Medical Billing Services That Reduce Denials and Increase Collections
Healthcare providers across the US lose an estimated $125 billion annually to billing errors, avoidable denials, and uncollected A/R. Medicotech LLC handles the full billing cycle from eligibility verification through final payment so your practice collects more of what it earns, faster.
What is medical billing ?
Medical billing is the process of submitting healthcare claims to insurance companies, posting payments, following up on unpaid claims, and collecting patient balances so providers get paid accurately and on time. It covers insurance verification, charge entry, medical coding, claim submission, payment posting, denial resolution, and accounts receivable follow-up from the first patient appointment through the final payment deposited into your account.
At Medicotech, we manage this entire cycle for practices across all 50 states and 50+ specialties. Our CPC and CPB certified billers apply current ICD-10, CPT, and HCPCS codes, follow payer-specific rules for BCBS, Aetna, UHC, Cigna, Humana, Medicare, and Medicaid, and track every claim from submission to payment. The goal is simple: your practice earns what it should, with nothing left on the table.
Why do healthcare providers choose Medicotech for medical billing?
Three reasons practice managers cite most often after their first 90 days with us.
Recover 15 to 25% more revenue
Our billers identify underpayments and appeal opportunities that in-house teams miss. Practices switching from in-house billing see an average 15 to 25% revenue recovery in the first 90 days.
96% clean claim rate industry average is 75 to 85%
Pre-submission scrubbing against payer-specific rules catches errors before the claim goes out. Fewer denials. Faster payment. Less rework. According to MGMA benchmarks, the average medical practice runs a first-pass claim acceptance rate well below 90%. We target 96% or higher from day one.
Cut operational costs by up to 30%
No salaries, no benefits, no billing software subscriptions, no turnover cost. You pay a percentage of what we collect. When you don't collect, we don't charge. Most practices find outsourcing costs less than one in-house biller when salary, benefits, training, and turnover are factored in.
Dedicated account manager responds within 24 hours
One experienced billing specialist owns your account. They know your specialty codes, your payer mix, your patterns. Not a call center. Not a ticket queue. Your biller picks up the phone and knows who you are.
Claims submitted within 24 hours of charge entry
We submit the same business day for charges entered before 3 PM. Speed of submission directly affects days in A/R. Every day a clean claim sits unsubmitted is a day your payment is delayed.
Full HIPAA compliance and data security
HIPAA-aligned processes, encrypted file transfer, controlled access, and audit-ready documentation across all billing workflows. We execute a Business Associate Agreement (BAA) with every client before accessing a single patient record.
First, we catch billing problems before they become denials. Our pre-submission scrubbing checks every claim against payer-specific rules before it leaves the office. That’s how we maintain a 96% clean claim rate across 100,000+ claims processed.
Second, we don’t disappear after onboarding. You get a dedicated billing specialist not a rotating support queue who knows your specialty, your payer mix, and your practice’s patterns. They respond within 24 hours. Most respond same day.
Third, we work inside your existing EHR. No forced migrations, no disruption to your workflow. If your practice runs on Epic, Kareo, athenahealth, eClinicalWorks, AdvancedMD, or a dozen other platforms, we adapt to you.
Speak with a billing specialist about your practice's workflow
What does Medicotech's medical billing service include?
When you work with Medicotech, you get a full revenue cycle operation built around your practice's performance not a “basic claim” submission service.
Speak with a Billing Specialist About Your Specific Workflow
Medical Coding — CPC and CPB Certified
Our coders hold CPC and CPB certifications issued by AAPC. They apply ICD-10-CM, CPT, and HCPCS codes across 50+ specialties, run E&M coding optimization to prevent undercoding, and follow payer-specific bundling rules that reduce audit exposure. One wrong modifier costs you the claim. We get it right the first time.
→ See our medical billing and coding servicesClaims Processing and Submission
Electronic and paper claim submission through major clearinghouses. Real-time eligibility verification before every encounter. EDI workflows configured to each payer's specific requirements. Timely filing tracked per payer deadline Medicare at 12 months, most commercial payers at 90 to 180 days. We don't let clean claims age into write-offs.
Denial Management and Appeals
Pre-submission denial prevention through claim scrubbing. When denials occur, we route them to a structured worklist the same day. Root cause analysis on every denial type. Corrected claim resubmission and payer-specific appeals. Practices that arrive with 15 to 25% denial rates reach under 8% within 90 days.
→ See our dedicated denial management servicesAccounts Receivable Management
Persistent follow-up on unpaid claims organized by payer and aging bucket. We prioritize high-value claims over 60 days, work every tier, and call payers directly when portal follow-up stalls. Patient billing and statements sent in clear, readable language. Our A/R follow-up has helped practices reduce days in A/R from 65+ to under 35 in 90 days.
→ Learn more about our revenue cycle management servicesInsurance Credentialing and Enrollment
Credentialing delays block revenue before a single claim is submitted. We handle CAQH profile setup and maintenance, payer enrollment applications, contract review, and credentialing for new providers and new locations. Most practices are enrolled with primary payers within 60 to 90 days.
