Medical Billing Services at 3.99% | 99% Clean Claim

Top-Rated Billing Company

Medical Billing Services That Maximize Collections and Deliver Full Revenue Cycle Management for Your Practice

Your practice doesn’t have a volume problem. It has a collections problem.

Denied claims stack up quietly. AR sits beyond 90 days while the schedule stays full. According to CMS, improper payments in healthcare totaled $25.1 billion in 2022, most of which trace back to billing errors, incorrect coding, and failed eligibility checks. The revenue leakage is real, and most practice owners don’t see it until it becomes a cash flow problem.

Outsourcing medical billing services to a team built around a 99% clean claim rate changes that equation. At One O Seven RCM, every step of the revenue cycle is handled, from eligibility verification through AR recovery, eliminating the denial cycles and aging reports that quietly drain what your practice has already earned.

Not 7%. Not 10%. Our rate is simple, transparent, and all-inclusive. See exactly what you pay.

Revenue Reality Check

Revenue LeakageExposed.

Is Your Practice Losing Revenue Without Knowing It?

If collections feel inconsistent even when the schedule is full, revenue is leaking through gaps your medical billing services never catch.

Get Your Free Billing Audit

No obligation. 100% confidential.

Select a leak below to see where your revenue is disappearing

Denials are eating into collections

Up to 17% of claims are denied on first submission.

MGMA benchmarks show denial rates of 5–10%; each reworked claim costs $25 to $118.
Health Affairs: ~17% of Medicare Advantage claims denied on first submission.

Here's the thing: Most practices blame coding. The real issue sits upstream — missing authorizations or unchecked eligibility. Without denial management, you rework the same errors every month.

See how we fix this

Denial Impact on Your Revenue

17%Denied

17% Denied Claims (Lost Revenue)

83% Paid Claims (Collected Revenue)

Potential Annual Loss

$45,760+

Based on avg. specialty practice collections

Proper denial management stops the leak before it drains your revenue.

Aging AR is a silent revenue killer

In-house AR averages 40–55 days. Past 30 days, you're losing money.

Past 30 days, collection probability drops 20–30% each month.
Beyond 120 days, most in-house teams stop following up entirely.

The compounding problem: One biller handling eligibility, coding, claims, and follow-up means aged AR always loses to incoming work. The backlog grows quietly until it's uncollectable.

See how we fix this

Collection Probability by AR Age

0–30 days

95%

31–60 days

72%

61–90 days

52%

91–120 days

34%

120+ days

18%

Industry Avg Days in AR

40–55 Days

One O Seven clients: under 28 days

Dedicated AR follow-up ensures no claim ages past 30 days without action.

Staff turnover costs more than most practices budget

Replacing one biller means 60–90 days of compounding AR damage.

An in-house biller costs $35,000–$45,000 before benefits, software, and training.
When they leave, payer knowledge and appeal workflows walk out the door.

The hidden cost: During the 60–90 day replacement window, AR ages, denials pile up, and appeal deadlines are missed. None of this shows up on a P&L — until collections drop.

See how we fix this

True Cost of In-House Billing

$45KAvg. biller salary (excl. benefits)

$8K+Software & clearinghouse fees

90 daysAvg. replacement window

$12K+Estimated AR loss during gap

One O Seven Rate

2.99%

Of monthly collections. No turnover. No software fees. No gap.

A dedicated team means zero single-point-of-failure risk for your revenue cycle.

The reporting gap: you can't fix what you can't see

Revenue decisions made without data are costing practices thousands monthly.

Most practices cannot pull clean claim rates by payer in real time.
CPT-level denial patterns go undetected without structured reporting.

Medical billing outsourcing fixes this at the source. Monthly strategic reports — not basic summaries — covering denial rates, AR aging, payer performance, and national benchmark comparisons.

See how we fix this

Can Your Practice Answer These?

Clean claim rate by payer?No Data

Top 5 denial CPT codes?Unknown

AR aging breakdown?Estimated

With One O Seven RCMAll Visible

What You Get Monthly

Strategic Report

Not a summary — a financial command document

Full visibility across every claim, every payer, every month.

