Connected healthcare operations
Medical Billing & Revenue Cycle Management
Medical billing turns documented care into claims and payments. Revenue cycle management connects that work to eligibility, charge capture, reconciliation and reporting. MedWork Services supports U.S. practice owners who need a clear view of what has been billed, paid and left unresolved.
- 400+ providers credentialed
- 5,000+ payer enrollments
- 12 years in healthcare revenue operations
01
What problem does your practice face?
Your practice is busy, but collections are difficult to explain. A full schedule does not tell you whether charges are complete, claims are accepted or payments are reconciled. We examine the full workflow rather than treating claim submission as the finish line.
02
Why does this happen?
Eligibility gaps, incomplete encounter documentation, coding mismatches and unworked rejections can interrupt the cycle. Payment posting without ERA/EOB reconciliation may also conceal underpayments or unresolved balances. Reports from different systems often use inconsistent definitions.
03
How does it affect revenue and operations?
Unsubmitted charges and rejected claims delay collections. Unreconciled payments make financial decisions harder, while preventable errors add administrative work. Owners need actionable reporting that distinguishes payer delays, internal workflow issues and patient balances.
Our approach
How does MedWork Services approach medical billing and RCM?
We begin by following one month of claims from charge entry to payment, to see where money gets stuck before anything is changed.
01
Review eligibility and benefits verification, charge entry and documentation handoffs.
02
Support CPT and ICD-10 coding workflows based on documented services and agreed responsibilities.
03
Submit claims and track clearinghouse acceptance and payer responses.
04
Post payments and reconcile ERA/EOB information.
05
Review workflows in Athenahealth, eClinicalWorks, AdvancedMD, Kareo, TherapyNotes, SimplePractice, DrChrono and Office Ally. Access and scope are confirmed during assessment.
The scope is agreed with your practice before work begins.
What does your practice receive?
- A documented billing workflow and responsibility map
- Claim and payment exception queues
- ERA/EOB reconciliation and follow-up priorities
- Consistent revenue reports with definitions and next actions
What is a typical timeline?
Implementation depends on system access, provider volume, data quality and the scope of open work. We agree on a transition plan before taking over workflows. Payer processing times and collections vary. No payment result is guaranteed.
Start with the right questions
Not sure where the gap is?
Not sure where collections are leaking? Start with a credentialing and revenue audit.
Clear answers
A few things you might be wondering.
Will we need a new practice management system?
Not necessarily. We first assess your existing system, access permissions and workflow before recommending changes.
Does billing support include coding?
Coding support and clinician documentation responsibilities are defined in the engagement. Codes must reflect the services actually documented.
What will owners see in reporting?
The agreed reports can show claims, payments, aging balances and exceptions, with consistent definitions and accountable follow-up.
Can you review our current billing process first?
Yes. A credentialing and revenue audit can identify gaps before you decide on a broader billing engagement.
How is pricing structured?
Pricing depends on the services you need, the number of providers and the state of your current workflows. We give you a written scope and fee before any work begins. Contact us for a quote.
Keep exploring
Related services
Related reading: Case Study: Billing and RCM for a Growing Behavioral Health Practice · How to Read an AR Aging Report · Case Study: Complete RCM for an Ohio Behavioral Health Practice
A clearer path forward
Let’s find what’s holding your revenue back.
Start with a conversation about your practice. No pressure. No promises we can’t support.