Your partner in healthcare revenue.
TopMed Solutions handles medical billing, DME billing, revenue cycle management and provider credentialing for US practices — so you get paid faster, denied less, and finally see where every dollar goes.
We work inside the systems your practice already uses
What We Do
Four services. One revenue engine.
Most practices juggle a biller, a coder and a credentialing consultant who never speak to each other. We run all four functions as one team, on one set of numbers.
Medical Billing
End-to-end claim handling for physician practices — coded, scrubbed and submitted within 24 hours, with every denial worked and every underpayment flagged.
DME Billing
Durable medical equipment billing done by people who actually know the documentation rules — CMNs, proof of delivery, rental cycles, HCPCS and modifier logic.
Revenue Cycle Management
The full cycle — front desk to final payment. We fix the process, not just the claims: eligibility at intake, clean charge capture, A/R strategy and monthly reporting.
Credentialing & Compliance
Provider enrollment and payer credentialing handled end to end, plus the compliance layer — HIPAA safeguards, coding audits and documentation standards that survive scrutiny.
Why Practices Switch
Billing is not a back office task. It is your cash flow.
Most practices do not have a billing problem — they have a capacity problem. One or two people are carrying work that needs a full department, and the first thing to fall off the list is always the follow-up that actually collects money.
We were writing off anything under two hundred dollars because nobody had time to appeal it. TopMed worked six months of aged A/R we had already given up on and recovered a meaningful chunk of it.
You pay only on what we collect
A percentage of realised collections — not a fixed retainer. If the money does not land in your account, we do not invoice for it. Our incentive is identical to yours.
Claims go out every business day
No backlog when someone takes leave. A trained team with documented workflows means charges are coded and submitted within 24 hours of the encounter, every day.
Denials get fixed at the root
Reworking a denial is the easy part. We trace the pattern back — a missing modifier, a stale payer rule, an eligibility step being skipped — and close the gap so it stops repeating.
A named account manager, not a ticket queue
One person who knows your specialty, your payers and your front desk by name. Monthly review calls where you see exactly what moved and why.
Compliance built in, not bolted on
Signed BAA, HIPAA-compliant infrastructure, role-based access and a full audit trail on every record touched. Your data stays in your system, under your control.
Getting Started
Live in under three weeks
Nothing stops while we transition. Your existing billing keeps running until ours is proven side by side.
Free revenue audit
Send a claim sample and your A/R aging. We come back with a written breakdown of what is stuck, what is recoverable and what it is costing you.
48 hours · No costScope & agreement
A fixed collection rate in writing, a signed BAA and a clear scope of what we own versus what stays with your front desk. Month-to-month after the initial term.
Week 1Onboarding & access
We connect to your existing EHR or PM system under role-based access, set up payer enrollments and ERA feeds, and agree a daily working rhythm with your team.
Week 1–2Live billing & reporting
Claims go out daily, denials get worked weekly, and you get a monthly dashboard plus a review call on collections, denial trends and payer performance.
Week 3 onwardMeasured Outcomes
The four numbers we are accountable for
These appear on your monthly report whether they moved in our favour or not. No selective reporting.
Clean claim rate
Claims accepted on first submission, against an industry average closer to 85%.
Days in A/R
Average time from date of service to payment posted, tracked payer by payer.
Revenue lift
Typical increase in monthly collections within the first two quarters after onboarding.
Denial rate
Held below 2% through payer-rule scrubbing and root-cause fixes upstream of the claim.
Figures reflect TopMed client averages · Individual results vary by specialty and payer mix
Who We Serve
Billing rules are not universal. Neither are we.
A cardiology claim and a behavioral health claim fail for completely different reasons. Your account is staffed by coders who work in your specialty every day and know its modifiers, bundling rules and payer quirks.
Client Results
What practice owners tell us
Names withheld at client request. Figures are taken from their own monthly reports.
The difference is that denials actually get worked now. Every month we get a report showing which payer denied what, and what they changed upstream so it stops happening again.
Denial rate: 11.4% → 2.1%Onboarding took about two weeks and they worked inside our existing system, so my front desk never had to learn anything new. Cash flow smoothed out by the second month.
Collections: +24% in two quartersCredentialing was the part that always slipped. Two new providers were enrolled and billing inside ninety days, which had never happened for us before.
Provider enrollment: 86 daysFAQ
Questions we get before signing
Prefer to just talk?
Fifteen minutes with a billing specialist — no script, no pitch deck. Bring your worst denial and we will tell you how we would handle it.
How much does outsourcing our billing cost?
Do we have to change our EHR or practice management system?
What happens to our old, aged accounts receivable?
Are you HIPAA compliant?
Are we locked into a long-term contract?
Can you handle just one part — say, only credentialing?
How quickly will we see a difference?
Free Revenue Audit
Find out what your practice is leaving on the table
Send us a claim sample and your A/R aging report. Within 48 hours you get a written breakdown — no cost, no obligation, no sales pressure.