99%

Clean Claim Rate

Industry-leading accuracy

<28

Days in AR

Faster collections. Healthier cash flow.

75+

Specialties Supported

Deep expertise across all fields

HIPAA

Compliant

Security you can trust

Stop guessing. Start knowing. We'll show you exactly where your revenue is leaking.

Find My Leaks

Stop guessing. Start knowing.

We’ll show you exactly where your revenue is leaking.

End-to-End Medical Billing Services

End-to-End Medical Billing Services: Every Step, Every Claim, Every Dollar

Real full-cycle billing means one team owns every touchpoint from registration through final payment posting. Most companies handle steps in isolation. We handle the entire flow for physician billing services with no handoffs and no gaps in your medical billing services. Eligibility errors cause denials. Coding errors delay payments. The sequence matters because every step connects directly to the next one in the revenue chain.

Patient Registration and Demographic Entry

Every clean claim starts with accurate patient data. A single incorrect date of birth or wrong insurance ID kicks the claim before a coder touches it. Accurate intake is billing, not administration. It prevents downstream rework.

Insurance Eligibility and Benefits Verification

Real-time verification before every appointment catches inactive coverage and wrong plan years. This step eliminates the most preventable denials before they happen. You avoid chasing payments for services that were never covered to begin with.

Pre-Authorization Services

Payers require prior authorization for more procedures every year. Missing auth is one of the fastest ways to lose a clean claim. The fix is obtaining authorization before the date of service, not chasing it afterward.

Medical Coding and Charge Entry

AAPC-certified coders handle CPT, ICD-10, and HCPCS codes. Upcoding triggers audits. Downcoding loses revenue. Modifier errors trigger denials. Correct medical billing and coding services are the difference between a paid claim and a rework cycle.

Claims Submission and Scrubbing

Claims are scrubbed against payer-specific rules before submission. We target 24-hour submission. The scrubbing layer catches errors that would have caused denials. This is what reliable medical billing services look like in practice.

Payment Posting and Reconciliation

Line-level posting of ERA and EOB payments happens daily. Reconciliation against the practice management system catches payer underpayments. When contracted rates don't match remittance, someone has to catch it systematically rather than randomly.

Accounts Receivable Follow-Up

Systematic follow-up across 30, 60, 90, and 120-plus day aging buckets. Follow-up is not just calling payers. It's knowing which payers respond to portal submissions and which require phone escalation. This is true accounts receivable management.

Denial Management and Appeals

Root cause analysis happens within 24 hours. Appeals file within 48 hours. We fix the workflow that caused the denial, not just the individual claim. This prevents the same denial from recurring in your denial management process

Reporting and Analytics

Monthly dashboards cover collection rate, denial rate by category, and days in AR. We track net collection rate and RVU by provider. This is the visibility that makes everything else fixable in your revenue cycle management.

Find Your Missing Revenue

If any step in that list isn’t consistent, that’s where revenue goes. We’ll show you which ones for free.

How to Reduce Medical Claim Denials

Denial Management That Fixes the Root Cause, Not Just the Individual Claim

Most billing companies appeal denied claims. That’s the minimum. The question is whether anyone figures out why the denial happened and fixes the upstream process. According to Health Affairs, approximately 17% of Medicare Advantage claims are denied on initial submission. This impacts your clean claim rate significantly.

Why Most Denial Management Misses the Real Problem

Appeals are reactive. Root-cause analysis is proactive. An appeal fixes one claim. A workflow correction fixes all future claims with the same error pattern. If a payer keeps denying the same modifier, appealing each one costs more time than correcting the template.

We analyze root causes within 24 hours of denial receipt. Appeals file within 48 hours. Process corrections implement before the next billing cycle. This three-step sequence separates denial management from denial paperwork in your medical billing services.

The Five Most Common Denial Categories and What Causes Them

Five categories cause most denials. Each has a specific root cause requiring a different fix. Effective denial management identifies these patterns early.

