End-to-End Medical
Billing Services
Maximize practice collections, shorten reimbursement turnaround, and stop claim denials at the source. From appointment scheduling and 270/271 real-time eligibility checks to charge entry, daily payment posting, and relentless A/R recovery executed directly inside your native software.
Our Medical Billing Services Suite
Explore our end-to-end medical billing workflows designed to prevent revenue leaks, eliminate backlog, and accelerate reimbursements across every encounter.
Front-Office Intake
Patient Appointment Scheduling & Registration
Capture accurate demographics and insurance policy details before the patient arrives. Eradicate front-end data discrepancies that trigger over 30% of standard claim rejections.
Online appointment coordination & intake validation Demographic cross-checks with payer databases Co-pay and deductible collection protocols
Pre-Service Verification
Eligibility & Benefits Verification
Perform real-time 270/271 electronic checks and telephone inquiries to confirm active coverage, deductibles, coinsurance, primary vs secondary payer order, and specific policy limits.
Instant 270/271 electronic EDI eligibility checks Detailed in-network vs out-of-network benefit verification Secondary and supplemental coverage validation
Charge Management
Charge Capturing & Charge Entry
Eliminate unbilled procedures and missing charges. Our teams rapidly record services, fee schedules, and clinical modifiers from EHR encounter notes within 24 hours.
Rapid 24-hour charge entry turnaround SLA Fee schedule & modifier cross-checks Unbilled service & encounter audit reconciliation
Quality Assurance
Claim Audits & Pre-Bill Scrubbing
Every claim undergoes a multi-layer audit against NCCI edits, LCD/NCD guidelines, and payer-specific rules before batch release to achieve clean submissions on the first pass.
NCCI unbundling and modifier audit scrubbers LCD/NCD medical necessity compliance review High-dollar and complex surgical pre-submission audit
Clearinghouse EDI
Claim Submission & Rejection Triage
Daily electronic 837 batch dispatch through top clearinghouses. EDI rejections and front-end transmission flags are resolved immediately on the same business day.
Direct electronic EDI 837 claim batch transmission Clearinghouse 999 & 277 acknowledgement monitoring Same-day resolution of EDI 277CA rejections
Revenue Posting
Payment Posting & Reconciliation
Automated ERA (835) and manual EOB posting with line-item accuracy. Contractual allowances, copays, write-offs, and daily bank deposit reconciliations balance to the penny.
Automated ERA (835) matching and batch posting Manual EOB, patient card, and check posting Contract allowable discrepancy & underpayment flags
Appeals & Recovery
Denial Management & A/R Follow-Up
Relentless pursuit of aging claims across 30, 60, 90, and 120+ day buckets. We file evidence-based clinical appeals and call payers every 14 days until payment is secured.
CARC & RARC root-cause denial categorization Formal level 1 & level 2 payer clinical appeal filings Zero claims written off without exhaustive review
Specialty Focus
Specialty-Specific Billing & Coding
Specialized billers dedicated to your exact medical discipline including Dental, Mental Health, Cardiology, Orthopedics, Chiropractic, Optometry, and Surgery.
Medical-dental cross-coding & global period rules Specialty billing team trained in modifier rules Specialty fee schedule optimization
Clinical Authorizations
Prior Authorization & Precertification
Secure timely insurance authorizations for scheduled surgeries, specialized diagnostic scans, infusions, and specialty pharmaceuticals before care is rendered.
Expedited clinical pre-auth submissions Direct coordination with provider clinical notes Peer-to-peer review scheduling & tracking
How Our Medical Billing Process Works
A transparent, closed-loop workflow connecting patient registration to clean submission and rapid cash collection without bottlenecks.
Patient Intake & Eligibility
Demographics and real-time 270/271 benefit checks verify copays and coverage before care is rendered.
Charge Entry & Audit Scrub
Charts coded to highest specificity and pre-scrubbed against NCCI, LCD/NCD, and payer guidelines.
EDI 837 Claim Transmission
Clean claims dispatched electronically to payers with 98.4%+ first-pass clean approval rate.
ERA 835 Payment Posting
Electronic remittances posted line-by-line, reconciling bank deposits and auditing fee schedules.
Denial Appeals & A/R Chasing
Unpaid claims chased every 14 days and appealed with clinical evidence to prevent lost revenue.
Get a Free Practice Billing & Fee Schedule Audit
Discover uncollected revenue, aging claims bottlenecks, and coding underpayments in your current operations. Our certified billing analysts will evaluate your practice with zero obligation.
Full A/R Aging & Denial Report
Benchmark your 30, 60, 90, and 120+ day balances against industry standards.
Fee Schedule Underpayment Detection
Spot procedures where commercial payers are reimbursing below contract allowances.
Strict HIPAA Confidentiality
All sample chart and ledger reviews protected under a mutual Business Associate Agreement (BAA).
Request Free Billing Audit
Complete this quick inquiry and our senior billing specialist will connect with you within 24 hours.
We Work Directly Inside Your Existing EHR & PM Platform
Zero IT migration headaches. Our certified teams log in securely via encrypted VPN into your current software, eliminating duplicate entry and workflow friction.
Compatible with 50+ practice management and clearinghouse engines nationwide.
Why Medical Practices Trust Our Billing Team
Delivering measurable revenue lift, shortened collection cycles, and 100% financial transparency.
98.4% First-Pass Clean Rate
Intelligent claim scrubbers and specialty billing rules ensure claims get paid on the very first submission without rework or delays.
Accelerated Cash Flow
By dropping charges within 24 hours and following up on unpaid balances every 14 days, your average days in A/R stay well below 32 days.
Aggressive Denial Recovery
No claim is written off without exhausting all valid clinical appeal levels. We recover tens of thousands in previously trapped revenue.
Weekly Performance Scorecards
Review billing volume, net collections, denial root causes, and aging trends on an executive scorecard reviewed weekly with your account lead.
100% HIPAA & SOC-2 Security
Strict access controls, role-based permissions, AES-256 encrypted VPNs, and BAA agreements protecting all patient PHI.
Performance-Based Billing
Our performance earns your partnership every single month. Flexible arrangements based on collections percentage we only succeed when you collect.
Common Medical Billing Questions
Everything you need to know about partnering with TrueCareCost for medical billing.
Ready to Supercharge Your Practice Billing?
Get a complimentary practice billing audit. We will review your current A/R aging, spot uncollected revenue, and provide an actionable roadmap to increase collections.