Medical Billing Services That Get Healthcare Providers Paid Faster
Provider Concerns Solutions handles your full revenue cycle — eligibility, coding, claims, denials and A/R follow-up — so you can focus on patients. No upfront cost: we only get paid when you do.
- HIPAA compliant
- Certified coders
- No setup fees
- Works with your EHR
Averages across client practices. Individual results vary.
Complete Medical Billing & Revenue Cycle Management
From the moment a patient books to the final payment posted, we manage every step that affects your cash flow.
Service 01
Eligibility Verification
Most denials start before the visit. We confirm coverage, benefits and authorizations ahead of every appointment so your front desk knows exactly what to collect and claims go out clean.
- Real-time coverage and benefits checks before each visit
- Prior authorization requests and tracking
- Copay, deductible and coinsurance estimates for patients
- Secondary and coordination-of-benefits checks
Service 02
Compliance With Regulations
Billing rules change constantly, and mistakes can lead to payer audits, recoupments or penalties. We build compliance into every step of your revenue cycle, from how patient data is handled to how each code is supported.
- HIPAA-compliant handling of protected health information (PHI)
- Monitoring of CMS, Medicare, Medicaid and commercial payer policy updates
- Coding aligned with documentation to reduce audit risk
- NCCI edit and modifier checks before claims go out
Service 03
Claims Processing
Every claim is scrubbed, submitted and tracked until it's paid. We catch errors before payers do, so you get paid faster and spend less time on rework.
- Claim scrubbing against payer-specific rules
- Electronic submission with status tracking until paid
- Clearinghouse rejection follow-up and resubmission
- Payment posting and ERA/EOB reconciliation
Service 04
Patient Billing & Invoicing
Clear statements and friendly follow-up help patients pay on time. We handle patient balances professionally, so your staff can focus on care instead of collections.
- Easy-to-read patient statements, mailed or electronic
- Online payment options and payment plans
- Dedicated patient billing support line
- Balance follow-up with reminders before collections
Service 05
Denial Management
Denied claims are revenue waiting to be recovered. We work every denial, appeal what's winnable and fix the root causes so the same denials don't keep coming back.
- Root-cause analysis by payer, code and provider
- Timely corrected claims and written appeals
- A/R follow-up on aging and underpaid claims
- Monthly denial trend reporting
Service 06
Medical Coding Services
Accurate coding is the foundation of clean claims. Our certified coders review your documentation and assign the right codes, capturing the full value of the care you provide.
- Certified coders for ICD-10-CM, CPT and HCPCS
- Specialty-specific coding expertise
- E/M level review against documentation
- Provider feedback to improve documentation
Billing Services for Practices, Labs, Hospitals & Dental Offices
One billing partner for every care setting, with specialists who know how each one gets paid.
Benefits of Working With Provider Concerns Solutions
Outsourcing your billing to a dedicated team cuts overhead, reduces errors and brings in revenue that's slipping through the cracks.
Reduce Expenses
No in-house billing salaries, software or training costs. You pay a percentage of what we collect, nothing upfront.
Maximize Revenue
Accurate coding and clean claim submission mean fewer rejections and denials, and more of every claim paid.
Get Paid Faster
Claims go out electronically within 24–48 hours, and electronic remittances speed up posting and follow-up.
Full Transparency
Monthly reports on collections, denials and A/R so you always know the financial health of your practice.
Works With Your EHR
We work inside your existing EHR and practice management system. No software change needed.
HIPAA-Compliant Security
Strict privacy and security controls, and a signed BAA with every client.
Specialty Medical Billing for 25+ Specialties
Every specialty has its own codes, modifiers and payer rules. Our coders know yours.
Getting Started Is Simple
From first call to first report in four clear steps.
Free billing review
We review your current collections, denial rates and A/R to find where revenue is being lost.
Simple onboarding
We connect to your EHR, clearinghouse and payer portals. No change to your workflow.
We manage billing
Coding, claims, payment posting, denials and follow-up, handled daily by our team.
You see the results
Monthly reports show collections, denial trends and A/R improvement.
Works With the Billing Software You Already Use
We bill inside 100+ EHR, practice management and clearinghouse systems, so there's nothing new for your team to learn.
- We work in your system with secure, role-based access
- Claims go out through your existing clearinghouse
- No software purchase, migration or retraining
These are just a few of the 100+ systems we work in. Don't see yours? Ask us →
- Epic
- CareCloud
- Oracle Health (Cerner)
- Practice Fusion
- athenahealth
- DrChrono
- eClinicalWorks
- Tebra (Kareo)
- NextGen
- AdvancedMD
Your billing teamFind Out How Much Revenue Your Practice Is Missing
Tell us a little about your practice and a billing specialist will reply within one business day with a free assessment.
Plus clear next steps and percentage-based pricing.
Request your free consultation
Takes about 60 seconds.
Please don't include patient health information in this form.
From Austin to Every Corner of the U.S.
One dedicated billing team, connected to practices nationwide. Same process, same reporting, wherever you are.
Learn more about revenue cycle management, how billing pricing works and outsourced vs in-house billing, or browse all Texas locations.
Ready to get paid faster?
Get a free billing review. We'll look at your current collections, denials and A/R and show you where revenue is being lost.
Frequently Asked Questions
How much do your medical billing services cost?
We charge a percentage of the payments we successfully collect for you, with no upfront fees or setup charges. Your exact rate depends on your specialty, claim volume and the services you need — request a free consultation for a quote.
Which specialties do you work with?
We work with more than 35 specialties, including cardiology, hematology, oncology, neurology, primary care, clinical and toxicology labs, DME and dental practices.
Is outsourcing medical billing HIPAA compliant?
Yes. We follow HIPAA privacy and security requirements and sign a Business Associate Agreement (BAA) with every client before accessing patient data.
Do I need to change my EHR or practice management system?
No. We work inside your existing EHR or practice management software and connect with your current clearinghouse.
How long does it take to get started?
Most practices are fully onboarded within a few weeks, depending on system access, payer enrollment and the size of any existing A/R backlog.
Where are you located?
We're based in Austin, Texas, and serve healthcare providers across the United States.