Coding errors (CPT/ICD-10 mismatches, missing modifiers)
Cause: Incorrect code selection or outdated fee schedule
Missing or expired prior authorization
Cause: Authorization not obtained or expired before date of service
Eligibility and coverage issues
Cause: Plan termination, wrong insurance ID, wrong group number
Timely filing violations
Cause: Claims submitted outside payer’s filing window
Medical necessity documentation gaps
Cause: Clinical notes don’t support the CPT code billed

Each category has a different fix. Coding errors get corrected at the coder level. Authorization failures get fixed in scheduling. Medical billing and coding services must align. The fix depends on the root cause, not the denial code.

How Aging AR Recovery Works for Practices That Have Written It Off

Most practices with an internal billing team stop pursuing claims beyond 120 days. The team runs out of capacity. The claim gets written off as uncollectible. That revenue was already earned. The only thing missing was the follow-up capacity to collect it.

Aged AR recovery requires payer-specific escalation. You need to know which payers respond to portal disputes and which require phone follow-up. Generic AR follow-up doesn’t work on aged claims. Payer-by-payer protocols do in accounts receivable management.

Recover Your Lost Revenue

If your practice has claims sitting beyond 90 days, some of that revenue is still recoverable. Let’s find out how much.

In House vs Outsourced Medical Billing

In-House Billing vs. Outsourced Medical Billing Services: The Honest Numbers

The question is not whether outsource medical billing services cost money. It does. The real question is whether your current setup costs more once you account for the full picture. Most practices across all 50 states that run this calculation are surprised by the benefits of outsourcing medical billing.

Cost Factor	In-House Base	In-House Hidden	One O Seven	Performance	Your Savings
Staff Salary	$35K to $45K	Turnover Costs	Included	N/A	$35K+
Benefits	$10K to $15K	Payroll Taxes	Included	N/A	$10K+
Software	$5K to $15K	Updates	Included	Advanced	$5K+
Training	$2K to $5K	Compliance	Included	Certified	$2K+
Clean Claims	75% to 92%	Denial Risk	99%	Guaranteed	Higher Revenue
AR Days	40 to 55 Days	Cash Flow Gap	Under 28	Faster Pay	Better Flow

What In-House Billing Actually Costs Per Year

One in-house biller earns $35,000 to $45,000 annually before benefits. Add payroll taxes, health benefits, software, and education. The total reaches $63,000 to $105,000 per year. McKinsey and Company estimates that 30% to 50% of routine administrative tasks in medical billing outsourcing can be automated.

When that biller leaves, the cost resets. Hiring, training, and the 60 to 90 day transition gap add another $5,000 to $10,000 on top of the annual cost. This turnover multiplier impacts your outsource medical billing cost comparison significantly.

What Outsourcing Medical Billing at 3.99% Actually Costs

For a practice collecting $80,000 per month, 3.99% is $3,192 per month. That is $38,304 per year. Compare that to the in-house cost range. The math speaks for itself regarding outsource medical billing cost.

Eligibility verification, coding, claim submission, denial management, AR follow-up, and reporting are included. No setup fees. No software fees. No contract.

The Three Things You Are Really Buying When You Outsource

Expertise
- Coding knowledge across 30+ specialties and payer-specific rules.
- Modifier compliance and denial prevention expertise.
- Depth beyond standard medical billing services rate.
Speed
- Claims submitted within 24 hours.
- Denials appealed within 48 hours.
- Weekly AR follow-up to accelerate cash flow.
Certainty
- 99% clean claim rate ensures predictable revenue.
- Collections become stable and forecastable.
- Predictability adds long-term value.

Compare Your Billing Costs

Want to see what 3.99% looks like against your current billing cost? We’ll run the comparison for your practice.

Specialty Medical Billing Services

Specialty Medical Billing Services Built for 75+ Healthcare Specialties Across All 50 States and Texas

Cardiology billing operates under different CPT code sets and modifier rules than psychiatry billing. A biller trained in family medicine doesn’t understand modifier requirements for multi-procedure orthopedic surgery. Specialty billing requires specialty training, not just general medical billing services experience. One O Seven RCM builds teams around this truth.

