Professional Billing

Physician billing, built around your practice.

End-to-end professional billing for U.S. solo providers, group practices, and physician-led organizations. Specialty-tuned coding, payer-by-payer follow-up, and a denial program that actually drives down your denial rate quarter over quarter.

HIPAA-compliant workflow US-based, BAA-backed team No long-term contract
Physician billing workspace

99.2%

First-pass clean-claim rate

On CMS-1500 / 837P claims

+14%

Average revenue lift

Within 90 days of going live

< 24h

Coding turnaround

From documentation to submission

Overview

Built for physician billing,, end-to-end.

Physician practices live or die by their billing operation — and most practices are running it with a small team, an EHR they've outgrown, and a denial rate they've accepted as normal. We replace that with a full RCM partner sized to your practice: AAPC-credentialed coders, dedicated AR specialists, and a denial program that closes the loop with your providers.

We work specialty-tuned playbooks for primary care, internal medicine, cardiology, orthopedics, behavioral health, OB/GYN, pediatrics, urgent care, and more — so the team handling your billing already knows your CPTs, your common denials, and your payers' quirks before day one.

Professional billing team at work
What we offer

A complete physician billing, engagement

One scope. One accountable team. Every step of the revenue cycle covered with the same rigor and reporting cadence.

01

Charge entry & demographics

Daily charge entry from your EHR, demographic verification, and validation against the visit schedule for missing-charge alerts.

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02

Specialty-tuned coding

ICD-10, CPT, HCPCS, and modifier assignment by AAPC-certified coders trained for your specialty mix.

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03

Claim scrubbing & submission

NCCI, LCD/NCD, and payer-specific edits applied before each claim is released through your clearinghouse.

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04

Eligibility & prior-auth handoff

Coordination with eligibility and prior-auth workflows so claims drop with active coverage and approved auths attached.

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05

AR follow-up & appeals

Payer-by-payer aged-AR work, structured appeals, and weekly cash recovery reporting straight to your inbox.

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06

Patient billing & collections

Patient statements, payment-plan enrollment, and HIPAA-compliant soft-collection workflow — never aggressive.

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Outcomes that move the bottom line

Measurable performance — not promises.

Benchmarks our clients consistently hit within their first two quarters of partnership.

+14%

Average revenue lift

Net collections increase practices typically see within 90 days of switching to TrueClaim.

99.2%

First-pass clean-claim rate

Achieved through pre-submission scrubbing and specialty-tuned coding QA layers.

< 24h

Coding turnaround

From the moment documentation is finalized in your EHR to claim release.

−50%

Denial volume

Steady-state denial reduction within six months — driven by upstream root-cause feedback.

Workflow

A repeatable five-step process, engineered for transparency.

No black box. Every handoff documented, every metric reported, every change owned by a named specialist on your team.

Practice intake

We map your specialty mix, payer panels, EHR, and current KPI baselines under a signed BAA.

Workflow setup

We embed into your EHR and clearinghouse with the right roles, dashboards, and handoff points defined.

Daily operations

Charge entry, coding, claim release, denial work, and AR follow-up — owned by your dedicated team.

Weekly reporting

Cash recovered, claims worked, denials by reason, in-flight appeals — every Friday.

Provider feedback

Denial root causes feed back to your providers monthly so coding accuracy lifts over time.

Coverage & integrations

Specialty-tuned. System-native.

We work inside the platforms your team already uses — across every clinical specialty your organization serves.

Industry specialties

30+ specialties supported

Coders rotate by specialty, not by volume — so the person on your charts has done thousands like yours.

Primary care
Internal medicine
Cardiology
Orthopedics
OB/GYN
Behavioral health
Pediatrics
Urgent care
Pain management
Dermatology
Podiatry
Ophthalmology

Technology integrations

EHRs & practice-management systems

We work directly inside your existing environment — no migration, no parallel tools.

CureMD logo
Tebra logo
eClinicalWorks logo
NextGen logo
AdvancedMD logo
Kareo logo
Practice Fusion logo
DrChrono logo
Allscripts logo
ModMed logo
Office Ally logo
SimplePractice logo
Benefits

What changes inside your operation

The day-to-day improvements your team will notice in the first 60–90 days of working with us — quantified, not implied.

10–18% revenue lift within 90 days

Cleaner claims and tighter AR follow-up usually unlock low-double-digit revenue improvement in the first quarter.

Clean-claim rate above 99%

Pre-submission scrubbing and specialty-tuned coding push your first-pass clean-claim rate to industry-leading levels.

Faster cash from your payers

Average days-in-AR drop of 10–15 days as denials shrink and follow-up becomes systematic.

Denial volume cut in half

Root-cause tagging plus upstream fixes typically cut overall denial volume by 40–55% within 6 months.

Provider time back in the room

Your physicians stop being the documentation bottleneck — coders coach providers monthly with light, useful feedback.

Defensible compliance posture

AAPC-credentialed coding, layered QA, and a documented audit trail on every encounter.

Compliance & security

Patient data, treated like patient care.

Your patient data is treated with the same rigor as your in-house team would. Every engagement starts with a signed BAA, role-based access to only the EHR surfaces our team needs, end-to-end encryption, and a full audit trail of every coder and AR action.

HIPAABAA ReadyEncryptedAudit Trail

HIPAA-compliant by design

Encrypted in transit and at rest. Role-based access controls. Annual security review.

BAA-backed engagements

Every engagement starts with a signed Business Associate Agreement before any PHI is shared.

Credentialed coders only

AAPC and AHIMA credentials, continuous QA scoring, and quarterly compliance recalibration.

US-based oversight

Account leadership, QA, and client communication operated and supervised inside the US.

What clients say

Outcomes that change how teams talk about billing.

Within two months our clean-claim rate jumped from 84% to 99%, and our denial volume was cut in half by month four. The provider feedback loop is what makes this stick — our coders aren't fighting the same fires every month.

D

Dr. Karen W.

Practice Owner · Multi-specialty group, TX

We've worked with three billing companies over ten years. This is the first one that actually reports the numbers I asked for, every Friday, without me chasing.

J

Jeff M.

Practice Administrator · Cardiology practice, AZ

Onboarding was painless and the revenue lift was real — about 12% in the first quarter, holding steady at 16% by month six.

D

Dr. Priya S.

Owner · Behavioral health group, NY

Why TrueClaim RCM

A partner — not just a vendor.

Six reasons U.S. providers trust us with the most accountable part of their operation.

Specialty-tuned, not generic

We rotate coders by specialty so the person on your charts has done thousands like yours, not dozens.

Transparent metrics

Clean-claim rate, denial rate by reason, AR aging, coder QA — all visible in your dashboard, all the time.

HIPAA-secure by design

BAA-backed access, role-based controls, encrypted transfer, and an annually reviewed compliance program.

Named account team

One account director, one billing lead, one coding lead. Weekly cadence, never a ticket queue.

Performance-aligned pricing

Our most popular model is a percentage of net collections — we get paid only when you do.

Fast onboarding

Standard practices go live in 2–3 weeks with parallel-run protection so revenue never dips.

Common questions

Everything you wanted to ask about physician billing,.

Can't find what you need? Ask a specialist.

Free audit · No obligation

Find what your billing is quietly losing.

30 minutes with a senior RCM specialist. We'll review your last 500 claims, quantify the leak in dollars, and hand you a 90-day action plan — yours to keep, hire or not.

100% confidential Delivered in 5 business days Yours to keep

Free 24-hour audit

Get Free Audit

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