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Medical BusinessSolutions

01Billing · Coding · A/R recovery

Revenue cycle management that pays for itself

We take on the billing, coding, transcription and collections work behind your practice — and we are paid on performance, so the incentive to collect is ours as much as yours.

Engagement model
Pay for performance
Core work
Billing, coding, A/R, transcription
Systems
Works inside your existing EHR
Reporting
Monthly close + live A/R view
Revenue cycle management at Medical Business Solutions

One accountable team across the whole cycle

Most practices do not have a billing problem so much as a handoff problem. A claim is coded by one person, scrubbed by another, submitted by a clearinghouse, denied three weeks later, and reworked by whoever notices first. Every handoff is a place for money to disappear.

We take ownership of the whole sequence — eligibility, coding, charge entry, claim submission, denial management, payment posting and patient collections — so there is one team answerable for the number at the end of the month instead of five people each doing their part correctly.

Unlike a traditional billing service, we start by working out how the revenue cycle should actually be structured for your organisation: centralised, decentralised, outsourced, or a hybrid where the functions that touch patients stay in-house and the rest does not. We then run our side of that model and report on it openly, so you can see exactly what we did on your behalf.

Where practices quietly lose revenue

In our experience the losses are rarely dramatic. They are small, recurring and easy to normalise — a charge dropped for lack of a signed encounter form, a procedure coded one level below what the documentation supports, a denial written off because appealing it cost more attention than it was worth that week.

  • Charge lag — the gap between the visit and the claim leaving your building, which directly delays cash.
  • Undercoding — physicians coding defensively, leaving legitimate revenue on the table.
  • Denial churn — the same preventable denial denied again because nothing upstream changed.
  • Aged A/R — balances past 90 days quietly ageing out while everyone works the newest claims.
  • Unworked patient balances — statements sent once, then forgotten.

Medical transcription, without the chase

We run transcription through a vetted network of medical transcriptionists rather than a single queue, with custom production plans built per client. Telephone call-in and digital handheld capture are both supported, and transcribed notes land in a secure web application you can reach from any browser.

The point is not the technology. The point is that your notes are there when you need them, on time, every time — so you finish the note once and stop thinking about it.

Dictation, transcription and note delivery run on a production plan per provider.
Dictation, transcription and note delivery run on a production plan per provider.

Pay for performance, not promises

We work on a pay-for-performance basis. That means our fee moves with the revenue we help you collect, and we are uniquely motivated to make your practice more profitable, predictable and productive — because those are the same numbers that pay us.

You keep complete control of the practice and the profits. We are not practice management consultants who arrive with a deck and leave with a retainer. We are the back office.

What you get

  • Insurance eligibility and benefits verification
  • CPT, ICD-10 and modifier review before submission
  • Claim submission and clearinghouse management
  • Denial management with root-cause follow-up
  • Payment posting and reconciliation
  • Aged A/R work-down with a written escalation path
  • Patient statements and collections support
  • Medical transcription and note delivery
  • Monthly financial close and RCM reporting pack

How it is measured

Reported monthly, defined up front, with a name against every number.

Charge lag
Days from date of service to claim submitted.
First-pass clean claim rate
Share of claims paid without rework.
Days in A/R
Average age of outstanding receivables.
Denial rate
Denials as a share of total claims, by reason.
Net collection rate
Cash collected against allowed amounts.

Questions

Reasonable things to ask before you sign.

Anything else, ask directly. You will get an answer from someone who runs this work, not a routing desk.

Do we have to change our EHR?
No. We work inside the system your clinicians already use, or alongside it where an interface is needed. Replacing clinical software is a far bigger decision than outsourcing billing, and we do not ask you to make it.
How does pay-for-performance actually work?
A portion of our fee is tied to collections, so we earn more when you collect more. The exact split, the measurement period and the reporting cadence are set out in writing before we start, along with an exit clause.
Who owns the data if we leave?
You do. Claims data, notes, patient records and reports remain yours, and we hand over a complete export as part of any transition at no additional cost.