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Physician Billing Services In USA

MDBC Pro provides complete physician billing services in usa. It manages everything from checking insurance and coding to submitting claims. It also handles follow-ups on accounts, resolving denials, posting payments, and generating reports.

We tailor our services for each payer through secure cloud systems that meet HIPAA standards. Our clean reports help practices lower denials and cut down on paperwork. This means they can get paid faster while following Medicare, Medicaid, and private insurance rules.

We support independent, group, and multi-location practices nationwide, provide credentialing support, and offer a free billing assessment.

Increase revenue

10-25%

Days In AR

< 25

First Pass Claim Ratio

98%

Collection Ratio

97%

What Are Physician Billing Services?

MDBC Pro manages the full lifecycle of medical claims from patient insurance verification to final payment posting. This includes medical coding, claim submission, payer follow-ups, denial resolution, and revenue reporting.

Our physician billing services ensure:

  • Clean claims submitted the first time
  • Reduced reimbursement delays
  • Compliance with payer, Medicare, and Medicaid guidelines
  • Increased collections and lower administrative burden
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Complete and Revenue Cycle Services

We deliver full-spectrum physician revenue cycle management services tailored to your specialty, payer mix, and practice size.

Front-End Billing Services

  • Patient Eligibility & Benefits Verification

We look at patient insurance plans and benefits before the visit. This helps avoid issues with insurance later. It also ensures that billing for doctors is correct and helps get claims approved faster from the beginning.

  • Accurate Charge Entry

All services are entered precisely based on provider documentation and payer rules. Accurate charge entry reduces billing errors, underpayments, and claim rejections.

  • Provider Credentialing and Enrollment Support

We manage physician credentialing and payer enrollment to ensure in-network status and correct reimbursement. This helps avoid out-of-network denials and delayed payments.

Medical Coding and Claim Submission

Medical Coding and Claim Submission

  • ICD-10, CPT, and HCPCS-Compliant Coding

Our certified coders apply accurate ICD-10, CPT, and HCPCS codes following CMS and payer guidelines. Proper coding improves claim acceptance and maximizes reimbursement.

  • Specialty-Specific Coding Accuracy

Each claim is coded according to specialty-specific rules and documentation standards. This reduces audit risks and supports compliant.

  • Electronic Claim Submission to All Major Payers

Claims are submitted to Medicare, Medicaid, and commercial insurers. Electronic billing improves processing speed and reduces submission errors.

Accounts Receivable & Denial Management

  • A/R Follow-Up on Unpaid and Underpaid Claims

Our billing team works to follow up on unpaid claims to get delayed payments. Managing accounts receivable well helps with cash flow and keeps claims from getting old.

  • Root-Cause Denial Analysis

We identify denial patterns and correct underlying billing issues. This proactive approach helps prevent recurring denials and revenue loss.

  • Timely Appeals and Corrections

Denied claims are corrected and appealed within payer deadlines. Fast and accurate appeals increase claim recovery and reimbursement rates.

Payment Posting & Reporting

  • ERA and Manual Payment Posting

Payments are posted accurately using ERAs and EOBs to reflect correct reimbursements. This ensures clean patient accounts and proper financial tracking.

  • Patient Balance Review

We reconcile patient balances after insurance processing to avoid overbilling or missed collections. Accurate Review improves patient satisfaction and compliance.

  • Detailed Financial and Performance Reports

Clear, data-driven reports provide insight into collections, denials, and revenue trends. Physicians gain full visibility into billing performance and financial health.

 

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Physician Billing Services by Specialty

Each medical specialty has its own billing rules and needs. Our physician medical billing services for doctors are tailored to each specialty. This helps with correct coding, proper documentation, and getting the most money back.

Our team supports 45+ specialties, including but not limited to:

  • Primary Care & Internal Medicine

  • Family Practice

  • Orthopedics

  • General Surgery

  • Neurology

  • Psychiatry & Behavioral Health

  • Urgent Care

  • Telehealth and more

Each specialty is billed using payer-specific rules and documentation standards to maximize allowable reimbursements.

allowable reimbursements.

physician billing​services supporting accurate coding, clean claims, and faster reimbursements for medical practices

Why Practices Outsource Physician Billing Services

Outsourcing billing to physician billing companies allows providers to focus on patient care while experienced billing professionals manage revenue operations.

Key Benefits:

  • Faster reimbursements

    Accurate physician billing and clean claim submission speed up insurance payments and reduce payment delays.

  • Lower claim denial rates

    Proper coding, eligibility checks, and compliance reduce denials and rework.

  • Reduced staffing and overhead costs

    Outsourced billing eliminates the need for in-house billing staff and training expenses.

  • Improved cash flow visibility

    Real-time billing reports provide clear insight into collections, aging, and revenue trends.

  • Flexible billing support as your practice grows

    Flexible billing solutions grow with your practice, supporting higher volumes and new services.

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Technology-Driven Workflow

Our use secure, cloud-based systems compatible with major EHR and practice management platforms.

Our billing workflow includes:

  1. Patient Insurance verification
  2. Accurate medical coding
  3. Electronic claim submission
  4. Proactive payer follow-up
  5. Denial resolution & appeals
  6. Payment posting & reporting

All processes are HIPAA-compliant and aligned with current CMS and commercial payer guidelines.

 

Compliance, Accuracy & Quality Assurance

We follow strict quality control and compliance protocols to protect your practice from audits, penalties, and revenue leakage.

  • HIPAA-compliant workflows

  • CMS Fee Schedule and payer guideline adherence

  • Regular internal billing audits

  • Continuous staff training and updates

Who We Serve

Our physician billing services are ideal for:

  • Independent physicians

  • Hospitals

  • Group practices

  • Multi-location clinics

  • Specialty-focused practices

  • New and established medical offices

Whether you bill Medicare, Medicaid, or commercial insurance, our team ensures accuracy and consistency across all payers.

 

Why Choose Our Physician Billing Services?

  • Experienced physician billing specialists

  • Specialty-focused billing expertise

  • Transparent reporting and communication

  • Flexible solutions for growing practices

  • Proven results in reducing denials and improving collections

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Get Started with Professional Physician Billing Services

When it comes to running a successful medical practice, efficient billing is crucial. Physician billing services streamline this process, helping practices manage their revenue cycle effectively.

Working with experienced physician billing companies can drastically reduce claim denials and enhance cash flow. This leads to improved financial health and daily work flow efficiency for your practice.

Contact us today to explore how our comprehensive physician revenue cycle management solutions can transform your billing operations.

Discover the benefits of a tailored approach to medical billing services and how it supports your growth.