Private Practice Billing Services

Affordable Full-Service Private Practice Billing

Affordable Full-Service Private Practice Billing Services for Solo Practitioners and Independent Physicians

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 3.99% 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.

The One O Seven RCM Revenue Assurance Framework: How We Protect and Maximize Your Private Practice Revenue

Most billing companies hand you a contract and start submitting claims. One O Seven RCM starts differently. The Revenue Assurance Framework manages your complete revenue cycle through four defined phases. The framework runs across 75+ specialties at a 99% first-pass claim acceptance rate.

Audit and Revenue Assessment

Every prospective practice receives a no-obligation 90-day claims audit. We identify denied claims, undercoded procedures, missed charges, and recoverable revenue, then deliver a written revenue recovery report within five business days. No contract required. No setup fees.

Onboarding and System Integration

Onboarding connects directly to your existing EHR, practice management system, or billing platform. No new software. No workflow disruption. Billing operations begin within five business days. We execute a Business Associate Agreement before any patient data is accessed. HIPAA-compliant from day one.

Active Billing Management and Recovery

All claims are submitted electronically within 24 hours of charge entry. Every denial receives a root cause analysis within 48 hours. Accounts receivable follow-up runs at 30, 60, and 90-day intervals. CPT and ICD-10-CM accuracy verified at every claim submission.

Monthly Reporting and Optimization

Every client receives a monthly KPI dashboard covering claim acceptance rate, denial rate by payer, collection rate, AR aging, and revenue by procedure code. We flag fee schedule optimization opportunities proactively. Your data is accessible on demand, not just at month-end.

Get Your Free 90-Day Claims Audit. No Setup Fees. No Long-Term Contracts.

Every Service. One Flat Rate. Zero Surprises.

Complete Private Practice Billing Services Included at One Flat Rate

One O Seven RCM delivers ten core revenue cycle services as part of every standard private practice billing engagement at 3.99% of net collections. Nothing is tiered. Nothing is withheld at the base rate. Every service is handled by AAPC-certified coders with hands-on experience across 75+ medical specialties.

Real-Time Insurance Eligibility Verification

We verify every patient's active coverage, in-network status, deductible balance, and co-insurance responsibility before the date of service through direct payer portals and EDI connections. Practices receive a pre-visit eligibility report so the front desk knows exactly what to collect.

Pre-Submission Claim Scrubbing

Every claim passes through a multi-point scrubbing process that checks CPT codes, ICD-10-CM codes, modifier accuracy, place of service codes, NPI numbers, and fee schedule alignment against CMS-1500 form requirements. That's what produces the 99% first-pass acceptance rate.

Electronic Claims Submission

We submit all claims electronically within 24 hours of charge entry to Medicare, Medicaid, and major commercial insurers. Every claim is tracked from submission through adjudication. Nothing sits in a queue unmonitored. If a claim doesn't move, we move it.

Denial Management and Root Cause Appeals

We separate rejections from denials. Both get a root cause analysis within 48 hours. The corrected claim or formal appeal goes back with payer-specific documentation, not a generic resubmission. We track denial patterns by payer and code to prevent recurrence.

Prior Authorization Management

We handle prior authorization and retro authorization for all applicable procedures, including submitting auth requests, following up with payers on pending decisions, and tracking expiration dates so authorizations don't lapse mid-treatment. Medical necessity documentation is coordinated with the clinical team.

Medical Coding by AAPC-Certified Specialists

All coding is performed by AAPC-certified specialists working across CPT, ICD-10-CM, and HCPCS Level II code sets. Coders are assigned by specialty. E/M code selection runs from 99202 through 99215 based on documented complexity. Undercoded visits are corrected before submission.

Payment Posting and Reconciliation

We post Electronic Remittance Advice (ERA) and paper EOBs within 24 hours of receipt. Every payment is matched to its original claim. Every contractual adjustment is verified against payer contracts. When a payer pays less than the contracted rate, we flag and appeal.