→ See our insurance credentialing servicesEligibility Verification and Prior Authorization
Real-time insurance verification before every patient encounter. We check active coverage, copay, deductible, and authorization requirements so your front desk isn't caught off guard. Pre-authorization submission and follow-up for procedures requiring advance approval. Retro authorization support when urgent cases move faster than the payer's process.
→ See our health insurance verification servicesPatient Statements and Help Desk
Clear, readable patient statements that reduce confusion and speed up collections. We handle patient billing inquiries by phone and email so your front desk staff stays focused on scheduling and care.
→ Patient statements servicesPerformance Reporting
Weekly KPI snapshots showing clean claim rate, denial rate, days in A/R, and collection rate. Monthly detailed reports with payer mix analysis, denial trend breakdowns, and comparison against your baseline from the first audit. You see exactly how your revenue cycle is performing and exactly where we're improving it.
How Medicotech charges no surprises, no hidden fees
We charge a percentage of collections. You pay only when you get paid. Our success is directly tied to yours.
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Performance-Based Pricing
Typical rate: 4 to 8% of net collections, depending on specialty and monthly claim volume. Specialties with higher coding complexity (cardiology, anesthesiology, oncology) are toward the higher end. High-volume primary care practices with straightforward payer mixes are typically lower.
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No Setup Fees
We don't charge you to onboard. Our goal is to start recovering your revenue immediately without upfront financial barriers.
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No Long-Term Contracts
Month-to-month engagement. Most practices stay because results compound not because they're locked in.
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No Hidden Charges
Clearinghouse fees, eligibility checks, and claim submission are included in our standard percentage rate.
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Free Comprehensive Billing Audit
Included before any engagement. We review your last 90 days of claims, identify denial patterns, map your A/R aging, and show you exactly where revenue is leaking before you pay us a dollar.
→ See our options for medical billing services for small practices
About Medicotech LLC
Medicotech LLC is a medical billing and revenue cycle management company headquartered in St. Petersburg, Florida. We are not a software platform. Every client has a named billing specialist. Every claim is reviewed by a credentialed coder before submission.
| Fact | Detail |
|---|---|
| Founded | 2020 |
| Headquarters | 7901 4TH ST N STE 300, St. Petersburg, FL 33702 |
| Phone | 813-393-9744 |
| hello@medicotechllc.com | |
| Specialties Served | 50 Plus |
| States Served | All 50 |
| Claims Processed | 100,000 Plus |
| Clean Claim Rate | 96 Percent |
| Coder Certifications | CPC (Certified Professional Coder), CPB (Certified Professional Biller) — AAPC |
| HIPAA Compliant | Yes , BAA executed with every client |
| Payment Model | Percentage of collections — no setup fees, no long-term contracts |
| Free Audit | Included before any engagement |
How Our Process Improves Billing Performance
Free Billing Audit
We start by reviewing your last 90 days of claims. We map your denial patterns, A/R aging, payer mix, and coding accuracy. You see exactly where revenue is leaking before you commit to anything. The audit findings are yours to keep regardless.
Onboarding in 7 to 14 Days
We get secure access to your EHR, configure clearinghouse workflows, verify payer enrollment, and set up reporting dashboards. Most practices are fully operational within two weeks. No downtime. No disruption to your schedule.
Clean Claims From Day One
Charge entry reviewed against coding guidelines and payer-specific rules. Claims scrubbed before every submission. Eligibility verified before every encounter. First-submission approval rate target: 96% or higher.
Reporting & Optimization
Structured A/R follow-up by payer and aging bucket. Denial management and appeals the same day denials arrive. Weekly KPI snapshots. Monthly performance reviews with your account manager. Quarterly analysis to catch and fix recurring patterns before they compound.
We work with your existing EHR no migration required
Your practice doesn’t need to change software to work with Medicotech. We integrate with your current EHR and practice management system through secure direct access or encrypted file exchange.
Systems we work in every day:
Epic · Cerner · Meditech · Kareo (Tebra) · AdvancedMD · DrChrono · Practice Fusion · athenahealth · eClinicalWorks · NextGen · Modernizing Medicine (EMA) · ChiroTouch · Netsmart · Greenway Health · Allscripts · Office Ally
Don’t see yours? We integrate with virtually any platform. Contact us and we’ll confirm compatibility before you commit to anything.
No forced migrations. No downtime. No disruption to your clinical workflow. We adapt to you, not the other way around.
Which specialties does Medicotech serve?
We handle billing for 50+ medical specialties . Every specialty has different coding requirements, payer rules, and denial patterns. Our billers are matched to clients by specialty background.
Frequently Asked Questions
What does a medical billing company do?
A medical billing company handles the full process of submitting insurance claims, following up on unpaid claims, managing denials and appeals, and collecting patient balances on behalf of healthcare providers. At Medicotech, we manage the entire revenue cycle from patient eligibility verification through final payment posting so your practice focuses on care while we focus on collections.
How much does outsourcing medical billing cost?
Most medical billing companies, including Medicotech, charge a percentage of net collections typically 4 to 8% depending on specialty, claim volume, and payer mix. You pay only when we collect. No setup fees, no long-term contracts, no hidden charges. Most practices find outsourcing costs less than one in-house biller when salary, benefits, software, and turnover are factored in.
