Revenue Discovery
Audit and Revenue Assessment
We review your current billing workflow, denial patterns, aging accounts receivable, missed charges and other potential revenue gaps before recommending the right service scope.
Affordable Full-Service Private Practice Billing
Most billing companies charge 6% to 9% of collections, lock you into 24-month contracts, and route your claims through generic call centers that don’t know your specialty. We do it differently. One O Seven RCM delivers full-service private practice billing services at 3% of net collections. AAPC-certified coders. 99% first-pass claim acceptance. 24-hour claim submission. No setup fees. No long-term contracts. Built around what your practice actually wants from billing.
Here’s the thing. Your front desk shouldn’t be wrestling with denials at month-end. Your providers shouldn’t be waiting 60 days for claims to clear. Your practice shouldn’t pay enterprise rates for generic billing. We fix what’s broken in your revenue cycle without locking you into anything. Specialty-trained coders. HIPAA-compliant infrastructure. Transparent flat-rate pricing.
Audit. Integrate. Recover. Report.
We review your current billing workflow, denial patterns, aging accounts receivable, missed charges and other potential revenue gaps before recommending the right service scope.
Our onboarding team maps your EHR, payer workflows and internal responsibilities. Secure access, applicable BAA requirements and escalation pathways are completed before live work begins.
The assigned team manages claim preparation, submission, payment posting, denial follow-up and accounts-receivable activity through documented correction and appeal workflows.
Customized reporting can track claim acceptance, collections, denial trends, AR aging, payer performance and procedure-level revenue opportunities.
Every Service. One Flat Rate. Zero Surprises.
One O Seven RCM delivers ten core revenue cycle services as part of every standard private practice billing engagement at 3% of net collections. Nothing is tiered. Nothing is withheld at the base rate. Every service below is handled by AAPC-certified coders and billing specialists with hands-on experience across 75 plus medical specialties, from solo family practices to multi-provider mental health groups.
We verify every patient’s active coverage, in-network status, deductible balance, coinsurance and copay responsibility before the date of service through payer portals and available EDI connections. Practices receive clear eligibility information before the visit.
Every claim passes through a multi-point review for CPT and ICD-10-CM codes, modifiers, place of service, NPI information and fee-schedule alignment. This process helps identify common submission errors before claims reach the payer.
We submit claims electronically to Medicare, Medicaid and commercial payers after receiving complete charge and documentation information. Claim status is monitored from submission through payer adjudication so unresolved claims can be addressed promptly.
Rejections and denials are categorized separately and reviewed against payer requirements, documentation and claim history. Corrected claims and appeals follow the appropriate payer pathway while recurring patterns are tracked for prevention.
We manage prior authorization workflows for payer-required services, including request submission, documentation coordination and status follow-up. Retroactive authorization requests are handled where the payer and plan permit them.
Coding workflows support CPT, ICD-10-CM and HCPCS reporting based on provider documentation and applicable payer requirements. Complex code selection, modifier use and E/M questions are reviewed by professionals holding credentials appropriate to the assigned scope.
Electronic remittance advice and payer EOB information are posted and matched to corresponding claims. Contractual adjustments, denials and patient responsibility are recorded accurately while potential underpayments are flagged for further review.
Outstanding claims are prioritized according to age, balance, payer response and filing deadlines. Follow-up attempts, payer findings and required next steps are documented so unresolved balances continue moving toward resolution.
Patient statements are prepared in readable formats and outstanding balances are followed through professional, non-aggressive communication. Available payment options and account information are explained clearly while complex issues follow an escalation pathway.
Monthly reporting can include claim acceptance, denial trends, collection performance, AR aging, payer mix and procedure-level revenue insights. Reports are aligned with the agreed service scope and the practice’s operational priorities.
Software-Agnostic, Technology-Forward
One O Seven RCM integrates directly with the EHR or practice management software your practice already uses. No software migration, no hardware purchase, no system replacement. Integration is completed during onboarding with zero disruption to daily operations, and all data transfers run through HIPAA-compliant protocols.
Your Specialty. Our Expertise
Billing requirements change significantly from one specialty to the next. That’s why One O Seven RCM assigns coders with specialty-specific certification and experience to each practice, not generalists who split their time across unrelated disciplines. Specialty medical billing produces higher first-pass acceptance rates because the coder already knows the codes, the modifiers, and the payer rules that specific specialty deals with every day. Billing services for physicians only work when the billing team speaks the same clinical language as the provider.
The One O Seven Advantage
Free 90-day claims audit. AAPC-certified coders. No setup fees. No long-term contracts. See exactly what affordable private practice billing looks like.
Your Practice and Patients Are Protected
One O Seven RCM executes a Business Associate Agreement (BAA) with every client before billing operations begin. All patient health information transmits using encrypted protocols. We don’t share data without authorization. Role-based access controls apply to all billing systems. Annual HIPAA training applies to all staff.
Our coding practices comply with OIG guidelines for medical billing. AAPC-certified coders follow AMA CPT coding standards. Internal audits prevent upcoding and unbundling violations. You’re protected from billing-related compliance risk. We handle payer audit responses and coding dispute documentation.
Beyond Billing
From billing to credentialing to patient acquisition, One O Seven RCM drives every stage of your growth.
Everything You Need to Know
100% FREE • NO OBLIGATION
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