Accounts Receivable Follow-Up and Recovery

We follow up on all outstanding claims at 30, 60, and 90-day intervals. No claim is written off without a documented follow-up attempt and explicit client notification. AR aging reports are included in every monthly dashboard. Target for clean claims: AR days under 30.

Patient Billing and Soft Collections

We generate and send patient statements in plain, readable formats. Follow-up on outstanding balances uses soft collections: professional, non-aggressive contact that gives patients a clear path to pay. Online payment options are included. Patient-friendly process. Recovery without relationship damage.

Monthly KPI Reporting and Financial Analytics

Every client receives a monthly KPI dashboard customized to their specialty, tracking claim acceptance rate, denial rate by payer, collection rate, AR days by aging bucket, revenue by procedure code, and payer mix analysis. Fee schedule optimization opportunities flagged proactively.

All 10 Services. One Flat 3.99% Rate. Zero Surprises

Get every revenue cycle service handled by AAPC-certified coders. Free 90-day claims audit. No setup fees.

Software-Agnostic, Technology-Forward

EHR and Practice Management Software We Work With

One O Seven RCM integrates directly with the EHR or practice management software your private 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 encrypted, HIPAA-compliant protocols from day one.

Don’t see your EHR listed? We likely support it. We work with major EHRs, specialty-specific platforms, and your existing clearinghouse, patient portals, payer connections, and reporting tools. Zero migration cost.

Check Your EHR Compatibility. Zero Migration Required.

Get every revenue cycle service handled by AAPC-certified coders. Free 90-day claims audit. No setup fees.

Your Specialty. Our Expertise

Private Practice Billing Services Across 75+ Medical Specialties

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 splitting time across unrelated disciplines. Specialty-trained private practice billing produces higher first-pass acceptance rates because the coder already knows the codes, the modifiers, and the payer rules that specialty deals with every day.

Mental Health and Behavioral Health Private Practice Billing

Mental health private practice billing covers individual therapy (90837 for 60-minute sessions, 90834 for 45-minute sessions), family therapy with patient present (90847), and psychiatric diagnostic evaluations (90791). Telehealth sessions require Modifier 95 for real-time audio-video delivery. PHQ-9 documentation for depression screening, EAP billing coordination, and Medicare and Medicaid behavioral health claims are all managed within the standard 3.99% engagement.

Physical Therapy Private Practice Billing

Physical therapy private practice billing requires functional limitation reporting, KX modifier usage for Medicare therapy cap exceptions, and correct application of the 8-minute rule for timed versus untimed CPT codes. We code therapeutic exercise (97110), manual therapy (97140), and neuromuscular re-education (97112) with specificity that matches documented treatment time and clinical rationale. PT billing services delivered at 3.99% of net collections.

Family Practice and Primary Care Private Practice Billing

Family practice private practice billing covers E/M code selection from 99202 through 99215 under the 2021 documentation guidelines, annual wellness visits (G0438, G0439 for Medicare), chronic care management (99490, 99491), preventive medicine codes, and same-day sick visit encounters with correct modifier usage to avoid bundling denials. Primary care billing services for solo practitioners and independent physicians at a flat 3.99% rate.

Pain Management Private Practice Billing

Pain management private practice billing covers interventional pain codes for nerve blocks, epidural injections (62322 through 62327), and facet joint injections (64490 through 64495) with precise modifier usage and fluoroscopy guidance billing (77003). Prior authorization is managed for all interventional procedures. Drug testing codes, UDS billing rules, and implantable device billing for spinal cord stimulators handled by specialty-trained coders.

Internal Medicine Private Practice Billing

Internal medicine private practice billing covers complex E/M visits (99215 for established patients, 99205 for new patients), transitional care management (99495, 99496), hospital observation and discharge day billing, and chronic disease management codes. Each carries specific documentation thresholds. Medicare Annual Wellness Visit billing, preventive screenings, and HCC coding are all included in the standard 3.99% private practice billing engagement.

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

We Handle Private Practice Billing Services for 75+ Medical Specialties

Don’t see your specialty above? We’ve handled billing for nearly every healthcare specialty. Tell us about your practice for a custom-matched specialty billing team.

