Most small practices have two billing options that don’t work: burning out their staff on in-house billing, or paying generic vendors who don’t understand their specialty. We’re One O Seven RCM, a small-practice-focused medical billing company with AAPC-certified billers, specialty-trained coders, and affordable flat-rate pricing starting at 2.99% of collections. No long-term contracts. No setup fees. No hidden charges. Just clean claims, faster deposits, and revenue protection from day one.
Here’s how we run small practice billing differently. We tie every patient encounter directly to a deposit in your account through our Encounter-to-Deposit framework. Coding, charge entry, claim submission, denial management, and payment posting handled by AAPC-certified specialists who know your specialty inside-out, not generic billers learning on your account.
Practices choose One O Seven RCM because we’re the only medical billing company built specifically for small practices, with AAPC-certified billers, specialty-trained coders, transparent flat-rate pricing, and the Encounter-to-Deposit framework that ties every patient visit directly to a deposit in your account. Small practice billing is the only thing we do.
We tie every patient encounter directly to a deposit in your account through seven connected stages. Coding, charge entry, claim submission, denial management, and payment posting are handled by one team accountable for every outcome.
Generic billing companies serve hospitals, ambulatory groups, and small practices with the same playbook. We built our entire operation around small practice realities, payer mix, and the specialty depth solo practitioners need every day.
Every biller on your account holds AAPC certification. Every coder holds a CPC credential. Specialty-specific assignments mean pediatrics billers work pediatrics accounts, behavioral health billers handle behavioral health, and family practice billers manage family practice every time.
Flat-rate pricing starts at 2.99% of collections. No setup fees. No long-term contracts. No surprise charges for denial work, AR follow-up, or specialty coding. What we quote is what you pay every month.
Real-time insurance eligibility verification 48 to 72 hours before every appointment. Prior authorization handling for procedures requiring approval. Coverage validation, copay confirmation, and benefits documentation posted directly to your EHR before patient arrival every time.
CPT and ICD-10 coding handled by CPC-certified coders specialty-matched to your practice. Modifier-aware coding reduces denials. NCCI edits applied before submission. Coding audits run quarterly to catch undercoding revenue gaps competitors regularly miss completely.
Clean charges entered within 24 hours of encounter lock. Claims scrubbed for payer-specific edits before submission. Electronic submission to all major payers. Paper claim handling for non-electronic payers when required by payer rules.
Every denial worked within 48 hours by senior billers. Root cause coded for prevention. Appeals letters drafted with payer-specific logic. Recovery rates tracked monthly with denial-prevention recommendations delivered alongside each report quarterly.
Aged claim work prioritized by dollar value and timely filing window. Payer follow-up at 30, 45, and 60-day intervals. Days in AR reduction tracked weekly. Insurance collections optimized before patient billing begins each cycle.
HIPAA-compliant patient statements via mail, email, and SMS channels. Payment plan setup and management. Patient balance follow-up. Soft and hard collections handled with patient-relationship-protecting language. TCPA-compliant outbound communication every single time.
Insurance and patient payments posted within 24 hours of receipt. EOB and ERA reconciliation. Adjustments applied per contract rates. Underpayments flagged for appeal. Overpayments tracked for refund processing. Daily reconciliation maintains accuracy continuously.
Monthly performance reports plus daily dashboard access. Days in AR, denial rate, clean claim rate, collection rate, and payer mix reported continuously. Custom reports available on request for practice management decisions. Always transparent.
Most billing companies will tell you they handle small practices. Few will show you exactly how their operational depth differs daily. Here’s what running medical billing for small practices looks like when it’s run by people who’ve worked inside small practice cash flow realities for years across hundreds of independent practices nationwide.
Most small practice owners assume in-house billing is cheaper because they don’t see the full cost. Salary plus benefits plus software plus training plus turnover plus error costs add up faster than expected. Here’s what the actual annual cost comparison looks like for a typical 1-2 provider small practice running $800,000 in annual collections every single year.
| Service | Process | Turnaround Time |
|---|---|---|
| Eligibility Verification | Insurance & benefits check | 24 Hours |
| Prior Authorization | Approval from payer | 2–3 Days |
| Claims Submission | Electronic claim filing | Same Day |
| AR Follow-Up | Payment tracking & calls | Ongoing |
| Denial Management | Resolve rejected claims | 3–5 Days |
Every small practice billing engagement follows the same 7-stage Encounter-to-Deposit process from first patient encounter to deposited check. You always know what’s happening, what comes next, and what results to expect. No black-box billing. No surprise invoices. No mystery about where your claims stand right now.
Every team member completes HIPAA Privacy Rule and Security Rule training before account access. Annual recertification mandatory across the entire team. Encrypted PHI access using TLS 1.2 or higher. Continuous audit logging on every system. Incident response procedures tested quarterly. We follow HHS guidance on PHI handling for medical billing services.
BAA signed before any billing data access begins. Non-negotiable across every engagement regardless of practice size or specialty type. Our BAA includes all required HHS provisions: permitted uses, safeguards, breach notification, subcontractor accountability, and termination rights. We provide a BAA template review session before contract signing for compliance clarity always.
Coding aligned with OIG compliance program guidance for medical billing operations. Quarterly internal coding audits identify upcoding, undercoding, and modifier misuse risks proactively. We follow Office of Inspector General guidance and Stark Law boundaries. Audit defense documentation maintained for every claim. Practices facing payer audits get full chart-and-claim audit support immediately.
Account hosting in SOC 2 Type II audited environment. Annual security audits performed by accredited third-party auditors. Continuous monitoring of access controls, change management, system operations, and risk mitigation. Encryption at rest and in transit. Multi-factor authentication mandatory for every team member with PHI access. Security incident response within 4-hour service level.
Optimized by Seraphinite Accelerator