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Medical Billing & Revenue Cycle Management

Medical Billing That Gets Claims Paid

Medflux is a US medical billing and RCM partner for outpatient practices. One accountable team owns coding, claim submission, denials, and A/R follow-up — so more of what you bill actually collects.

Up to 98% First-Pass Clean Claims Dedicated Account Manager No Long-Term Contracts Free Billing Audit HIPAA-Compliant Workflows
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Revenue Dashboard
Recovered · August 2026 $171,420
1,201 Claims paid
180 Denials resolved
94% Clean-claim rate

We work inside your existing systems

Your EHR stays. We plug into it.

Medical Billing Services

Everything your practice needs to get paid

Fifteen focused RCM services around clean claims and collected cash. Run full revenue cycle management, or start where denials and aging hurt most.

Medical Billing

End-to-end claim creation, submission, posting, and follow-up so revenue does not stall between desks.

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Medical Coding

CPT, ICD-10, and HCPCS coding that matches the note — specific enough to pay, defensible enough to audit.

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Denial Management

Appeals, root-cause fixes, and resubmission so denials stop repeating.

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Accounts Receivable Management

Structured A/R inventory work so balances do not age past recoverability.

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Revenue Cycle Management

Full RCM from front-end checks through denial work and monthly performance reporting.

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Coding Audits

Periodic and project coding audits with written findings prioritized by revenue and compliance risk.

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Medical Credentialing Services

Payer enrollment and re-credentialing so providers can bill without avoidable delays.

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Insurance Verification

Eligibility and benefits checks so visits are not scheduled into coverage surprises.

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Prior Authorization Services

Auth tracking and submission so approved services do not stall — or get denied — before the visit.

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Electronic Health Record Integration

Secure access and workflows inside your existing EHR/PM — your system stays; we plug into it.

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Patient Statement Processing

Clear patient statements and balance workflows without burying clinical teams in phone tag.

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AR / Follow Up

Persistent payer follow-up on open claims until paid, corrected, or documented for adjustment.

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Eligibility

Focused eligibility checks that catch inactive coverage and plan limits before you deliver care.

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Patient Collections Management

Respectful patient-balance workflows aligned to your financial policy — not aggressive theater.

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Reports

Production, collections, denials, and aging — in plain language leadership can use.

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Modern medical practice
Why Practices Switch

Stop losing revenue to billing chaos

01

Denials pile up

Workqueues grow while nobody owns the reason codes.

02

A/R ages past 90 days

Older balances sit because payer follow-up is the work nobody has hours for.

03

Staff drowns in portals

Clinical teams absorb admin that never shows up on the schedule.

How Medical Billing Works With Us

From free consultation to paid claims

A clear eight-step path from your first call to monthly RCM reporting — no black-box outsourcing.

01

Free Consultation

A no-pressure call to understand your specialty, payer mix, volume, and where billing revenue is leaking.

02

Practice Assessment

We review roughly the last 90 days of claims and denials — submission hygiene, denial patterns, and aging risk.

03

EHR / PM Integration

Secure access or file exchange with your EHR and practice management system — without disrupting clinical flow.

04

Credential Review

Payer enrollment and provider status checked so claims are not submitted into an enrollment gap.

05

Claim Submission

Daily claim creation, scrubbing against common payer edits, and electronic submission.

06

Payment Posting

ERA and EOB posting with variance checks so underpayments do not slide through unnoticed.

07

Denial Follow-up

Every denial gets a reason code, an owner, and a documented path back to paid or write-off.

08

Monthly Reports

Production, collections, denial categories, and A/R aging — in plain language your practice can use.

Specialty Medical Billing

Billing that knows your specialty CPT reality

From home health and hospice to DME, behavioral health, and procedural specialties — scrubbing tuned to your codes, not a generic outpatient template.

Home Health
Hospice
Behavioral Health & Mental Health
DME
Cardiology
Dermatology
Oncology
Neurology
Gastroenterology
Physical Therapy

View all specialties →

Results

What changed for practices like yours

Real outcomes from practices that moved billing to Medflux — denials down, collections up, A/R days compressed.

home-health-billing

Home Health Agency

Multi-location home health agency

Standardized NOA timing and case-mix input review cut denials and pulled aged A/R back inside a normal cycle.

−35% Denial rate
+22% Collections
60→34 A/R days
behavioral-mental-health-billing

Behavioral Health Practice

Multi-clinician outpatient behavioral health group

Cleaner telehealth modifier and time-based coding pushed first-pass acceptance up and cut the repeat-denial list.