The One O Seven Advantage

Why Solo Practitioners and Independent Physicians Choose One O Seven RCM for Private Practice Billing

Practices choose One O Seven RCM because our incentives align directly with yours. We only earn when you earn. Every decision we make is designed to maximize your collections, protect your revenue, and eliminate the overhead of managing billing in-house.

Flat 3.99% Rate. No Hidden Fees

Flat-rate pricing at 3.99% of net collections. You pay only when we collect. No setup fees. No monthly minimums. No hidden charges. Half the cost of premium billing companies that charge 7% to 9% for generic service.

AAPC-Certified Coders Scrub Every Claim

99% first-pass claim acceptance rate. Our AAPC-certified coders scrub every claim against payer-specific rules before submission. That keeps your denial rate under 5%, compared to the industry average of 15% to 25% across most generic billing operations.

Specialty Billing Across 75+ Fields

Specialty-trained billing expertise across 75+ medical fields. Your mental health, physical therapy, or internal medicine claims go to coders who know your exact CPT codes, modifiers, and payer rules. Not generalists learning your specialty on the job.

One Engagement. One Supervisor.

Complete RCM for private practices from submission to recovery. We handle eligibility verification, prior authorization, claim scrubbing, denial management, payment posting, AR follow-up, and patient soft collections under one contract. One supervisor. One number to call.

Zero Migration. Direct EHR Integration.

24-hour claim submission with zero migration required. We integrate directly with your existing EHR, practice management system, or billing platform. Claims go out within 24 hours of charge entry. No new software. No downtime. No migration cost.

Monthly KPI Dashboards and Fee Optimization

Proactive monthly reporting and fee schedule optimization. You receive a custom KPI dashboard every month covering claim acceptance rate, denial rate by payer, AR aging, and revenue by procedure code. We actively flag underpayments and recover them.

Six Reasons Solo Practitioners Choose One O Seven RCM at 3.99% of Net Collections

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

HIPAA-Compliant Billing Infrastructure at One O Seven RCM

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

Scale Your Private Practice With Credentialing and Healthcare Marketing Services

One O Seven RCM provides two additional services designed to help private practices grow beyond billing optimization. Private practice management works best when billing, credentialing, and patient acquisition operate together.

Provider Credentialing Services: $99 Per Provider

Credentialing gets providers approved to bill insurance as in-network providers, making it a direct revenue issue rather than just an administrative task.
One O Seven RCM delivers private practice billing and credentialing services at a flat fee of $99 per provider.
Every engagement includes payer panel applications, insurance follow-up, enrollment status tracking, and CAQH profile management.
Typical timeline runs 60 to 120 days depending on the payer. [Learn more about our credentialing services]

Healthcare Marketing for Private Practices

Billing efficiency only matters if patients walk through the door, making organic growth essential for sustained revenue.
One O Seven RCM offers SEO for medical practices, healthcare website development, medical content writing, and social media management for healthcare providers.
These services generate organic patient acquisition built specifically for private practices.
The result multiplies the revenue impact of expert medical billing and practice management services. [Explore our healthcare marketing services]

One Stop Shop for Private Practice Owners

From billing to credentialing to patient acquisition, One O Seven RCM drives every stage of your growth.

Everything You Need to Know

Frequently Asked Questions

Still have questions specific to your practice?

One O Seven RCM’s billing specialists are available to answer them, and the free audit gives you the data to make the decision with confidence, not guesswork. Talk to a Billing Specialist. Free, No Commitment.

What are private practice billing services?

Private practice billing services are professional revenue cycle management services provided to solo practitioners and independent medical practices. These services include insurance verification, medical coding, claim submission, denial management, payment posting, accounts receivable follow-up, and patient collections. One O Seven RCM delivers all of these services at 3.99% of net collections with no setup fees.

How much do private practice billing services cost?

One O Seven RCM charges 3.99% of net collections for full-service private practice billing. The practice pays only when revenue is collected. There are no setup fees, no monthly minimums, and no charges for claims that are not paid. Provider credentialing is available separately at $99 per provider.

