CMS-1500 · Professional Claims
Physician Billing Services
End-to-end physician billing that covers E/M coding, prior authorization, denial management, and telehealth claims—designed for independent practices and physician groups across all 50 states.
Overview
Our physician billing services handle every step of the professional claim lifecycle—from charge capture through payment posting and AR follow-up. We assign specialty-trained billers and AAPC-certified coders to your account, ensuring that every claim is scrubbed against payer-specific rules before submission.
Key Features
E/M Level Optimization
Specialty-assigned coders review documentation to support appropriate E/M levels, reducing both under-coding revenue loss and audit risk from up-coding.
Prior Authorization Management
We handle prior auth workflows for procedures, medications, and referrals—tracking requirements, submitting requests, and following up with payers.
Telehealth Billing
Proper place-of-service codes, modifier usage, and payer-specific telehealth rules applied to every virtual visit claim.
Denial Management & Appeals
Root-cause categorization of every denial, with appeals drafted and submitted within payer timeframes.
Claims Scrubbing
Payer-specific rule engines scrub every claim before submission, catching errors that clearinghouse edits miss.
Payment Posting & Reconciliation
ERA/EOB auto-posting with manual review of variances, underpayments, and contractual adjustments.
Benefits
97%
Clean Claim Rate
14 Days
Onboarding Time
< 48hr
Denial Resolution
30%+
Collections Improvement
Frequently Asked Questions
Onboarding takes 14 business days. Week one maps payer contracts, denial history, and current AR. Week two configures integrations and starts processing new claims with zero gap in submission.
We replace the function, not the relationship. Most clients move existing billing staff into patient services or coordination roles. Transition planning is included at no additional cost.
eClinicalWorks, RXNT, Office Ally, Epic, Athenahealth, NextGen, Kareo, AdvancedMD, DrChrono, and 30+ others. Custom integrations are scoped during the revenue audit at no extra charge.
Let's Improve Your Revenue Cycle
Spend More Time Caring for Patients. Less Time Chasing Claims.
Your revenue cycle should support your practice — not slow it down. MedKaira RCM provides reliable medical billing and revenue cycle management services designed to help healthcare providers improve efficiency, reduce billing challenges, and strengthen financial performance.