Physician Billing Services
Transforming healthcare with reliable, customizable, and cost-effective physician billing services for 45+ healthcare specialties. At MedCloudMD, we simplify insurance billing and ensure your practice collects every dollar you deserve for providing quality patient care.
Our add-on practice management services help improve operational efficiency while maximizing financial success.
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Average Days in AR
< 30
Results-Driven Physician Billing Company
Collection Ratios
97%
Revenue Improvement
12–18%
99%
First Pass Ratio
Clean Claims Accuracy
98%
Common Challenges in Physician Billing
Physicians nationwide face growing challenges navigating the complex, competitive, and ever-changing healthcare landscape. Even after spending 20–25 hours per week on paperwork, nearly 80% of claims filed with insurance payers contain errors, resulting in delayed payments and denials.
From coding inaccuracies and information gaps to non-compliance and coverage issues, many factors can disrupt the billing process, causing providers to lose significant reimbursement revenue. Understanding these hurdles is essential for proactive denial prevention.
At MedCloudMD, we help physicians overcome these challenges with accurate, timely, and compliant billing solutions to maximize revenue and reduce claim denials.
Complex Coding
Accurately translating diagnoses, treatments, and medical supplies into standardized codes such as ICD-10, CPT, CDT, and HCPCS is challenging. With thousands of codes that are frequently updated, assigning the correct code consistently is a major source of errors.
Missing Documentation
Claims require complete documentation to prove the medical necessity of services rendered. Missing referral letters, test reports, or incomplete records can lead to frequent claim denials.
Compliance Issues
Healthcare is heavily regulated, and laws frequently change at the federal and state levels. Physicians who cannot keep up with evolving regulations risk fines, penalties, and legal disputes.
Varying Payer Policies
Each insurance payer government or commercial has its own policies and billing requirements. Reviewing these contracts before filing claims is time-consuming, and non-adherence often results in denied claims and lost revenue.
Hasty Coverage Verification
Verifying patient eligibility and benefits is crucial before providing services. However, due to high patient volumes and limited staff, rushed insurance checks can result in uncovered services, claim rejections, and bad debts.
Disputes may arise between providers and insurance payers or patients, especially regarding copayments, coinsurance, or deductibles. These disputes can delay collections and impact cash flow.
Payment Disputes
Get in Touch With Us for Physician Billing Services
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Why Choose Us for Physician Billing Services?
Physician burnout is a growing concern in the U.S., with 63% of doctors showing signs of stress due to administrative burdens like EHR management and billing. A shortage of skilled medical coders only adds to the challenge.
Outsourcing physician billing to MedCloudMD can change the game. Our certified professional coders ensure accurate coding with fast turnaround times, while our team manages every step of the billing process for complete revenue cycle management (RCM).
Experience & Expertise
Our A-team includes AAPC-certified coders, trained billers, and revenue cycle managers who ensure precise coding and smooth billing workflows.
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Fast Turnaround
We handle every step of your physician billing process quickly and accurately, ensuring timely claim submissions and payments.
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Cost-Effective Services
Our physician billing solutions cost less than 5% of your gross monthly collections, giving you maximum returns on minimal investment.
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Regulatory Compliance
We ensure compliance with HIPAA, No Surprises Act, and state laws, regularly auditing workflows to prevent penalties and legal issues.
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Tech-Driven Solutions
We use AI, machine learning, and robotic process automation (RPA) to streamline charge entry, claims scrubbing, and data analytics for faster and error-free billing.
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Complete RCM Support
Beyond coding, we manage your entire revenue cycle, from claim submission to payment posting, reducing denials and improving cash flow.
24/7 Support Across All Specialties
We provide unparalleled, round-the-clock support to every specialty, including orthopedics, pediatrics, OB-GYNs, and more. Our customer representatives are always available on the call to address your issues. Whether you have a complex problem or a simple query, talk to us today to get the help you need with physician billing.
Cardiology
Orthopedics
Urology
Nephrology
Oncology
Radiology
OB/GYN
Behavioral Health
Neurology
Pediatrics
Anesthesiology
Gastrology
TESTIMONIALS
Chosen by 300+ Providers Who Rely on Us Every Day
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Get In Touch With Our Physician Billing Experts
Whether you need help with medical coding, claim denials, or overall revenue cycle management, the MedCloudMD team of qualified billers and coders is ready to provide tailored support. Connect with us via call, email, or live chat for any questions about our physician billing services.
FAQs
What makes MedCloudMD the best physician billing service provider?
We offer streamlined, customizable, and compliant physician billing services, leveraging advanced technology for charge entry, claim scrubbing, and progress tracking. Our solutions are affordable, accurate, and results-driven, ensuring timely reimbursements and improved cash flow.
What is the physician billing process at MedCloudMD?
Our process includes patient eligibility verification, charge capture, medical coding, claims processing, claim filing, denial management, A/R follow-up, patient collections, payment posting, and data analytics to manage your revenue cycle end-to-end.
Can a physician assistant bill for a new patient visit?
Yes. A physician assistant (PA) can bill a new patient visit using their own name and NPI number. Medicare does not allow “incident to” billing for new patient encounters without a supervising physician.
What is physician billing?
Physician billing, also called professional billing, is the process of collecting insurance payments for healthcare services rendered to medically insured patients. It is distinct from hospital or institutional billing.
Who manages billing administrative functions in a physician's office?
In private practices, a billing specialist or assistant handles administrative functions, including coding, billing, claim filing, patient scheduling, and collections.
Can a physician bill for laboratory or physical therapy services?
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Laboratory Services: Yes, if the physician performs the professional component (analysis, interpretation, reporting) in a certified lab and follows payer-specific rules.
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Physical Therapy Services: Yes, if provided “incident to” by a physical therapist working in the same practice.