End-to-End Medical Billing &

Practice Management Services

From initial provider credentialing to advanced revenue optimization, we provide the comprehensive operational support your practice needs to thrive in today's complex healthcare landscape.

Credentialing & Enrollment

Establish and maintain your practice's foundation with multiple insurance payers. We handle the complex paperwork so you can focus on seeing patients.

  • Credentialing assistance with commercial insurance plans

  • Medicare enrollment (PECOS)

  • Medicaid enrollment

  • CAQH setup and maintenance

  • NPI registration and taxonomy setup

  • EFT/ERA enrollment

  • Payments portal setup ie: Navinet, Zelis, Optum, ect.

  • Clearinghouse enrollment

  • Group/PTAN reassignment assistance

  • Revalidation tracking

Revenue Cycle Management

A properly structured revenue cycle prevents denials before they happen.

  • Build fee schedules

  • CPT/ICD-10 charge setup

  • POS configuration

  • Provider profile setup in billing software

  • Insurance payer mapping

  • ERA/EOB workflow

  • Patient statement setup

  • Electronic claims configuration

  • Denial management workflow creation

  • Monthly financial summaries

  • Financial reporting dashboards

Billing Operations

Medical billing operations ensure healthcare providers are accurately reimbursed by managing claims, payments, insurance processes, and revenue cycle workflows efficiently and compliantly.

  • Charge entry

  • Claim submission

  • Payment posting

  • Secondary claim billing

  • Patient billing

  • Insurance follow-up

  • Denial appeals

  • Authorization tracking

  • Eligibility verification

  • Claim corrections and rebilling

  • Refund processing

  • Credit balance review

Revenue Optimization

Revenue optimization is essential for maintaining the financial health and overall performance of a medical practice.

  • Identify missed billing opportunities

  • Coding review support

  • Add-on code education

  • Modifier usage guidance

  • Underpayment identification

  • Silent account audits

  • Unapplied payment investigations

  • ERA routing cleanup

  • Payer trend analysis

  • Productivity and reimbursement reporting

  • Revenue leakage analysis

  • Payment plan coordination

  • Insurance education for providers and their staff

  • Personalized statement customization

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