Medical Billing Services
Stop losing revenue to denied claims and slow reimbursements.
TopMed Solutions runs end-to-end medical billing for US practices — clean claim submission within 24 hours, aggressive denial recovery, and full transparency on every dollar you are owed.
Benchmarks TopMed clients hold
The Problem
Most practices never see the money they lose
It rarely shows up as one big write-off. It leaks out quietly — a rejected claim nobody reworked, an eligibility check that got skipped, an appeal window that closed.
Two out of three denied claims are simply written off because no one has the bandwidth to chase them. That is recoverable revenue walking out the door.
Every reworked claim burns staff hours, delays cash and increases the chance of missing the payer's timely-filing deadline entirely.
When a balance crosses 90 days the odds of collecting it drop sharply. Aged A/R is the clearest sign your billing workflow is under-resourced.
Coding errors, missing modifiers and stale payer rules push denial rates far above the 5% benchmark that a healthy practice should hold.
Coverage that was never verified before the visit turns into a denial after it — and then into a patient balance that is far harder to collect.
Payers do not always pay the contracted rate. Without line-level reconciliation against your fee schedule, short payments are invisible.
We will tell you exactly where your money is stuck — free, in 48 hours, no obligation.
Request Free Revenue AuditScope of Work
Every step of the claim, handled
You keep seeing patients. We take the claim from the moment it is created to the moment the payment posts — and we chase whatever does not pay.
Eligibility & Benefits Verification
Coverage, copay, deductible and prior-auth status confirmed before the patient walks in — so the visit is billable on day one.
Medical Coding & Charge Entry
AAPC-certified coders apply current ICD-10, CPT and HCPCS codes with correct modifiers, matched to your documentation.
Claim Scrubbing & Submission
Every claim runs through a payer-specific rules engine and a human check before it leaves — errors get caught here, not in a denial letter.
Payment Posting & Reconciliation
ERA and EOB payments posted line by line, then reconciled against your contracted fee schedule to expose underpayments.
Denial Management & Appeals
Denials are worked the same week — root cause identified, corrected claim or appeal filed with documentation, and the pattern fixed upstream.
A/R Follow-Up & Recovery
Systematic payer follow-up by aging bucket, starting with the highest-value balances, plus recovery work on old A/R you had given up on.
Patient Billing & Support
Clear statements, online payment options and a US-hours support line so your front desk stops fielding billing questions.
Reporting & Analytics
Monthly dashboards on collections, denial reasons, payer mix and A/R aging — with a call to walk you through what changed and why.
How It Works
From encounter to deposit, in five moves
No black box. You see the same claim status we do, and you get a named account manager who knows your practice — not a ticket queue.
Audit & onboarding
We review a sample of your claims, A/R aging and payer contracts, then map exactly where revenue is being lost before touching anything.
Week 1System & workflow setup
We connect to your existing EHR or PM system, set up payer enrollments and ERA feeds, and agree a working rhythm with your front desk.
Week 1–2Coding, scrubbing & submission
Charges are coded and scrubbed against payer rules, then submitted electronically within one business day of the encounter.
Daily · 24h turnaroundPosting, denials & A/R work
Payments post line by line. Denials and underpayments go straight into a worklist that is actioned the same week, not queued indefinitely.
ContinuousReporting & optimisation
Monthly review of collections, denial trends and payer performance — plus the fixes we are making upstream so the same denial stops repeating.
MonthlyMeasured Outcomes
The numbers our clients hold
These are the four metrics we are accountable for. They appear on your monthly report whether they moved in our favour or not.
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 by payer.
Revenue lift
Typical increase in monthly collections within the first two quarters of onboarding.
Denial rate
Held below 2% through payer-rule scrubbing and root-cause fixes upstream.
Figures reflect TopMed client averages · Individual results vary by specialty and payer mix
Why TopMed
In-house billing vs. TopMed Solutions
Most practices do not have a billing problem. They have a capacity problem — one or two people carrying a workload that needs a full department.
Fit & Compatibility
Built around your specialty and your software
We work inside the system you already use. No migration, no new licences, no retraining your front desk.
30+ Specialties
Coders assigned by specialty
Billing rules are not universal. Your claims are handled by coders who work in your specialty daily and know its modifiers, bundling rules and payer quirks.
+ 15 more — ask about yours
EHR / PM Systems
We work in your existing system
Our team logs into your platform under role-based access with a full audit trail. If your system is not listed, we will almost certainly still support it.
Custom or in-house PM system? We integrate.
Client Results
What practice owners tell us
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.
A/R > 90 days: 31% → 9%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 2 quartersFAQ
Questions we get
before signing
Still deciding?
Send us a sample of your claims and A/R aging. We will show you what is recoverable before you commit to anything.
How much do your medical billing services cost?
Do we have to change our EHR or practice management system?
How long does onboarding take?
What happens to our old, aged accounts receivable?
Are you HIPAA compliant?
Will we lose visibility over our own revenue?
Are we locked into a long-term contract?
Do you handle credentialing and DME billing too?
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.