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About TopMed Solutions

We are the billing department your practice cannot afford to build.

TopMed Solutions exists because good clinical care and good revenue capture almost never come from the same skill set. Physicians should not have to become experts in payer policy to get paid for work they have already done — that is our job, and we take it seriously enough to be measured on it.

30+
Specialties supported
25+
Payers worked per provider
98%
Clean claim rate held
100%
HIPAA-compliant workflow

Why We Exist

Nobody sets out to leave money on the table

It happens quietly. A front desk stretched thin skips an eligibility check. A biller who is also the office manager gets three denials in a week and works one of them. A capped rental cycle drifts a month out of sequence. Individually, none of it looks like a crisis. Together, over a year, it is the difference between a practice that reinvests and a practice that cuts.

We built TopMed around the parts everyone else treats as optional — the follow-up call to the payer, the appeal that takes ninety minutes to write, the root-cause note that stops the same denial recurring next month. Those are not extras. They are where collected revenue actually comes from.

If we are not measurably better than what you have today, you should not be paying us. That is why every engagement starts with an audit and every month ends with a number.

We work with independent practices, physician groups and DME suppliers across the United States — the kind of organisations big enough to feel every denial and small enough that a dedicated revenue team was never in the budget. Our clients keep their software, their staff and their data. What they get from us is the capacity and the specialist knowledge that a full billing department would have provided.

Principle 01

Show the numbers, including the bad ones

Every monthly report carries the same four metrics whether they improved or not. A vendor who only reports wins is a vendor who is managing you, not your revenue.

Principle 02

Earn the renewal every month

No multi-year lock-in. A short initial term, then month to month, with a clean data handover if you leave. Contracts should not be the reason a client stays.

Principle 03

Fix causes, not symptoms

Reworking a denial is the easy part. We trace the pattern to whichever upstream step allowed it through and close that gap, even when it means telling you something uncomfortable about the workflow.

Principle 04

Specialists, not generalists

A cardiology claim and a DME claim fail for entirely different reasons. Accounts are staffed by people who work in that specialty daily — not by whoever is free.

Principle 05

Your data stays yours

We work inside your system under named accounts with a full audit trail. No proprietary portal you have to beg for access to, and no export fee if you ever want to walk away.

How We Are Structured

Four roles behind every account

You are not handed to a shared queue. Each account has named people in each of these seats, and you know which one to call.

Account Manager

Your single point of contact. Runs the monthly review, owns the relationship with your practice manager and escalates anything that is not moving.

Named per client

Certified Coders

AAPC-certified and assigned by specialty. They apply current ICD-10, CPT and HCPCS with correct modifiers and flag documentation gaps back to the provider.

AAPC certified

A/R & Denials Desk

A dedicated team working denials by reason code and A/R by aging bucket. This is the function that quietly disappears in an understaffed practice.

Worked weekly

Credentialing & Compliance

Runs enrollment and revalidation calendars, and audits coding accuracy quarterly so problems surface internally before a payer finds them.

Rolling calendar

Every person on your account signs a HIPAA agreement, works under a named role-based login, and appears in the audit trail you can export at any time.

Talk to Us

The Difference

A typical billing vendor vs. TopMed

These are the questions worth asking any billing company before you sign — including us.

 
Typical vendor
TopMed Solutions
Who works your account
Typical vendor A shared pool — whoever picks up the ticket that day.
TopMed Named account manager plus coders assigned by specialty.
Reporting
Typical vendor A collections total at month end, with little explanation behind it.
TopMed Four fixed metrics, denial reasons by payer, and a review call.
Where your data lives
Typical vendor Their platform, their access rules, their export policy.
TopMed Your system, your ownership, full export any time — including on exit.
Denials under $200
Typical vendor Quietly written off — the effort exceeds their margin on it.
TopMed Worked by reason code, because the pattern matters more than the balance.
Contract terms
Typical vendor Multi-year, with penalties and a painful data extraction on exit.
TopMed Short initial term, then month to month, clean handover if you leave.
Scope
Typical vendor Billing only — credentialing and compliance are somebody else's problem.
TopMed Billing, DME, full RCM and credentialing under one team and one report.

FAQ

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.

+1 (000) 000-0000
info@topmedsolutions.com
Get Free Revenue Audit
How much does outsourcing our billing cost?
We charge a percentage of what we actually collect for you — typically in the low single digits, set by your specialty, claim volume and payer mix. There is no setup fee and no charge on money we do not bring in. You get the exact rate in writing after the free audit.
Do we have to change our EHR or practice management system?
No. We work inside whatever system you already use, under role-based access with a full audit trail. No migration, no new licences, no retraining your front desk. If you do not have a PM system yet, we can recommend one — but that is your call, not a condition.
What happens to our old, aged accounts receivable?
We work it. Legacy A/R is reviewed claim by claim for timely-filing eligibility, appeal potential and payer behaviour. You get an honest split of which balances are realistically recoverable and which are not worth the effort — we will not bill you for chasing dead paper.
Are you HIPAA compliant?
Yes. We sign a Business Associate Agreement before receiving any PHI. All work happens on HIPAA-compliant infrastructure with encrypted transmission, role-based access control, mandatory staff training and a full audit trail on every record touched.
Are we locked into a long-term contract?
No multi-year lock-in. Our agreement runs month to month after a short initial term, with a straightforward notice period and a clean handover of all data if you leave. We would rather earn the renewal every month than hold you to a contract you regret.
Can you handle just one part — say, only credentialing?
Yes. Plenty of clients start with credentialing or with A/R recovery only, then expand once they see the reporting. The four services are designed to work together, but none of them requires the others.
How quickly will we see a difference?
Claim turnaround improves immediately — charges go out within 24 hours from week three. Collections typically follow one payer cycle behind, so most practices see the change in their second full month, and the full picture across two quarters.

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.

A line-item view of where claims are being denied, and why
Recoverable dollars sitting in your aged A/R, quantified
Your clean claim rate and days in A/R vs. specialty benchmarks
A fixed collection rate quote, in writing
HIPAA Compliant BAA Signed AAPC Certified Coders No Lock-In
+1 (000) 000-0000
info@topmedsolutions.com
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