How long does onboarding take?
Most practices can be fully onboarded within 7–14 days. The onboarding process typically includes:
Secure EHR/Practice Management (PM) access
Payer enrollment verification
Clearinghouse workflow setup
Reporting configuration
We handle implementation carefully to avoid disrupting patient care or daily operations.
What is a clean claim rate and why does it matter?
A clean claim
rate is the percentage of claims accepted and paid on first submission without
rejection or denial. The industry average runs 75 to 85%. Medicotech maintains
a 96% clean claim rate. Every percentage point below your target represents
claims that require rework, delay payment, and consume billing staff time.
Higher clean claim rates mean faster cash flow and less administrative burden.
How do you reduce medical claim denials?
We focus on prevention before appeals. Every claim goes through pre-submission scrubbing against payer-specific rules, coding validation, and eligibility checks. When denials do occur, we route them to a structured worklist the same day, identify root causes, and submit corrected claims or payer-specific appeals. Practices that arrive with 15 to 25% denial rates routinely reach under 8% within 90 days.
See our denial management services
Do you handle prior authorization and eligibility verification?
Yes. We verify insurance eligibility before every patient encounter and manage prior authorization submission and follow-up for procedures requiring advance approval. We also handle retro authorization when urgent cases require it. Pre-authorization gaps are one of the top five causes of avoidable denials we close that gap at the front end before the claim is ever submitted.
Which EHR systems do you work with?
We work within your existing EHR and practice management system. We have active experience with Epic, Cerner, Kareo (Tebra), athenahealth, AdvancedMD, eClinicalWorks, DrChrono, NextGen, Practice Fusion, Modernizing Medicine, ChiroTouch, Netsmart, Greenway Health, Allscripts, and Office Ally. If your system isn’t listed, contact us we integrate with virtually any platform through secure direct access or encrypted file exchange.
What is the difference between medical billing and medical coding?
Medical coding translates clinical documentation physician notes, procedure records, diagnoses into standardized codes: ICD-10-CM for diagnoses, CPT for procedures, and HCPCS for supplies and equipment. Medical billing uses those codes to submit claims to payers, follow up on payments, and manage the accounts receivable cycle. Both are required for accurate reimbursement. At Medicotech, our CPC and CPB certified team handles both.
See our medical billing and coding services
Is Medicotech HIPAA compliant?
Yes. Medicotech operates HIPAA-aligned processes across all billing workflows encrypted file transfer, role-based access controls, audit-ready documentation, and business associate agreements (BAAs) with every client. We treat your patients’ protected health information with the standard required under federal law. For HIPAA guidance see HHS.gov/hipaa.
What certifications do your billers and coders hold?
Our billers and coders hold CPC (Certified Professional Coder) and CPB (Certified Professional Biller) certifications issued by AAPC the American Academy of Professional Coders. We require active certification, not lapsed credentials. Certified staff apply current ICD-10, CPT, and HCPCS code sets and stay current on payer-specific guideline updates from CMS, AMA, and AAPC.
How long does it take to see revenue improvements after outsourcing?
Most practices see measurable improvement within 30 to 60 days. Clean claim rate improvement is typically visible within the first billing cycle. Denial rate reduction becomes clear at 60 to 90 days. Full A/R normalization particularly for practices with backlog A/R usually completes within 90 to 120 days. The free billing audit at the start gives you a baseline so every improvement is measurable from day one.
What happens in the free billing audit?
We review your last 90 days of claims denial patterns, A/R aging by payer and bucket, coding accuracy on high-value services, eligibility-related rejections, and timely filing exposure. You receive a written summary with specific, actionable gaps. No commitment required. Whether you engage us or not, you keep the audit findings. Book at hello@medicotechllc.com or 813-393-9744.
Ready to stop leaving revenue on the table?
Your practice worked hard to earn every patient visit. Your billing should collect every dollar that visit generates. If your denial rate is above 10%, your A/R days are above 45, or you've had biller turnover in the last 12 months, there's recoverable revenue sitting in your claims right now.
- Eligibility Verification – Confirm coverage quickly to reduce front-end denials.
- HIPAA-Aligned Security – Patient data handled with strict privacy and security controls.
- End-to-End Claim Handling – From submission to payment posting and A/R follow-up.
- Denial Management & Appeals – Proactive corrections and appeals to recover missed revenue.
- Real-Time Claim Visibility – Track progress and performance with clear reporting.
No long-term contracts required • Fast onboarding • Transparent reporting
Medical billing services across all 50 states
Medicotech serves practices in every US state. Our billers know the payer-specific rules, Medicaid program requirements, and state-level compliance obligations that vary by region.
- Florida: Medicaid managed care, Sunshine Health, Florida Blue, large Medicare Advantage population, RCD compliance for home health.
- Texas: Texas Medicaid specifics, BCBS TX, Aetna TX, UHC TX payer mix, WISeR Medicare pilot state.
- California: Medi-Cal complexities, Covered California, CA billing rules, largest CA payers.
- New York: NY Medicaid, NYSOH exchange, NY prior auth rules.