Medxcode medical billing and coding

Medical billing built to get paid the first time

End-to-end billing for private practices, groups and multi-site organizations — eligibility through payment posting, with a 99% first-pass claim acceptance rate.

99%
First-pass claim acceptance
42 days
Average days in A/R
24 hrs
Claim submission turnaround
98.6%
Net collection rate
Medical billing specialist collaborating with a clinician

Talk to a medical billing specialist

Send us your numbers. You get a written analysis of what is recoverable, within one business day.

HIPAA-aligned handling. We never share your details. No contracts to sign to talk to us.

Most practices do not lose revenue in one dramatic event. They lose it in small, repeatable places: an eligibility check nobody ran, a modifier nobody appended, a rejection that sat in a work queue for eleven days. Medxcode's medical billing service exists to close those gaps permanently.

We take responsibility for the full billing lifecycle — patient eligibility and benefits, charge entry, coding review, scrubbing, electronic submission, payment posting, patient statements and appeals — and we report on it in numbers you can audit line by line.

What outsourced medical billing with Medxcode includes

Your practice is assigned a named billing lead and a dedicated team that works inside your existing EHR or practice management system. Nothing is offshored to an anonymous queue, and nothing is left for your front desk to chase.

  • Real-time insurance eligibility and benefits verification before the visit
  • Prior authorization tracking so procedures are never billed against an expired auth
  • Charge entry with specialty-specific coding review before submission
  • Multi-layer claim scrubbing against payer-specific edits and NCCI rules
  • Electronic claim submission within 24 hours of encounter close
  • ERA/EOB payment posting with contractual variance flagging
  • Patient statements, payment plans and a US-based patient billing helpline
  • Secondary and tertiary claim filing, plus appeals on every underpayment

Where practices leak revenue — and how we stop it

Industry benchmarks put average claim denial rates between 8% and 15%, and roughly 60% of denied claims are never reworked. That is not a payer problem; it is a workflow problem. Our billing model attacks it in three places.

First, prevention: front-end eligibility and scrubbing catch the errors that cause the majority of denials. Second, velocity: claims go out daily, not weekly, and rejections are worked within one business day. Third, recovery: every denial receives a root-cause code so the same error does not repeat next month.

  • Registration and demographic errors — eliminated by structured intake validation
  • Eligibility and coverage-termination denials — caught pre-visit
  • Missing or invalid modifiers — corrected at coding review
  • Timely-filing write-offs — prevented by a 24-hour submission SLA
  • Underpayments against contracted rates — flagged automatically at posting

Reporting you can actually act on

Every client receives a monthly revenue cycle review with gross and net collections, days in A/R, aging by payer, denial rate by reason code, first-pass acceptance, and a prioritized action list. You will always know what changed, why it changed, and what we are doing next.

Compliance and security

Medxcode operates under HIPAA-aligned policies with role-based access control, encrypted data in transit and at rest, audit logging on every claim touch, signed BAAs, and annual staff compliance training. Coding is performed and reviewed by certified coders.

How it works

Onboarding that does not interrupt your clinic

  1. 01

    Free billing audit

    We review 90 days of claims, denials and A/R aging and quantify the recoverable revenue before you commit to anything.

  2. 02

    Onboarding in 10–14 days

    System access, payer list, fee schedules and workflow mapping. We run parallel for the first cycle so nothing drops.

  3. 03

    Stabilize the current cycle

    Daily submissions, rejection clearing and clean-claim discipline from day one.

  4. 04

    Recover and improve

    Aged A/R recovery, denial root-cause fixes and monthly performance targets you approve.

Packages

Medical Billing packages built around volume, not lock-in

Managed service fees start at 3.99% of monthly collections. Specialized projects receive a written custom scope based on volume, complexity and the work required.

Starter

3.99%

of monthly collections

Solo providers under 500 claims per month

  • Eligibility verification and charge entry
  • Claim scrubbing and electronic submission
  • Payment posting and patient statements
  • Rejection correction and refiling
  • Monthly performance report
  • Month-to-month. No setup fee. No long-term lock-in.
Most chosen

Growth

3.99%

of monthly collections

Practices billing 500–2,000 claims per month

  • Everything in Starter
  • Dedicated billing team and named lead
  • Full denial management and appeals
  • Aged A/R recovery included
  • Coding review by certified coders
  • Weekly KPI dashboard and monthly review call

Enterprise

Custom scope

proposal based on volume and scope

Multi-site groups above 2,000 claims per month

  • Everything in Growth
  • Multi-location and multi-TIN billing
  • Credentialing and compliance audits bundled
  • EHR / clearinghouse integration support
  • Custom analytics and payer scorecards
  • Quarterly executive business review

Calculator

See the numbers before you talk to us

Medical billing revenue calculator

Estimate the collections you would recover by moving to a 99% first-pass, 24-hour submission billing workflow.

1,800

Total claims submitted each month across all providers.

$240

Average allowed amount per claim.

14%

Share of claims denied or rejected on first submission.

Projected additional annual collections

$182,892

Estimated annual revenue recovered by moving to a 99% clean-claim workflow

Monthly billed charges
$432,000
Revenue lost to denials today
$21,168 / month
Projected monthly recovery
$15,241

Estimates use benchmark recovery rates from comparable US practices. Your written analysis replaces these estimates with numbers from your own payer mix.

Want this modelled on your real data?

Send the form your figures and we will rebuild this estimate from your payer mix, fee schedule and current aging — free, in writing, with no obligation.

  • Written analysis within one business day
  • Line-item view of recoverable revenue
  • Root-cause list for your top denials
  • No contracts required to receive it
Try the full custom cost calculator →

Send me this analysis

We will use the figures you moved above as a starting point.

HIPAA-aligned handling. We never share your details. No contracts to sign to talk to us.

Proof

Medical Billing results from real practices

FAQ

Medical Billing questions we get every week

Do we have to change our EHR or practice management software?
No. Our billing teams work inside the system you already use. If you are mid-migration, we support the transition and bill in parallel so revenue does not stall.
How is your medical billing priced?
As a percentage of collections, which means we are paid when you are paid. Service fees start at 3.99% of monthly collections, with the final rate based on volume, specialty complexity and scope. There are no setup fees and no long-term lock-in.
How quickly can you take over billing?
Most practices are live in 10 to 14 days. We run the first cycle in parallel with your current process to guarantee nothing is dropped in transition.
Who talks to our patients about their bills?
We do, on a US-based support line, using scripts your practice approves. Escalations always come back to you.