+16pts First-pass rate
−40% Denial rate
52→28 A/R days
cardiology-billing

Cardiology Group

Multi-physician cardiology practice

Diagnostic component scrubbing and global-period modifier discipline recovered A/R previously written off as too old to work.

−41% Denial rate
+18% Net collections
71→39 A/R days
Reviews

What practices report

What practice leaders say after switching their revenue cycle to Medflux.

“Denials that used to sit for weeks now get a reason code and a next step. Our front desk finally stopped living in payer portals after hours.”

Jordan S.

Practice Manager, Family Medicine – TX

“The monthly packet is the first billing report I actually read. Aging buckets and denial categories, not a vanity dashboard. Cash felt steadier within two cycles.”

Avery L.

Physician Owner, Orthopedics – FL

“They understand timed codes and the 8-minute rule. Unit denials dropped, and someone owns the queue instead of our therapists guessing modifiers between patients.”

Morgan K.

Office Manager, Physical Therapy – OH

“Telehealth modifiers and time-based notes were a mess before. Cleaner submissions, clearer auth tracking, and fewer surprises on secondary claims.”

Riley N.

Administrator, Behavioral Health – CA

“Global periods and diagnostic components used to create silent leakage. Medflux scrubbed that path and worked the A/R we had written off as “just old.””

Casey P.

Practice Principal, Cardiology – GA

“Switching was calmer than expected. Open claims had owners, reporting showed denial root causes, and we stopped re-learning the same reject every month.”

Taylor H.

Billing Lead, Multi-specialty – IL

“Denials that used to sit for weeks now get a reason code and a next step. Our front desk finally stopped living in payer portals after hours.”

Jordan S.

Practice Manager, Family Medicine – TX

“The monthly packet is the first billing report I actually read. Aging buckets and denial categories, not a vanity dashboard. Cash felt steadier within two cycles.”

Avery L.

Physician Owner, Orthopedics – FL

“They understand timed codes and the 8-minute rule. Unit denials dropped, and someone owns the queue instead of our therapists guessing modifiers between patients.”

Morgan K.

Office Manager, Physical Therapy – OH

“Telehealth modifiers and time-based notes were a mess before. Cleaner submissions, clearer auth tracking, and fewer surprises on secondary claims.”

Riley N.

Administrator, Behavioral Health – CA

“Global periods and diagnostic components used to create silent leakage. Medflux scrubbed that path and worked the A/R we had written off as “just old.””

Casey P.

Practice Principal, Cardiology – GA

“Switching was calmer than expected. Open claims had owners, reporting showed denial root causes, and we stopped re-learning the same reject every month.”

Taylor H.

Billing Lead, Multi-specialty – IL

Transparent Pricing

Three clear pricing options

Basic or Gold for ongoing billing — plus Credentialing for payer network enrollment. No setup fees. No multi-year lock-in theater.

Basic from $500/mo or 1.99% Gold $1,000/mo or 2.99% · Credentialing $150 per insurance panel
See full pricing Book a Free Audit
Administrator reviewing billing reports
FAQ

Medical billing questions, straight answers

How switching works, which EHRs we support, HIPAA, contracts, reporting, and the free billing audit.

We run a structured handoff: inventory open A/R, map payers and fee schedules, confirm EHR/PM access, and review recent claims and denials. Go-live is scheduled so claims are not left in limbo between vendors. You receive a clear list of what we need from your office and what we own on day one.

We work with common US outpatient EHR and PM platforms via secure access or agreed file exchange. During the free audit and onboarding we confirm your stack, clearinghouse, and any IT constraints. If a system is a poor operational fit, we tell you before you sign.

We use HIPAA-compliant workflows and sign a Business Associate Agreement (BAA) with every client. Access is limited to staff who need it for billing operations. Do not send patient health information through the public website form – use the secure channels we establish after engagement.

Our standard commercial terms are designed to be straightforward – no surprise setup fees and no multi-year lock-in theater. Exact term length and notice period are confirmed in your agreement before you sign.

You receive monthly performance reporting as a baseline: production, collections, denial categories, and A/R aging. Operational questions during the month are handled through your account contact – not a black box until the invoice arrives.

You share recent claims and denials (typically last 90 days) plus high-level payer mix. We review submission hygiene, denial patterns, and aging risk, then walk you through findings and whether Medflux is a fit. The audit is consultative – not a sales pitch.

Next step

Find out what your practice is leaving on the table

A free review of your recent claims and denials — plain findings, no pressure theater.

Book a Free Audit (646) 652-0712

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