Medical Billing

Our Workflow

End-to-End Revenue Cycle Management

We take the administrative burden off your shoulders. Our systematic, 4-step billing approach ensures maximum reimbursement, minimal denials, and steady cash flow for your practice.

01

Data & Charge Entry

We accurately capture patient demographics, insurance details, and encounter notes. Our certified coders translate clinical data into precise ICD-10 and CPT codes.

02

Scrubbing & Submission

Before any claim leaves our system, it passes through rigorous NCCI edits and clearinghouse scrubbing rules to guarantee a 99% first-pass clean claim rate.

03

Payment Posting

We meticulously post ERAs, EFTs, and manual checks to patient accounts. Balances are immediately reconciled, and secondary claims or patient statements are generated.

04

A/R & Denials

Our dedicated A/R team relentlessly pursues unpaid claims. We immediately correct, appeal, and re-submit any denied claims to ensure zero revenue is left on the table.

The Spec Legacy Advantage

Why Outsource Your Medical Billing?

In-house billing often leads to hidden costs, high staff turnover, and ignored aging reports. See how partnering with our dedicated experts transforms your bottom line.

Typical In-House Billing Spec Legacy RCM
High salary, benefits & training costs Percentage-based, performance-only fees
Revenue stops if staff is sick or leaves 24/7 dedicated, redundant team
Expensive software & clearinghouse fees Software & clearinghouse fees included
Aging A/R often ignored due to workload Aggressive, continuous A/R follow-up
High denial rates due to coding errors 99% Clean claim rate with certified coders

Advanced Denial Management

We don't just accept denials. Our team analyzes root causes, submits timely appeals, and restructures your workflow to prevent future rejections.

Transparent Financial Reporting

Gain complete visibility into your practice's financial health. We provide custom weekly and monthly dashboards tracking your key performance indicators (KPIs).

Patient Helpdesk Support

We handle patient billing inquiries with empathy and professionalism. We manage statement generation, soft collections, and answer patient questions so your front desk stays focused.

Seamless EHR & EMR Integration

No software migration required. Our certified billing experts are highly proficient in all major healthcare platforms, allowing us to plug directly into your existing workflow.

Epic
Cerner
Athenahealth
eClinicalWorks
AdvancedMD
Kareo
DrChrono
NextGen
Practice Fusion

Stop Leaving Money on the Table

Discover exactly where your practice is losing revenue. Claim your 100% free, no-obligation billing and coding audit today.

Claim Your Free Audit