End-to-End Revenue Cycle Management Services
CodeEMR delivers revenue cycle management services backed by 500+ AAPC/AHIMA-certified specialists. Fewer denials. Faster payments. No upfront fees
Sources: AMA Prior Authorization Survey · MGMA Stat Poll
Performance snapshot
Industry denial rate
15%
Our denial rate
<5%
Clean claim rate
>95%
Avg. days in AR
<30d
<5%
Average client denial rate
↓ 10pp vs. industry
<30d
Days in accounts receivable
↓ 22 days faster
>95%
First-pass clean claim rate
↑ 13pp above average
500+
AAPC/AHIMA certified coders
→ Available now
Why CodeEMR
Three things that make the difference.
01
HIPAA compliant
End-to-end data security. Strict access controls and full audit logging across every claim and patient record in the billing lifecycle.
02
Results in 30–45 days
Denial rates drop within the first month. Full AR stabilisation within 60–90 days. Weekly performance reports from day one.
03
% of collections only
No setup fees. No retainers. You pay only when you get paid — our incentives are perfectly aligned with yours.
How it works
Your complete revenue cycle revenue cycle management services, step by step.
Step 1 of 6
Eligibility verification
Before any service is rendered, we confirm the patient's insurance coverage, plan details, and prior authorization requirements — preventing the most common source of claim denials before they ever happen.
Real-time payer eligibility checks
Prior auth flag for high-risk procedures
Patient responsibility estimate at point of care
Outcomes
Before & after CodeEMR.
| Metric | Before CodeEMR | After CodeEMR |
|---|---|---|
| Claim denial rate | 12–18% | ↓ <5% |
| Days in accounts receivable | 45–60 days | ↓ <30 days |
| Clean claim rate | 75–82% | ↑ >95% |
| Admin hours (billing/week) | 20–30 hrs | ↓ <5 hrs |
| Revenue leakage visibility | Untracked | → Identified & recovered |
Social proof
What our clients say.
”
Excelsior Orthopaedics was experiencing high claim denials and 52 average days in AR before partnering with CodeEMR. Within 90 days, denial rates dropped to under 4% and AR days fell to 28 — recovering over $180,000 in previously lost revenue.
Excelsior Orthopaedics: From 14% Denial Rate to Under 4% in 90 Days
Read the full case study →
Excelsior Orthopaedics — case study
Multi-specialty
14% denial rate → under 4% in 90 days.
Averaging 52 days in AR and writing off denied claims as unavoidable. After full RCM outsourcing to CodeEMR, over $180,000 in previously lost revenue was recovered in the first quarter alone.
Book free RCM review →4%
Denial rate
28d
Days in AR
$180k
Recovered
Free · No commitment · No sales pressure
See where your
revenue cycle
is leaking.
Our billing specialists audit your denial rate, AR aging, and clean claim rate — and show you exactly what it's costing you every month.
Book your free 30-min
RCM review →
RCM review →
No sales pressure. Ever.
FAQ
Common
questions.
questions.
Everything you need to know about outsourcing your medical billing to CodeEMR.
1. What is medical billing in healthcare?
Medical billing is the process of submitting healthcare claims to insurance payers, following up on unpaid claims, posting payments, and managing patient balances. CodeEMR supports healthcare organizations by ensuring billing workflows align with accurate documentation and compliant coding practices.
2. How does medical billing differ from medical coding?
Medical coding translates clinical documentation into standardized codes, while medical billing focuses on claim submission, payment posting, denial follow-ups, and reimbursement management. CodeEMR integrates coding accuracy with billing workflows to support clean claim submission.
3. What causes medical billing errors and claim rejections?
Common causes include incomplete documentation, eligibility issues, incorrect coding, missing modifiers, and payer-specific rules. CodeEMR reduces billing errors by aligning billing processes closely with compliant coding and payer guidelines.
4. How does accurate documentation impact medical billing?
Accurate documentation supports medical necessity and proper code selection, which directly affects claim acceptance and reimbursement. CodeEMR's billing teams work from provider documentation to ensure claims are defensible and compliant.
5. Are outsourced medical billing services HIPAA compliant?
Yes. CodeEMR follows HIPAA-aligned security and confidentiality protocols to protect patient information throughout the billing lifecycle.
6. What billing tasks can be outsourced to CodeEMR?
Healthcare organizations can outsource charge entry, claim submission, payment posting, denial and rejection follow-ups, and patient billing support. All services are delivered using compliance-focused workflows.
7. How does CodeEMR handle denied or underpaid claims?
Denied claims are reviewed to identify root causes, corrected based on documentation and payer rules, and resubmitted when appropriate. This structured approach helps reduce repeat denials over time.
8. Can medical billing services scale with patient volume?
Yes. CodeEMR's billing services are designed to scale based on patient volume, payer mix, and organizational growth without requiring additional in-house staff.
9. Does CodeEMR replace internal billing teams?
No. CodeEMR can function as a full-service billing partner or as an extension of existing billing teams, depending on organizational needs.
10. What types of healthcare organizations benefit?
Physician practices, multi-specialty clinics, FQHCs, community health centers, telehealth providers, and growing healthcare organizations of all sizes.
11. How much does outsourced medical billing cost?
CodeEMR's pricing is based on a percentage of collections — typically 3–8% depending on specialty, volume, and payer mix. No upfront setup fees. Contact us for a custom quote.
12. How long does it take to see results after switching to CodeEMR?
Most practices see a measurable reduction in claim denials within 30–45 days of onboarding. Full AR stabilization typically occurs within 60–90 days. Weekly performance reports from day one.
13. Can CodeEMR work alongside our existing billing team?
Yes. CodeEMR can operate as a full-service billing partner or as an extension of your in-house team — handling denial management, AR follow-up, or coding oversight while you retain staff for patient-facing interactions.