OB/GYN Medical Billing Services

OB/GYN medical billing services break down on global obstetric package coding, antepartum visit tracking, and high-risk pregnancy modifiers. Most billing vendors miss the global maternity bundle versus separate component billing distinction, costing OB/GYN practices 8 to 12% of revenue annually. Our OB/GYN billing team handles global obstetric packages (59400, 59410, 59510, 59515), antepartum tracking through delivery, gynecology procedure coding, high-risk pregnancy modifiers, and the postpartum care bundling that determines whether your delivery claim pays at full rate or denies for unbundling violations.

Orthopedic Medical Billing Services

Orthopedic medical billing services require deep modifier expertise across multi-procedure surgeries, joint replacements, fracture care, and DME billing. The modifier 51 multi-procedure rule, modifier 59 distinct procedural service application, and laterality modifiers (RT, LT, 50) determine whether orthopedic claims pay at full rate or get downcoded by 25 to 50%. Our orthopedic billing team handles surgical bundling rules, fracture care coding, implant coding precision, durable medical equipment claims, and the workers compensation documentation that crushes orthopedic cash flow when handled by generic billers without specialty depth.

Chiropractic Medical Billing Services

Chiropractic medical billing services live or die on AT modifier compliance, Medicare visit cap tracking, and active treatment documentation. CMS aggressively audits chiropractic claims, and the AT modifier (active treatment) versus maintenance care distinction determines reimbursement on every claim. Our chiropractic billing team handles AT modifier application, Medicare 12-visit cap tracking, manipulation coding (98940, 98941, 98942), active treatment documentation, and the audit-defense chart preparation that protects chiropractic practices from CMS recoupment requests and post-payment audits across every Medicare patient consistently.

Pain Management Medical Billing Services

Pain management medical billing services face the heaviest prior authorization volume in outpatient billing. Epidural injections, nerve blocks, radiofrequency ablation, and pump refills almost always require prior authorization, and modifier 50, RT, LT, and 59 precision determines payment at full rate versus downcoded reimbursement. Our pain management billing team handles prior authorization submission and tracking for every scheduled procedure, fluoroscopic guidance code application, spinal-level add-on coding for facet joint injections, medical necessity documentation review, and the CO-50 and CO-197 denial appeal management pain management practices need.

Behavioral Health Medical Billing Services

Behavioral health medical billing services break down on three things: prior authorization gaps, medical necessity reviews, and carve-out plan complexity across Magellan, Optum Behavioral, and Beacon Health. The denials that dominate behavioral health are CO-50 (not medically necessary) and CO-197 (pre-authorization required). Our behavioral health billing team handles session-type coding accuracy (90791, 90834, 90837, 90847), telehealth POS and modifier validation, ongoing authorization tracking before sessions occur, parity rule appeal drafting, and the carve-out plan complexity that crushes behavioral health cash flow when handled by generic billers

Mental Health & Behavioral Health

Physical Therapy

Chiropractic

Orthopedic Surgery

Internal Medicine & Primary Care

Psychiatry

Oncology

Dermatology

OB/GYN

Urgent Care

Neurology

Pain Management

Podiatry

Gastroenterology

Pediatrics

Telehealth & Virtual Care

Home Health & Hospice

Ophthalmology

Anesthesiology

Radiology

Oncology

Pulmonology

Urology

ENT (Otolaryngology)

Multi-Specialty Groups & MSOs

Verify Your Specialty Coverage

Need a specialty not listed? Ask us directly.

Built for Your Scale

Medical Billing Services for Every Practice Size: Solo Physicians to Multi-Location Groups

Medical Billing Services for Small Practices | Outsource Physician Billing Services Billing problems look different at different practice sizes. Claim errors, aging AR, and inadequate follow-up cause them all. The solution scales. One O Seven RCM supports providers across all 50 states with tailored workflows.

