Medical Billing and Coding Services That Maximize Accuracy and Revenue

Medical billing and coding involve translating patient diagnoses and procedures into standardized codes (ICD-10, CPT, HCPCS). These codes are used to submit claims to insurance providers for reimbursement. It ensures accurate payment, compliance with healthcare regulations, and smooth revenue cycle management.

Outsourcing to Pro Medical Billing Solutions allows you to streamline your revenue cycle, reduce claim errors, and accelerate cash flow. We handle the full process — from patient data verification and code assignment to claim submission, denial management, and follow-ups — while ensuring full HIPAA compliance.

We follow a strict multi-step process:

• Pre-billing audits to ensure clean documentation
• Use of certified coders who follow CMS and payer-specific coding rules
• Built-in claim scrubbing to detect errors before submission
• Continuous monitoring and immediate correction of rejected claims
  This reduces denials at the source and improves your payment success rate.

Yes. We follow stringent HIPAA guidelines for every step — including encrypted data transfers, secure logins, audit trails, and access controls. All staff undergo regular HIPAA training, and we use compliant billing platforms to maintain legal and regulatory standards.

Our team submits claims within 24–48 hours of receiving complete documentation. We prioritize speed without sacrificing accuracy. All claims go through a quality check before submission to reduce the risk of delays and denials.

Yes. We support most major EHRs and PM systems including Kareo, AdvancedMD, Athenahealth, DrChrono, and more. We adapt to your existing workflows, which reduces disruption and simplifies onboarding.

We handle billing and coding for over 25 specialties — including family medicine, cardiology, OB/GYN, behavioral health, orthopedics, chiropractic, dermatology, and internal medicine. Each specialty is assigned coders familiar with relevant CPT/ICD-10 codes and payer policies.

We follow industry-standard coding protocols:

• ICD-10 for diagnoses
• CPT for procedures
• HCPCS for supplies and services
• Adherence to NCCI edits, LCD/NCD guidelines, and payer-specific modifiers
  This ensures every claim is accurate, compliant, and optimized for approval.

We offer more than just claim processing:

• Personalized account managers
• Certified coders and billing specialists
• Real-time claim tracking
• Denial trend analysis and performance optimization
• Transparent reporting and dashboards
  We operate as a true extension of your practice — not just a vendor.

Yes. Our denial management protocol includes:

• Identifying root causes (coding errors, eligibility issues, missing documents)
• Correcting and resubmitting claims promptly
• Appealing when necessary with supporting documentation
  We also track denial trends to prevent recurring issues and protect your revenue long-term.

Getting started is simple:

1. Book a free consultation
2. We assess your current billing workflow and identify improvement areas
3. You choose a service plan that fits your needs
4. We onboard your data securely and begin processing within days

Our transition process is smooth, guided, and designed to minimize downtime.

Yes. We provide custom reporting with KPIs like:

• Clean claim rate
• Days in A/R
• Denial rate by payer
• Reimbursement turnaround time
  Reports are delivered weekly/monthly with actionable insights to help you make informed business decisions.

Absolutely. We offer flexible plans for solo providers and small practices, giving them access to enterprise-grade billing support without the high overhead. Our scalable model grows with your practice and adapts to changing needs.

Most clients see a 15–30% increase in revenue within 90 days. This comes from faster payments, fewer denials, and accurate coding that captures every payable service. We also help reduce overhead by minimizing in-house administrative tasks.