Stop Leaving Money on the Table

Increase collections by 30% and reduce denials to 2% with AI-powered medical billing. Trusted by 5,000+ practices generating $2.5B+ in recovered revenue annually.

98%

First-Pass Claim Rate

(vs. 85% industry average)

$2.5B+

Revenue Recovered

(for our customers since 2015)

5,000+

Practices Trusted

(growing 40% year-over-year)

30%

Average Revenue Increase

(within 6 months, guaranteed)

Comprehensive Medical Billing Solutions

💼

Expert Medical Coding

ICD-10, CPT, HCPCS coding for maximum reimbursement

📋

Claims Management

Complete claims lifecycle from submission to payment

🔄

Denial Management

Expert appeals to recover lost revenue

✓

Insurance Verification

Real-time eligibility and benefits analysis

📊

Revenue Optimization

Analytics to identify revenue opportunities

🏥

Credentialing Services

Provider enrollment with all major payers

🤖 AI-Powered Documentation

Save up to 3 hours per day with intelligent documentation assistance.

Voice-to-text clinical documentation
Smart templates that adapt to your style
Automatic ICD-10 code suggestions
Real-time compliance checking

📅 Smart Scheduling

Optimize your calendar and reduce no-shows.

Online booking with real-time availability
Automated appointment reminders (SMS/Email)
Waitlist management
Multi-provider calendar coordination

💰 Comprehensive Billing Suite

Streamline your revenue cycle with integrated billing.

Automated CPT and ICD-10 coding
Real-time insurance eligibility verification
Electronic claims submission
Claim scrubbing and error detection
Payment posting and reconciliation

👥 Patient Engagement

Enhance communication and reduce administrative burden.

Secure patient portal
Digital intake forms and consents
Online bill pay
Appointment scheduling

📈 Analytics & Reporting

Make data-driven decisions with comprehensive analytics.

Real-time practice dashboard
Revenue cycle analytics
Patient retention tracking
Provider productivity reports
Custom report builder

☁️ Cloud-Based Platform

Access your data securely from anywhere.

24/7 access from any device
HIPAA-compliant encryption
Automatic backups
99.9% uptime guarantee
Mobile app for iOS and Android

Medical Billing Services

💻

Medical Coding

Expert ICD-10, CPT, HCPCS coding by certified professionals

📤

Claims Processing

98% first-pass rate with automated scrubbing

⚖️

Appeals Management

Recover denied claims with expert appeals

🔍

Insurance Verification

Pre-service eligibility and benefit verification

🎓

Provider Credentialing

Complete enrollment and CAQH management

💵

Revenue Cycle Management

End-to-end RCM from patient registration to payment

Medical Coding Services

Accurate coding is the foundation of successful medical billing. Our certified coders ensure every service is properly documented and coded for maximum reimbursement.

What We Cover:

ICD-10-CM Diagnosis Coding - Precise diagnosis classification for all medical conditions
CPT Procedure Coding - Complete coverage of all medical procedures and services
HCPCS Level II Codes - Proper coding for supplies, equipment, and services
Modifier Application - Correct use of modifiers to prevent claim denials
NCCI Edits Compliance - Automated checking against National Correct Coding Initiative

Claims Management

Efficient claims processing maintains healthy cash flow. We handle the entire claims lifecycle from submission to payment.

Our Process:

Electronic Claims Submission - Submit to Medicare, Medicaid, and all major commercial payers
Claim Scrubbing - Pre-submission review reduces rejection rates by 95%
Real-Time Eligibility - Verify coverage before services are rendered
Claim Status Tracking - Monitor from submission through payment
Payment Posting - Accurate and timely posting of all payments

Appeals & Denial Management

Don't leave money on the table. Our expert team fights for every dollar with comprehensive denial management.

How We Help:

Denial Analysis - Identify patterns and root causes to prevent future denials
First-Level Appeals - Prepare and submit appeals with supporting documentation
Second-Level Appeals - Escalate complex cases with detailed medical necessity
Peer-to-Peer Reviews - Coordinate clinical reviews when needed
Success Rate Reporting - Track and report appeal outcomes

Insurance Verification

Eliminate surprise denials with thorough insurance verification before every patient visit.

Verification Services:

Real-Time Eligibility Checks - Verify active coverage and benefits
Benefit Breakdown - Detailed analysis of deductibles, copays, and coinsurance
Pre-Authorization - Obtain required authorizations to prevent denials
Coverage Limitations - Identify visit limits and excluded services
Patient Financial Responsibility - Calculate expected patient costs upfront

Provider Credentialing

Get enrolled with insurance networks quickly and efficiently. We handle the complex credentialing process.