Medical Billing Services for Small and Solo Practices

Medical billing services for small practices often cost less than hiring one full-time biller. At 3.99% of collections, outsourcing is typically cheaper than that biller's loaded annual cost. Better results come built in without the overhead management burden.

Group Practices and Multi-Specialty Groups

Multi-provider billing requires centralized reporting and provider-specific performance tracking. Internal teams often struggle with reporting visibility across locations. One dashboard covering every provider's collection rate changes how practice leadership makes financial decisions. Outsource medical billing services simplify this complexity.

New and Growing Practices

Launching means credentialing, payer enrollment, and workflow design happening simultaneously. Payer enrollment takes 90 to 120 days at carriers like Medicare, Medicaid, and Blue Cross. CAQH credentialing delays revenue. Starting with a dedicated billing team or medical billing consulting services compresses that timeline.

Hospitals and High-Volume Health Systems

High-volume institutional billing requires UB-04 processing and DRG optimization. Volume creates complexity internal teams often cannot handle without significant investment. Scalability at the institutional level is where outsourcing delivers the most measurable ROI for physician billing services.

Find Your Fit

Not sure which tier matches your practice? We’ll help you identify the right scale.

Built to Work Inside Your EHR

Comprehensive EHR Integration for Seamless Medical Billing Services Across Major Platforms

One O Seven RCM integrates directly with your existing system to avoid workflow disruption. We support Epic, Cerner, Athena Health, AdvancedMD, eClinicalWorks, NextGen, CareCloud, Allscripts, Kareo, DrChrono, Practice Fusion, Modernizing Medicine, Greenway Health, WebPT, and more. Our EHR integration uses HL7 and FHIR API standards for bidirectional data accuracy without manual re-entry. This ensures your medical billing services run smoothly inside the platform you already know. Claims submit through certified clearinghouses for real-time eligibility and remittance processing. You’ll keep your software while we handle the revenue cycle complexity behind the scenes.

Proven by Real Practices

What Healthcare Providers Say About One O Seven RCM

These results aren’t cherry-picked. Every practice gets the same process rigor and accountability. We focus on measurable outcomes like clean claim rate. Here’s what that looks like in practice for our outsourced medical billing services.

Sarah Mitchell, NP-C Cornerstone Family Practice, Austin, Texas

"I'd been trying to get credentialed with Aetna and BCBS for four months before finding One O Seven RCM. My dedicated specialist caught three taxonomy errors in my CAQH profile that nobody had flagged. We were approved with both payers in 11 weeks. The biweekly updates made the whole process feel manageable for the first time."

James Okoye, LCSW Okoye Behavioral Health Services, Atlanta, Georgia

"I'd tried twice to get paneled with UnitedHealthcare and kept hitting the same wall. One O Seven RCM ran a pre-submission audit and found my behavioral health application had been submitted to the wrong division both times. They resubmitted correctly and I was approved in eight weeks. That's the difference a real pre-submission audit makes."

Dr. Patricia Nguyen, MD Integra Primary Care Group, Dallas, Texas

"We were opening locations in Texas and Florida simultaneously and needed credentialing in both states at the same time. One enrollment manager handled everything, coordinated both state Medicaid applications, and had our billing system ready the day our first contract arrived. We didn't lose a single billing day in either location."

Cristina Panaccione Designation

Communication has been really great and they stay on top of things! It won't expedite the credentialling process with insurance companies, but it is so nice to have someone to trust to take it off our plate! Highly recommend!

Chase Butala , LPC ndefeated Healthcare

I have worked with the team at One O Seven for several months. They have been great to work with. They have helped me streamline my medical billing, being flexible to use systems already in place. Definitely have added revenue to the bottom line while being responsive to my questions throughout.

Cristina Panaccione Designation

Eve Buck , LMXC Brave Minds Psychotherapy

First Step Community Services Designation

Chris Allen , LMFT Life Compass Therapy

One o Seven has done several credentialing applications for me. They've all been quick and easy. No complaints. I recommend them and I will use them again.

