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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
Talk to Billing Specialist

Physician Billing Services Designed for Steady Revenue and Less Administrative Burden

Physician billing is a unique balancing act. On one hand, claims must be coded correctly, submitted promptly, and tracked to payment. On the other hand, providers and staff are focused on delivering quality care and keeping patients satisfied. 

When billing doesn’t keep up, claims get delayed, reimbursements slow down, and stress rises – even for experienced teams.
At MDBC Pro, our physician billing services are designed around the real‑world needs of physician practices. We don’t treat billing as a generic task to check off. 

Instead, we build a structured, repeatable billing workflow that aligns with how your practice operates, helping you collect what you earn without constant firefighting

Physician Billing Differs From Other Billing Needs

Billing for physicians isn’t the same as billing for clinics, hospitals, or specific departments. A physician’s revenue cycle reflects the pace of patient visits, multiple CPT/HCPCS combinations, various payers, and evolving documentation requirements – all wrapped together.

Our approach accounts for:

  • Specialty‑specific coding and documentation nuances
  • Time‑based and service‑based visits
  • Payer policies that differ drastically from one insurer to another
  • Coordination of benefits for multi‑insurance patients 

By keeping up with physician‑centric payer rules, we reduce rework later and improve first‑pass payment rates.

Complete Physician Billing and Revenue Cycle Services

Effective physician billing requires a series of precise steps. Each step, if overlooked, can delay cash flow or trigger denial chains. Our services include:

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

  • 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.

 

Talk to Billing Specialist

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 Reliable Physician Billing Is Critical to Practice Success

Physician practices face two pressure points: time and accuracy. 

Most internal teams are stretched between patient scheduling, clinical documentation, coding updates, and payer follow‑ups. That tension often leads to:

  • A/R days creeping up
  • Inconsistent cash flow
  • Denials left unappealed
  • Staff burnout

Our physician billing services help practices escape that loop by providing continuous follow‑through on claims, clear reporting back to your office, and proactive identification of recurring problems. Instead of reacting to issues, we help prevent them.

Common Challenges in Physician Billing — And How We Handle Them

How Physician billing issues often pile up – not due to mistakes, but because the system is complex.

Here are a few common challenges and how we address them:

Coding Updates & Regulatory Changes
 Payors update rules frequently. We monitor code sets like CPT, HCPCS, ICD‑10, and apply changes in real time.

Specialty‑Specific Nuances
 Different specialties have different documentation requirements and payer interpretations. We adapt to these without forcing a generic solution.

Denied Claims Backlogs
 Rather than letting denials sit, we categorize, prioritize, and work them based on financial impact.

Patient Responsibility Confusion
 Patients often receive confusing bills. We help clarify balances and offer support when questions arise.

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.

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.

Why Choose Our Physician Medical 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

Talk to Billing Specialist

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

Physician Billing Support Tailored to Your Practice Size

Whether your practice has one provider or dozens, billing needs scale — Our Billing services are ideal for:

Solo Practitioners
 Get relief from administrative burnout and predictable billing outcomes.

Multi‑Provider Practices
 Centralized billing workflows and tracking offer consistency across clinicians.

Specialty Practices
 Focused coding expertise that mirrors your specialty’s complexity and payer interactions.

Whether you bill Medicare, Medicaid, or commercial insurance, our team ensures accuracy and consistency across all payers. No matter your structure, our goal remains the same – predictable revenue and fewer surprises.

Performance Transparency and Physician Reporting

Billing that isn’t visible is frustrating. That’s why practices working with MDBC Pro get:

Clear weekly and monthly performance reporting
 Including payments, A/R aging, denial analysis, and outstanding follow‑ups

Insight into payer trends
 So you know which payers require special attention

 Regular communication with your staff
 To align on documentation, claim status, and exceptions

This transparency gives physicians and administrators the information they need to make decisions rather than guess at performance.

How to Get Started with Our Physician Billing Services

Getting started isn’t complicated, and it doesn’t have to interrupt patient care. The first steps include:
Initial Practice Review:

We assess your current workflows, metrics, and pain points.

Customized Billing Plan: We build a plan that suits your practice’s size, specialty, and payer mix.

Seamless Transition: Our team integrates with your existing systems and staff with minimal disruption.

Ongoing Optimization: We monitor results, adjust processes, and provide regular updates.

You retain control while we handle the details that slow your day down.