit.

Medical Billing Services

Every physician, NP, and PA billed through one central workflow under the correct group NPI, Tax ID, and service location.

Medical Coding Services

One coding standard for every provider, with E/M profiles compared to peers before a payer audit looks at your Tax ID.

Revenue Cycle Management

End-to-end RCM, so the group runs one connected operation instead of a version per location.

Provider Credentialing Service

CMS-855B group enrollment, CMS-855R reassignment, and Tax ID linking with every plan, starting the day an offer is signed.

Insurance Verification

Eligibility, benefits, and network status checked for the specific provider each patient is booked with.

Outsource Prior Authorization

Approvals matched to the correct ordering provider, rendering provider, and location, with expirations watched.

Back End

Follow Every Dollar

Posting, denials, appeals, and recovery.

Payment Posting

835 ERA and paper payments posted by provider and location and compared to contracted fee schedules.

Denial Management and Appeals

Denials tracked by provider, location, payer, and reason code, with the root cause fixed at the source.

Accounts Receivable (A/R) Follow-Up

A/R worked by payer, age, and dollar value, with aging tracked by provider and location.

Appeals and Disputes Management

Appeals backed by documentation and contract terms, plus disputes over network status, group linking, and rates.

Medical Billing Write-Offs Recovery

Claims closed during enrollment gaps reviewed and reopened once retro effective dates are approved.

Out of Network Medical Billing

No Surprises Act requirements managed and Independent Dispute Resolution handled when payers pay too little.

Patients and Operations

Run as One Group

Consistency at every location.

Telehealth Billing

Correct place of service and modifiers, with licensure and enrollment checked against the patient's location.

Patient Billing Services

Balances from several providers combined into one clear statement, with payment plans for every site.

Patient Help Desk (PHD)

One help desk answers billing and insurance questions for every provider and location.

Practice Management Services

Fee schedule review, contract analysis, front desk standards, and partner reporting.

Virtual Assistance

Scheduling, referral coordination, phone coverage, and data entry without adding staff at every office.

EHR/EMR Data Migration

Demographics, insurance data, provider records, and open A/R moved onto one platform while billing keeps running.

Get Group Practice Medical Billing Services
How It Works

Group Practice Revenue Cycle Management Process

One billing workflow that connects your providers and locations, from enrollment and eligibility through coding, claims, posting, denials, and A/R, with reporting by provider, location, specialty, and payer.

Step 01 Review

Group Billing Review

We review your provider roster, payer enrollments, payer mix, denial rate, days in A/R, and coding by provider. This sets the starting point and shows what needs attention first.

Step 02 Setup

Roster and Enrollment Setup

We confirm each provider's reassignment and group connection, location enrollment, and payer participation. New providers and locations are added before their claims begin.

Step 03 Front End

Front-End Accuracy

We verify eligibility, provider network status, and prior authorization requirements at the point of service, with the same checks at every location.

Step 04 Claims

Coding and Claim Submission

Certified coders review charges, codes, modifiers, and provider details. Claims that pass review are submitted electronically.

Target: within 24 hours of complete billing info
Step 05 Payments

Payment Posting and A/R Follow-Up

We post payments and adjustments by provider, compare reimbursement against payer terms, work denials, submit appeals, and follow up on unpaid claims.

Step 06 Ongoing

Group Reporting and Management

You receive reports by provider, location, specialty, and payer. Your account manager uses them to identify recurring issues and track them over time.

Specialties

Group Practice Billing Across All Medical Specialties

Many groups bill several specialties under one Tax ID, each with its own codes, payer policies, and denial patterns. Our coders are trained by specialty and work as one team, so each specialty gets focused knowledge while the group keeps one billing process.

Behavioral and pediatricRehabilitationImaging and surgicalProcedural and diagnostic
Behavioral Health Mental Health Pediatrics Physical Therapy Occupational Therapy Speech Therapy Radiology OB/GYN ASC Anesthesia Urgent Care Cardiology Orthopedics Ophthalmology Oncology Neurology Gastroenterology Pain Management Dental

Specialty not listed? Reach out. We'll review your providers, codes, and payer mix and tell you honestly whether our team is the right fit.

View All Specialties
Nationwide Coverage
50States served
by one billing operation

Medical Billing & RCM for Group Practices Across All 50 States

Group practices can have providers and locations spread across multiple cities, states, and payer markets. A group expanding into a new state may meet different Medicaid programs, participation requirements, filing rules, and enrollment processes. We account for those differences at the location and provider level instead of treating every office the same.

