Skip to content

Healthcare practice guide

Billing, Books, and Payroll for Independent Physician Practices

Clean claims, a real close calendar, and a provider-level view of what each panel earns.

Independent primary care and specialty groups lose money in three quiet places: eligibility that was never re-verified, coding that undercharges the visit that actually happened, and aged claims nobody worked past day 60. We run the billing and the books together, so the revenue you earn and the revenue you record finally match.

Your practice

Set once — every healthcare tool below pre-fills from it and it stays with you for this visit.

Clean claim rate target
95%+

First-pass acceptance without manual rework

Days in A/R target
Under 35

Measured on total A/R, not just current

Denial rate benchmark
5-8%

Above 10% signals an intake or coding problem

Where the money leaks

Front-desk eligibility

Coverage that lapsed between scheduling and the visit is the single most common preventable denial. We verify at scheduling and again at check-in.

Under-coded visits

Documentation that supports a higher level of service but was billed lower is unrecoverable after timely filing closes. We audit a sample every month.

Aged A/R past 90 days

Claims sitting past 90 days collect at a fraction of face value. We work the queue oldest-first with payer-specific appeal packets.

How we run it

  1. 1

    Eligibility and benefits

    Verified before the visit, re-checked at check-in, with a written note on patient responsibility.

  2. 2

    Charge capture and coding review

    Every encounter reconciled to the schedule so no visit goes unbilled.

  3. 3

    Claim scrub and submission

    Payer edits applied before submission; rejections handled same day.

  4. 4

    Denials and appeals

    Root-caused by reason code so the same denial does not repeat next month.

  5. 5

    Month-end close

    Collections, A/R, and payer mix reconciled to the ledger by business day five.

Payers we bill every month

  • Medicare Part B
  • State Medicaid and managed care plans
  • Blue Cross Blue Shield plans
  • UnitedHealthcare
  • Aetna
  • Cigna

Questions we get

Other settings we serve

Written analysis reviewed by a senior revenue cycle lead. No PHI required to start.

Encrypted in transit and at rest. We sign a BAA before any PHI is shared. No spam, ever.

Text us on WhatsApp
TextInstagram