In a small practice, billing usually belongs to one person. Sometimes it is a dedicated biller, sometimes the office manager, sometimes the physician at the kitchen table on Sunday night. Claims go out. What does not happen reliably is everything after: reading denials, chasing claims the payer never received, and following up on balances before the filing limit passes.
Our medical billing for small practices replaces that single point of failure with a team. Solo physicians, therapists, and groups of two to ten providers get the same denial work, follow-up and reporting a large group gets, without hiring anyone.
The problems small practices actually have
| Problem | What it costs | What we do |
|---|---|---|
| One biller, no backup | Vacation, sick leave or a resignation stops the cash flow | A team covers your account, so nothing waits for one person |
| No time for denials | Denials age past their appeal window and get written off | Every denial worked the same week it arrives |
| Front desk does eligibility between calls | Visits billed to coverage that ended | Eligibility checked before the appointment |
| Nobody reviews payments | Underpayments go unnoticed | Payments checked against your contracted rates |
| No reporting | You find out about a problem when the bank balance drops | A monthly report on collections, denials and days in AR |
In-house biller or outsourced billing?
An in-house biller costs more than a salary. There are benefits and payroll taxes, the billing software and clearinghouse fees, training when codes and payer rules change, and the cost of cover when that person is away or leaves. For a small practice, all of that is fixed overhead, paid whether collections are good or bad.
Outsourced billing turns it into a variable cost. We are paid a percentage of what we collect, so the cost moves with your revenue, and we only do well when you are paid. If you keep a front desk person, they stay focused on patients rather than payer phone queues.
What is included
- Eligibility and benefit checks before visits.
- Charge entry and coding review, with claims scrubbed against each payer's rules.
- Claim submission and rejection work the same week.
- Payment posting and underpayment checks.
- Denial management: every denial corrected or appealed.
- AR follow-up, including old balances a previous biller left behind.
- Patient statements and payment plans.
- Monthly reporting you can read in five minutes.
New provider or new practice?
Small practices often lose their first months of revenue to enrollment, not billing: a provider who is seeing patients before the payer has an effective date. We handle credentialing alongside billing, so the first claims go out to payers who will actually pay them.
No new software
We work inside the EHR and practice management system you already use, so there is no migration and nothing new for your staff to learn. See every system we support.
Small practice billing FAQs
Is my practice too small to outsource billing?
Usually not. Solo providers and small groups are exactly who this service is built for. Send us a month of claims and we will tell you honestly whether outsourcing makes sense at your volume.
How much does billing cost for a small practice?
A percentage of what we collect. The rate depends on your specialty, claim volume and payer mix, and we quote it after reviewing your claims.
Will I lose control of my billing?
No. Everything happens in your own system, so you can see every claim and payment, and the monthly report shows what we did and why.
What happens to claims my current biller has open?
We take them over during the switch and keep working them, so nothing is dropped between billers.
See what your practice is leaving uncollected
Send us a month of claims and your aging report. We will show you what is being denied, why, and what is still recoverable.
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