Small practices & solo providers · United States
Medical billing services for small practices that cannot afford leaks
A two-provider practice feels every denied claim. We run the full billing cycle — eligibility, coding review, submission, appeals and patient balances — so a small team gets the depth of a full billing department without the payroll.
- 99%
- First-pass claim acceptance
- 3.99%
- Starting service fee
- $0
- Setup or onboarding fee
Small practices carry the same payer rules as a 40-provider group, but with a fraction of the staff. When the one person who knows billing is sick, on holiday or resigns, claims stall, denials pass their appeal windows and the aging report quietly doubles.
Medxcode exists for exactly this situation. A dedicated team works your account inside your own practice-management system — no migration, no new software to learn — and every month closes with reporting a busy provider can read in five minutes: billed, paid, denied, appealed and recovered.
Why small practices choose an outside billing team
The math of a small practice is unforgiving. One in-house biller means one point of failure, no coverage for leave, and nobody with time to write a proper appeal. Outsourced billing replaces that fixed cost and single-person risk with a team whose fee moves with your collections.
- Coverage during staff leave, turnover and busy weeks — claims never stop going out
- Appeals written by people who appeal denials every day, not resubmitted unchanged
- Coding review by specialty, so undercoding stops quietly draining every visit
- A/R follow-up by aging bucket with escalation dates, worked weekly
- Monthly reporting and a review call — not a PDF you have to chase
Built for small-practice budgets
Plans start at 3.99% of monthly collections with no setup fee and no hidden charge list. For a small practice that means the cost scales down in a slow month instead of staying a fixed salary, and there is no large onboarding invoice before a single claim goes out.
Because we earn a percentage of what we collect, our incentive matches yours: cleaner claims, faster payment, fewer write-offs.
What we take off your front desk
Your staff keeps the patient-facing work. We take the queue that eats their afternoons.
- Insurance verification and benefit checks before the visit
- Charge entry and coding review against payer-specific edits
- Claim scrubbing, electronic submission and secondary billing
- Denial triage, corrected claims and written appeals
- Patient statements and respectful balance follow-up
- Credentialing and enrollment tracking as your practice grows
New, growing or established
Opening a practice: we stand up enrollment, billing and reporting together so the first claims go out clean. Growing: adding a provider or a location does not mean hiring another biller. Established: if your denial rate or days in A/R is unknown right now, the free billing review measures it before you commit to anything.
Services included in this work
Frequently asked questions
- Is outsourced billing affordable for a very small practice?
- Yes, because the fee is a percentage of collections rather than a salary. Plans start at 3.99% of monthly collections with no setup fee, so costs fall in quiet months instead of staying fixed.
- We have one biller who is overwhelmed — can you work alongside them?
- Yes. Practices commonly keep front-desk eligibility and scheduling in-house while we take coding review, denial management and A/R recovery. The split is agreed before we start.
- Do we have to change our software?
- No. We work inside your existing practice-management and EHR system, so your records, reports and workflows stay where your team already looks for them.
- How fast can a small practice get started?
- Most practices are live in two to four weeks, depending on clearinghouse enrollment and payer EFT/ERA setup. You will know the agreed timeline before signing anything.
- How is our patient data protected?
- We operate HIPAA-aligned workflows and sign a Business Associate Agreement before any protected health information is exchanged. Account access is limited to the staff assigned to your practice.
Calculator
Estimate the impact on your own numbers
Medical billing revenue calculator
Estimate the collections you would recover by moving to a 99% first-pass, 24-hour submission billing workflow.
Total claims submitted each month across all providers.
Average allowed amount per claim.
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.
Local coverage
medical billing services for small practices in your city and state
Payer mix, Medicaid programme and filing rules change at the state line. Pick your location to see how we handle it, or browse all 51 state pages and 54 specialty pages.
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