Credentialing Services:

Initial Credentialing - Complete enrollment with Medicare, Medicaid, and commercial payers
CAQH Profile Management - Create and maintain your CAQH ProView profile
Re-Credentialing - Handle periodic re-credentialing to maintain participation
License Monitoring - Track professional license renewals and expirations
Expedited Processing - Follow up with payers to accelerate approvals

Revenue Cycle Management

Optimize every step of your revenue cycle from patient registration through final payment.

Complete RCM Services:

Patient Registration - Accurate demographic and insurance information capture
Charge Capture - Ensure all services are properly documented and billed
Claims Submission - Timely filing of clean claims to all payers
A/R Management - Proactive management of accounts receivable aging
Payment Processing - Efficient posting of payments and adjustments
Financial Reporting - Comprehensive reporting on practice performance

Why Choose HealthClaimExperts.com?

98% First-Pass Rate

Our claim scrubbing ensures claims are accepted on first submission

30% Revenue Increase

Practices see average 30% increase in collections within 6 months

Days in A/R Reduced

Reduce accounts receivable from 45+ to under 30 days

Expert Support

Certified medical billers and coders specializing in your practice

Solutions for Every Medical Specialty

🏥

Primary Care

Family medicine, internal medicine, pediatrics

❤️

Cardiology

Specialized billing for cardiac procedures and diagnostics

🦴

Orthopedics

Surgery, joint replacements, sports medicine

🧠

Neurology

Complex neurological procedures and treatments

👶

Pediatrics

Well-child visits, immunizations, developmental care

🩺

All Specialties

Dermatology, gastroenterology, oncology, and more

Primary Care & Family Medicine

Comprehensive billing solutions for primary care providers focusing on preventive care and chronic disease management.

Key Features:

Wellness visit and preventive care billing
Chronic Care Management (CCM) coding
Annual wellness visits (AWV) and IPPE
Complex care coordination billing
Quality measure tracking (HEDIS, MIPS)

Specialty Practice Solutions

Specialized billing expertise for high-complexity specialties requiring detailed coding knowledge.

Specialties We Serve:

Cardiology - Cardiac catheterization, stress tests, echocardiograms
Orthopedics - Surgical procedures, joint replacements, fracture care
Neurology - EMG/NCS, EEG, stroke management
Dermatology - Biopsies, excisions, cosmetic vs medical
Gastroenterology - Endoscopy, colonoscopy, complex procedures
Oncology - Chemotherapy administration, cancer care management

Multi-Specialty Group Practices

Integrated solutions for large groups with multiple specialties under one roof.

Complex Practice Management:

Unified billing across all specialties
Multi-location support
Shared patient coordination
Consolidated reporting and analytics
Cross-specialty referral tracking

Solo & Small Practices

Affordable solutions designed for independent practitioners and small group practices.

Perfect For:

Solo practitioners needing full-service billing
2-5 provider groups
Quick setup and easy to use
Affordable pricing for small practices
Scalable as your practice grows

Large Healthcare Systems

Enterprise solutions for hospitals, ACOs, and integrated delivery networks.

Enterprise Features:

Multi-location, multi-specialty support
Integration with hospital systems
Value-based care reporting
Population health management
Advanced analytics and benchmarking

Surgical Centers & Procedures

Specialized billing for ambulatory surgical centers and procedure-based practices.

Surgical Billing Expertise:

ASC facility fee billing
Complex surgical coding
Multiple procedure discounting
Global period management
Implant and device billing

Trusted by Healthcare Providers Nationwide

See what our clients say about transforming their practices

Dr. Sarah Johnson, MD Austin Family Medicine (15 providers)

✓ Verified Customer Since 2022

★★★★★

"HealthClaimExperts increased our collections by $180K annually and reduced our denial rate from 12% to 2%. Implementation took just 3 weeks and the support team was exceptional throughout the process."

💰 +$180K annual revenue 📉 12% → 2% denial rate ⚡ 3-week implementation

Dr. Michael Chen, MD, FACC San Diego Cardiology Group (8 providers)

✓ Verified Customer Since 2021

★★★★★

"The best decision we made for our cardiology practice. Their expertise in specialty billing is unmatched. We recovered over $150K in previously denied claims in the first year alone."

💰 $150K+ recovered 📈 98% claim acceptance ⏱️ 35% faster payments

Dr. Emily Rodriguez, MD, FAAP Rodriguez Pediatrics, Miami, FL

✓ Verified Customer Since 2023

★★★★★

"Finally, a billing company that understands pediatrics. Their attention to detail and proactive communication has been a game-changer. We've seen a 42% increase in clean claims."

✅ 42% more clean claims ⏰ 2 hours saved daily 😊 100% satisfaction rate

Certified & Compliant

🏆

HIPAA Compliant

✓

AAPC Certified Coders

🔒

SOC 2 Type II

⭐

5-Star Rated

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