Get paid faster.
Get paid more.
PatientMD takes over the full billing cycle for your practice — verifying coverage before the visit, sending clean claims, working denials, and following up on patient balances. Most practices see a meaningful lift in collections within the first three months, and the front desk gets its day back.
Where revenue used to leak — and what we close.
A/R aging buckets — practice composite, before vs after
Lower bars to the right = healthier cash flow. Older buckets are where money quietly dies.
What practices keep leaving on the table.
Most independent practices lose 6 – 10 % of net collectible revenue to common, fixable problems. Here's what we typically find — and the percent of it we typically recover within the first 90 days.
| Source of leakage | % recovered |
|---|---|
| Eligibility-related denials | ~ 88% |
| Coding under-capture (E/M, modifiers) | ~ 92% |
| Missing RPM / BHI care-time claims | ~ 95% |
| Aged patient balances written off | ~ 65% |
| Underpayments vs contract | ~ 72% |
| Failed prior-auth follow-through | ~ 81% |
From the moment the patient books, to the moment your account posts.
PatientMD handles every step — your team just sees patients and signs notes.
Before visit
Coverage confirmed; issues flagged to your front desk.
During visit
Right codes suggested — accurate, defensible, complete.
After visit
Clean claims out the same day; deposits in your bank.
If denied
We categorize, appeal, and track — or tell you why we can't.
Patient pays
Text-to-pay, plans, HSA/FSA — collections is a last resort.
Everything your billing team would do — handled by ours.
- Insurance verification before every visit
- Coding review by certified coders
- Electronic claim submission to Medicare, Medicaid, and every major commercial payer
- Payments posted automatically, reconciled to the visit
- Denials categorized, appealed, and tracked
- Patient statements, text-to-pay, and payment plans
- Aged-balance follow-up — gently, professionally
- A monthly report so you always know how the practice is doing
The day-to-day, side by side.
| Workflow | Before PatientMD | With PatientMD |
|---|---|---|
| Insurance verification | Front desk hand-keys eligibility check, often skips it. | Automatic 270/271 round-trip the night before the visit. |
| Claim coding | Coders catch errors after the claim's already gone. | Codes suggested during charting; scrubbed before submission. |
| Denials work | A pile in someone's inbox. Some get appealed. Most don't. | Every denial categorized; appeal templates pre-filled; tracked to resolution. |
| Patient billing | Paper statement mailed once. Most never paid. | Text + email + payment plan + HSA/FSA — settled in 80% of cases. |
| Care-time billing (RPM/BHI) | Forgotten 99457/99492 claims worth thousands per provider. | Generated at month close from tracked time; queued automatically. |
| Visibility into the practice | A quarterly report from your old billing service. Maybe. | Live dashboard — Days in A/R, denial rate, top payers, every day. |
Curious where your practice is leaving money on the table?
Send us a recent sample of denials and aged balances. We'll come back with an honest, no-commitment read on where the gaps are — and what fixing them could be worth to you.
Get in touch