Comprehensive Medical Billing Services
At CodeEMR, we
provide complete revenue cycle management (RCM) that helps healthcare providers
streamline billing, lower claim denials, and increase reimbursements.
Why Providers Partner with CodeEMR
Imagine this: A busy clinic sees many patients each day. However, the billing staff feels overwhelmed with claim rejections, delayed payments, and increasing administrative tasks. This causes revenue delays, a drop in productivity, and challenges for the clinic to keep up.
Reduce Claim Denials
Minimizes claim denials using improved workflows and expert oversight
Scalable Solutions
Grows with your needs, offering solutions for hospitals, specialty practices, and clinics
Compliance & Security
Maintains security and compliance by meeting HIPAA standards and protecting data privacy
Our End-to-End Revenue Cycle Management Services
- Charge Entry & Audit – We ensure every service is documented, coded, and ready for billing.
- Claims Management – Accurate preparation, timely submission, and proactive tracking.
- Denial and Appeal Management – We find the root causes of denied claims and work to recover revenue.
- Payment Posting & Reconciliation – Matching payments with claims, resolving discrepancies, and keeping records organized.
- Credit Balance – We ensure timely identification, reporting, and refund of credit balances to maintain CMS compliance, financial accuracy, and patient trust while preventing future discrepancies through proactive audits and process improvements.
- AR Follow-Up & Reporting – Regular reviews to track days in AR, payment trends, and billing performance.
Our Proven Process: Accuracy Meets Compliance
- We document each service with careful detail, including the date of service, procedure codes, and costs.
- We use the correct ICD-10, CPT, or HCPCS codes following current guidelines.
- We submit claims on time to reduce delays and speed up payments.
- We track claim statuses, detect denials early, and prepare appeals with supporting documents.
- We provide useful reports so you can see billing performance, identify trends, and improve workflows.
Getting Started Is Easy
Ready to take control of your revenue cycle? Click below to schedule a free consultation with no commitment. Let us show you how CodeEMR’s medical billing services can improve your financial performance.
Frequently Asked Questions (FAQs) About Medical Billing Services
Medical billing is the process of submitting and following up on claims with health insurance to receive payment for services rendered by healthcare providers. Efficient medical billing streamlines the revenue cycle, reduces claim denials, and ensures timely reimbursements.
CodeEMR’s billing experts import accurate ICD-10 and CPT codes, validate insurance in real-time, and implement denial management strategies to ensure accurate claims submission. Our AR Executives review rejected claims, correct errors, and resubmit them promptly. We have a robust feedback mechanism in place to comply with frequent payers’ policies.
Outsourcing medical billing to CodeEMR helps healthcare providers:
- Reduce administrative burden and operational costs
- Improve claim accuracy and payment turnaround time, resulting in improved cash flow
- Ensure compliance with HIPAA, Medicare, and payer-specific guidelines
- Access real-time reporting and analytics to optimize revenue cycle performance
We offer flexible pricing models to suit different healthcare providers:
- FTE-Based Billing – Fixed monthly cost per full-time employee
- Contingency-Based Billing – Percentage-based fee on successful collections
- Transaction-Based Billing – Pay per claim processed, regardless of approval or denial
Yes! CodeEMR follows strict HIPAA compliance to protect patient data and ensure secure transactions. We implement data encryption, access controls, and secure EHR/PMS integrations to safeguard sensitive information.
We work with leading PMS platforms, including Epic, NextGen, eClinicalWorks (eCW), AdvancedMD (AMD), and other specialty-specific systems. If a provider requires a PMS, we help select and integrate the best option for their needs.
Yes! We specialize in Medicare and Medicaid billing, ensuring:
- Proper use of modifiers to avoid claim denials
- Compliance with Federal and State regulations
- Maximized reimbursements through clean claim submissions
CodeEMR provides customized financial reports with:
- Revenue insights – Identify payment trends and reimbursement delays
- Claim rejection analysis – Minimize future denials with data-driven corrections
- AR follow-ups tracking – Monitor aging claims and optimize collections
We seamlessly integrate with leading EHR and PMS platforms, ensuring:
- Automated charge capture and claim submissions
- Secure data transfers with HIPAA compliance
- Custom workflow optimization for better efficiency
- Complete workflow integration from documentation to collections.
- Proactively reduced by improving charge entry, coding, and eligibility checks.
- Ensures billable services are documented upfront, reducing lost revenue.
- Flexible PMS support or full solution procurement.
- Comprehensive financial & productivity reports delivered weekly.
- HIPAA-compliant data security
Getting started is easy! Contact us for a free consultation, and our experts will assess your needs, discuss pricing models, and set up a seamless transition plan for your medical billing operations. Partner with CodeEMR for expert medical billing services.