Brian Kracyla , PT Cloudline Physical Therapy

We have been utilizing One O Seven for credentialing services for about a year now and are very happy. The communication is solid and they have been quite nimble with developing a collaborative workflow optimized to our business needs. We are a four location PT practice that recommends them to anyone looking to outsource their physical therapy credentialing.

Tommy Delbridge Designation

Peter and his team were readily available and patient to help me get credentialed.

Ashley Smith , PT Seattle's Elite Physical Therapy, Inc

Last year, I started using One O Seven for my billing services, for my Physical Therapy clinic. I gave them access to our EMR software and they work directly in my EMR for claims submissions, tracking claims status, and following up with payers to track down rejected and denied claims to increase our revenue. At a very reasonable billing rate, they are well worth the expense to make sure we have a steady driver with insurance verification, obtaining and tracking prior authorization, claims submissions, claims tracking, and proper recording of payer payments. They also offer credentialing services, which I have used as I onboard new providers to my busy clinic. In addition to handling our own billing, we use to take care of credentialing in-house, but I noticed a huge stress relief on my front desk when I switched to using One O Seven instead, not to mention that our revenue increased significantly without as many lost claims due to unnecessary denials/rejections. They are very responsive and communicate with my front desk to take care of anything we need from our patients to make sure claims are paid. I can't recommend their billing and credentialing services enough!

Raul A Avila , LPC Alternative Therapy, LLC

Alternative Therapy Inc., a Professional Counseling Service, is a 22-year-old mental health practice in Hamden, CT. We have been with One O Seven RCM and Mark for over a year, The experience has been a really good, and I wholeheartedly recommend them to anyone seeking their services, Dr. Avila and Staff.

Billing & Credentialing FAQs

Frequently Asked Questions

Medical Billing Services: Answers to the Questions Practices Ask Most

Billing questions often stop practices from making a change. We answer them plainly here. Every response is based on real workflow experience. You get direct information without marketing language. This helps you decide if One O Seven RCM fits your revenue cycle needs.

What is included in full-service medical billing?

Full-service medical billing covers every step of the revenue cycle from patient registration through final payment collection. This includes eligibility verification, coding, claim submission, payment posting, denial management, and AR follow-up. One O Seven RCM handles all 12 steps with end-to-end medical billing services. Partial billing companies often skip steps. We don’t. You get one team managing the entire sequence so nothing falls through the cracks during your daily operations.

How much does it cost to outsource medical billing?

Outsourcing medical billing typically costs between 3.99% and 9% of monthly collections depending on the billing company and services included. At 3.99% of collections, a practice billing $80,000 per month pays approximately $3,192 monthly. This compares favorably to $63,000 to $105,000 per year for a single in-house biller when total employment costs are included. You avoid hidden fees. The outsource medical billing cost is transparent and all-inclusive for your budget planning

What is a clean claim rate and why does it matter?

A clean claim rate is the percentage of medical claims accepted by payers on the first submission without requiring corrections. A 99% clean claim rate matters versus the 75% to 92% industry average. It connects to faster payment and lower rework cost. Fewer denials mean your revenue cycle moves faster and your team spends less time fixing errors. Your cash flow stabilizes when claims pass through scrubbing correctly the first time.

What are the benefits of outsourcing medical billing?

The main benefits of outsourcing medical billing include lower denial rates, faster AR, reduced labor cost, specialty coding expertise, and real-time performance reporting. According to McKinsey, 30% to 50% of routine billing administrative tasks can be automated, directly improving clean claim rates. You stop worrying about staffing gaps and payer rule changes. Your collections become something you can plan around instead of chasing every month.

Is your medical billing service HIPAA compliant?

Yes. One O Seven RCM operates under full HIPAA compliant billing standards. We execute a BAA before first record accessed. PHI is handled under the Privacy and Security Rules. We use 256-bit AES encryption and SOC 2 certified infrastructure. Your patient data security is protected at every touchpoint in our revenue cycle management process. Compliance is not optional. We build it into every workflow step to protect your practice from liability.

