Medical Billing Services
Full-cycle billing for independent practices — charge entry through payment posting and denial management.
What it covers
- Charge entry and encounter reconciliation
- CPT, ICD-10 and modifier assignment with audit
- Electronic claim submission and clearinghouse rejection handling
- Payment and adjustment posting with a full audit trail
- Patient statements and balance follow-up
- Denial management and appeals
Where practices lose money here
Charges that never make it to a claim
Encounters closed in the EMR but never billed are invisible revenue. Nobody notices, because nothing was denied — the claim simply never existed.
Clearinghouse rejections treated as 'submitted'
A rejected claim is not a denied claim. It sits outside the payer's system entirely, and the timely-filing clock keeps running.
Posting without reconciliation
If the ERA is posted but never reconciled to the expected allowable, underpayments become permanent.
How Medway handles it
- We reconcile the encounter list against submitted charges every cycle, so nothing closes unbilled.
- Rejections are worked the same cycle they arrive, not at month-end.
- Every posting is checked against the contracted allowable, and variances are flagged for appeal.
- Denials are categorised by root cause, so the same denial does not recur next month.
What you get
- One accountable team for the whole cycle instead of four disconnected vendors
- Same-cycle rejection correction
- Underpayment detection at posting, not at audit
- Transparent reporting: billed, collected, denied, and still open
Get a free audit of your medical billing claims. Send us a recent aging report and we will show you, in writing, where the recoverable revenue is — no cost, no commitment.
Frequently Asked Questions
You send us a recent accounts receivable aging report and, where possible, a denial export. We review them and give you a written breakdown: where recoverable revenue is sitting, which denial reasons are costing you most, what your timely-filing exposure looks like, and the fixes we would make in priority order. It is yours to keep whether or not you work with us. Please do not include patient health information — we only need claim-level financial data.
Most of the timeline is payer enrollment and EDI setup, and neither is fully in our control — that is the honest answer. Practices already enrolled with their payers typically start seeing claims go out within two to three weeks. Where new enrollments or revalidations are needed, budget longer, because the payer sets that pace. We tell you which of the two you are in after looking at your current setup.
Solo practitioners are often the strongest case for it, not the weakest. A one-person billing office has no redundancy — a vacation or a resignation stops your revenue cycle, and the cost is not the temp, it is the AR that ages and the claims that pass their filing deadline while nobody is working them.
Access to your existing EMR/PMS, your payer list and contracts, your fee schedule, and a recent AR aging report. If you are moving from another biller, we also need clarity on who works the open AR at transition — that is the single most commonly mishandled part of a billing switch.