All 50states supported
1group-wide structure
Everylocation and provider
Choose Your Location
  • Multiple offices within the same state
  • Locations across several states
  • Providers practicing at different locations
  • New locations added to an existing group
  • Groups expanding into new states
  • Locations combined after a merger or acquisition

Your locations keep operating independently while billing runs under one group-wide structure.

Why Choose Us

Why Choose MZ Medical Billing for Group Practice Billing

Provider-Level Claim Accuracy

Every claim is mapped to the correct rendering provider, group NPI, Tax ID, and enrolled service location.

Roster-Synced Enrollment

A live provider-by-payer matrix tracks reassignments, group links, and effective dates for your full roster.

Pre-Submission Claim Scrubbing

Every claim passes NCCI edits, LCD/NCD checks, same-specialty and global period checks, and payer rules before transmission.

Contract-Level Underpayment Tracking

Each 835 remittance is matched against your contracted fee schedules, CARC/RARC errors are flagged, and short payments are appealed.

Get Started

Get Started with Group Practice Medical Billing Services

Your group shouldn't lose revenue to enrollment gaps, uneven coding, location-level turnover, or unchecked payer contracts. Tell us about your providers, locations, and specialties, and we'll show you how your billing can run as one connected operation. No pressure, no long-term lock-in.

Contact Us Now Get a Free Billing Audit
  • One central billing team
  • Certified coding for every provider
  • Roster-synced credentialing
  • Reporting by provider, location, and payer
FAQs

Group Practice Billing FAQs

What are group practice medical billing services?

Outsourced billing and revenue cycle management for practices with two or more providers billing under a shared group NPI and Tax ID. They cover coding, claims, payment posting, denials, A/R, credentialing, and reporting for every provider and location.

How is group billing different from solo billing?

The steps are the same, but scale changes the risk. Group claims are billed under a Type 2 group NPI and Tax ID with each provider as rendering provider, so enrollment, reassignment, and group linking must be right for everyone. Rules like shared patient status, shared global periods, and same-day visits also apply across the whole group.

Can you bill for all our providers and locations under one account?

Yes. One central team bills every physician, NP, and PA across all locations through a single workflow, with one account manager and one set of reports for the whole group.

How do you handle credentialing for new providers?

Credentialing starts from the day the offer is signed. We handle Medicare reassignment through CMS-855R and link the provider to your Tax ID with every commercial and Medicaid plan, tracking progress in a provider-by-payer enrollment matrix.

What happens when a provider leaves the group?

We end their reassignment and payer links so open enrollments don't cause payment errors or compliance problems, and update the enrollment matrix so scheduling reflects the change.

Can you show which provider is in-network with which payer?

Yes. Our provider-by-payer enrollment matrix shows who is active with which payer, at which location, from which date, so schedulers can book patients with in-network providers before the visit.

Can you fix coding differences between our physicians?

Our certified coders apply one coding standard to every provider. We compare each provider's E/M levels and add-on code use with peers, so undercoded visits capture earned revenue and outliers are corrected before a payer audit.

Do you provide reports for physician compensation?

Yes. We report wRVUs, charges, and collections by provider, credit NP and PA work for incident-to and split/shared visits, and make every number traceable to individual claims.

Can you bill NP and PA services correctly?

Yes. We decide incident-to billing visit by visit and bill split/shared facility visits with modifier FS under the provider who performed the substantive portion.

Do you work with multi-specialty groups?

Yes. Our coders are trained by specialty and work as one team, so each specialty gets focused knowledge while the group keeps a single billing process.

How do you make sure payers pay our contracted rates?

We load each payer's contracted fee schedule by code and compare every 835 payment against it. Short payments, incorrect multiple procedure reductions, and wrong modifier cuts are flagged and appealed.

We just merged with another practice. Can you combine billing?

Yes. We review both billing setups, provider enrollments under each Tax ID, and legacy A/R from the acquired practice, then bring everything into one workflow, including EHR/EMR data migration if needed.

Will switching billing companies interrupt our cash flow?

We plan the handoff around your current company's end date and request your claim and A/R data from them so no claims go unworked. New claims and existing A/R are worked at the same time.

Do you support groups in more than one state?

Yes. We support groups across all 50 states and manage state-specific Medicaid programs, payer requirements, filing rules, and enrollment at the location and provider level.

Talk to Our Billing Team
Having billing issues? Let’s fix what’s affecting your revenue

Book a free 15-minute call to review your billing problems and identify missed revenue

Having billing issues? Let’s fix what’s affecting your revenue

Book a free 15-minute call to review your billing problems and identify missed revenue