What happens if a payer denies a claim?

Root cause is identified within 24 hours. If correctable, the claim is corrected and resubmitted. If disputable, a formal appeal is filed within 48 hours with clinical documentation. Payer-specific timelines are honored. Trends are tracked to prevent recurrence. This proactive denial management protects your revenue. We don’t just appeal. We fix the upstream process so the denial doesn’t happen again.

How is your pricing structured?

One O Seven RCM charges 3.99% of monthly collections. That rate is all-inclusive. No setup fees, no software fees, no hidden charges, and no long-term contract. This transparency is key when evaluating outsource medical billing cost. You know exactly what you pay every month without surprise invoices. The American Medical Association reports that billing administrative costs account for up to 15% of total healthcare expenditure. We reduce that.

What medical specialties do you handle?

We handle Psychiatry, Dermatology, Nephrology, Endocrinology, Pediatrics, General Surgery, Cardiology, OB/GYN, Neurology, and Orthopedics. We cover 30-plus additional specialties. If your specialty isn’t listed, confirm directly. It’s likely been handled before. Our physician billing services are tailored to specific CPT codes and payer rules for each clinical area. Specialty-specific knowledge prevents denials that general billers miss during coding and submission.

Can you integrate with my existing EHR?

Yes, One O Seven RCM integrates directly with your existing EHR system without requiring migration or new software. We support Epic, Cerner, Athena, and 14 other major platforms. The integration is handled during onboarding by our implementation team. Your EHR integration works seamlessly with our billing workflow to prevent data entry errors. You keep your system. We work inside it to manage your claims and payments.

Does One O Seven RCM work with solo practitioners and small practices?

Root cause analysis happens within 24 hours. Appeals file within 48 hours. We fix the workflow that caused the denial, not just the individual claim. Health Affairs research found that 17% of Medicare Advantage claims are denied on initial submission. This proactive denial management protects your clean claim rate over time. We track trends to stop errors before they impact your revenue next month.

How long does it take to get started?

From signed agreement to first claim submitted is typically within 30 days. This includes EHR integration, onboarding, and the parallel billing transition period. We handle the setup. Your team keeps working. Outsource medical billing services with us mean zero claim gaps and zero timely filing violations during the switch. You maintain continuity while we build the new workflow behind the scenes.

Do you work with small practices?

Yes, small practices and solo physicians are our most common clients. The 3.99% rate makes outsourcing cost-effective at any collection volume. Medical billing services for small practices get the same dedicated team as large groups. We offer no-contract and no-setup-fee options to reduce your financial risk when switching. You get enterprise-level billing support without the enterprise-level price tag.

What is accounts receivable management in medical billing?

Accounts receivable management in medical billing is the process of tracking and collecting payments owed to a practice after claims have been submitted. We track aging buckets like 30, 60, 90, and 120 days. Collection probability drops per month of aging. We pursue aged claims systematically so you don’t write off earned revenue. Your cash flow improves when old claims get collected instead of ignored.

What is the difference between medical billing and medical coding?

Coding assigns diagnosis and procedure codes like ICD-10, CPT, and HCPCS to patient encounters. Billing uses those codes to generate and submit claims to payers and collect payment. Both functions are required for clean claims. Errors in either cause denials. Our medical billing and coding services handle both accurately. You need both skills working together to maximize reimbursement and minimize compliance risk.

What states do you serve?

One O Seven RCM provides medical billing services across all 50 states. Billing is performed remotely and integrates directly with any EHR regardless of location. We understand state-specific payer rules and Medicaid variations. Our nationwide coverage ensures your practice gets consistent revenue cycle support wherever you operate. Location doesn’t limit our ability to manage your claims and follow up with payers.

100% FREE • NO OBLIGATION

Get Your Free Medical Billing Audit and Know Exactly Where Your Revenue Stands

A comprehensive medical billing audit to uncover hidden revenue, fix claim denials, and maximize your practice collections. Delivered within 5 business days. Texas-based RCM. All 50 states. AAPC certified.