Revenue cycle management
for independent practices.
PatientMD takes over the billing cycle for your practice: we verify coverage before the visit, send clean claims, work denials, and follow up on patient balances. We report your own numbers every month.
Where revenue leaks, and what we work
How A/R aging buckets are shown
Illustration of the report layout; not practice data.
What practices keep leaving on the table.
These are common, fixable problems in an independent practice. Here is what we work on for each one.
| Source of leakage | What we work |
|---|---|
| Eligibility-related denials | Coverage checked before the visit |
| Coding under-capture (E/M, modifiers) | Coding review by trained coders |
| Missing RPM / BHI care-time claims | Care time tracked and queued at month close |
| Aged patient balances written off | Aged-balance follow-up |
| Underpayments vs contract | Payments reconciled to the visit |
| Failed prior-auth follow-through | Categorized and tracked to an answer |
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
Codes suggested for your review.
After visit
Clean claims sent; deposits go to 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 trained coders
- Electronic claim submission to the payers your practice bills
- 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. | Eligibility checked electronically 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 plans and HSA/FSA cards, so patients can pay without a phone call. |
| Care-time billing (RPM/BHI) | Forgotten 99457/99492 claims. | 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