What is included in full-service RCM for private practices?

Full-service revenue cycle management for private practices includes insurance eligibility verification, claim scrubbing, electronic claim submission, denial management and appeals, prior authorization management, medical coding by AAPC-certified specialists, payment posting, accounts receivable follow-up, patient billing and soft collections, and monthly KPI reporting. One O Seven RCM includes all 10 services in its standard 3.99% engagement.

How long does it take to receive payment after claim submission?

Electronic claims submitted to commercial insurers are typically paid within 7 to 14 days. Medicare claims are generally processed within 14 days. Paper claims take 30 to 45 days, but One O Seven RCM submits all claims electronically by default. Claims are submitted within 24 hours of charge entry.

What is the difference between medical billing and revenue cycle management?

Medical billing refers specifically to claim submission and payment collection. Revenue cycle management encompasses the complete financial process from patient registration and insurance verification through claim submission, denial management, payment posting, and final AR recovery. One O Seven RCM provides full revenue cycle management, not only claim submission.

How does One O Seven RCM handle denied claims?

One O Seven RCM performs a root cause analysis on every denied claim within 48 hours of the denial notice. The denial is categorized by type: coding error, eligibility issue, authorization failure, or clinical documentation deficiency. It is then corrected and resubmitted with payer-specific appeal documentation. Denial trends are tracked by payer and code to prevent recurring denials proactively.

Does One O Seven RCM handle credentialing?

Yes. One O Seven RCM provides provider credentialing services at a flat fee of $99 per provider. This includes payer panel applications, CAQH profile management, follow-up with insurance companies, and enrollment status tracking. Credentialing typically takes 60 to 120 days depending on the payer.

What EHR systems does One O Seven RCM integrate with?

One O Seven RCM integrates with most major EHR and practice management systems, including SimplePractice, TherapyNotes, athenahealth, Kareo, DrChrono, AdvancedMD, Epic, eClinicalWorks, NextGen, PracticeFusion, and others. Integration is completed during onboarding with zero disruption to the practice’s daily operations.

How does telehealth billing work for private practices?

Telehealth services are billed using the same CPT codes as in-person visits with the addition of place of service code 02 for telehealth and Modifier 95 for real-time audio-video services. Audio-only telehealth requires a separate modifier designation. One O Seven RCM handles telehealth billing across all payer types, including Medicare, Medicaid, and commercial insurers.

Is outsourcing billing HIPAA compliant?

Yes, when managed correctly. One O Seven RCM operates under a fully HIPAA-compliant infrastructure and executes a Business Associate Agreement (BAA) with every client practice before billing operations begin. All patient health information (PHI) is transmitted using encrypted protocols with role-based access controls.

How do I switch to One O Seven RCM from my current billing company?

Switching to One O Seven RCM begins with a free 90-day claims audit. After signing a service agreement, One O Seven RCM’s onboarding team integrates with the practice’s EHR, migrates existing data, and begins billing operations within five business days. No overlap fees or transition charges apply.

Which medical specialties does One O Seven RCM serve?

One O Seven RCM provides private practice billing services across 30 plus specialties, including mental health, physical therapy, occupational therapy, family practice, internal medicine, psychiatry, orthopedic surgery, pain management, cardiology, podiatry, OB/GYN, pediatrics, neurology, and others. Specialty-specific coders are assigned to each practice.

Get Your Free Private Practice Billing Audit and Know Exactly Where Your Revenue Stands

Your free audit includes a full 90-day claims review, a written revenue recovery report, identification of your top denial causes, and a side-by-side comparison of your current collection rate versus what One O Seven RCM can achieve. The entire audit is delivered within five business days. There is zero obligation and zero contract required at this stage. You’ll know exactly what outsourced billing for private practices can recover for your medical billing for private practice before you make any decision. Billing services for physicians should prove their value before asking for your trust.

If One O Seven RCM cannot identify measurable revenue improvement in the free audit, we will say so directly.