Comprehensive Medical Billing Services
From claim submission to A/R recovery, we deliver clinical precision and financial clarity across every stage of your revenue cycle. Our integrated approach ensures maximum reimbursement, reduced denial rates, and seamless operational continuity.
Core Service Offerings
Each service is designed to integrate seamlessly with your existing EHR and practice management systems, ensuring data accuracy, compliance, and operational efficiency.
Claim Submission & Scrubbing
Every claim undergoes rigorous pre-submission validation. We verify patient eligibility, review coding accuracy (ICD-10, CPT, HCPCS), and scrub for errors before electronic transmission. Our goal: 98%+ first-pass acceptance rates.
Turnaround: Same-day submission for clean claims.
Payment Posting & Reconciliation
We post remittances—ERA and paper EOBs—directly into your system with precision. Each payment is reconciled against billed charges, adjustments documented, and discrepancies flagged for immediate resolution.
Turnaround: Within 24 hours of payment receipt.
Denial Management & Appeals
Denials are analyzed by root cause, corrected, and appealed with supporting documentation. We track denial trends, implement preventive measures, and maintain a >85% overturn rate on disputed claims.
Turnaround: Appeals filed within 5 business days.
Insurance Follow-Up
Proactive outreach on unpaid or underpaid claims. Our team contacts payers, tracks claim status, resolves payer-side errors, and escalates when necessary to ensure timely reimbursement.
Frequency: Weekly aging review; daily high-priority follow-up.
A/R Cleanup & Recovery
Inherited backlog? We specialize in accounts receivable recovery. Our audit process identifies collectible balances, pursues aged claims, and brings your A/R aging profile back to health—often recovering 30–50% of outstanding balances.
Scope: Claims aged 90+ days; patient balances; secondary payers.
Patient Billing & Support
Clear, compliant patient statements generated and mailed on customizable schedules. Our support team handles patient inquiries, sets up payment plans, and processes payments—delivering a compassionate, professional experience.
Channels: Phone, email, and secure online portal.
Seamless EHR & PM Integration
Our team integrates directly with your existing systems—no disruption, no data migration headaches. We work with all major platforms to ensure secure, real-time data exchange and reporting.
- Epic – Full integration via APIs and reporting modules
- Cerner – HL7 and secure FTP data exchange
- Athenahealth – Native billing workflows and dashboards
- AdvancedMD – Direct access and claim routing
- Kareo – Real-time posting and A/R tracking
- NextGen – Integrated claim scrubbing and follow-up
- eClinicalWorks – End-to-end revenue cycle management
- Practice Fusion – Streamlined claim submission and reconciliation
Don't see your system? We've worked with dozens of niche and legacy platforms. Contact us to discuss your setup.
Supported
Data Security
Service Level Commitments
Transparency and accountability are at the core of our service delivery. We measure what matters and hold ourselves to the highest standards.
Performance Metrics
- 98.6% first-pass claim acceptance rate
- 24-hour payment posting turnaround
- 85%+ denial overturn success rate
- Average Days in A/R: 32 days or fewer
- Same-day claim submission for clean claims
- Monthly reporting with actionable insights
Compliance & Security
- HIPAA-compliant data handling and storage
- SOC 2 Type II certified infrastructure
- 256-bit encryption for all data transmission
- Role-based access controls and audit trails
- Annual compliance training for all team members
- Business Associate Agreement (BAA) provided
Industry-Specific Expertise
We understand that billing requirements vary by specialty. Our team brings deep domain knowledge across multiple healthcare verticals.
Primary Care
High-volume billing, preventive care, and chronic disease management coding.
Behavioral Health
Session-based billing, authorization tracking, and payer-specific documentation.
Specialty Practices
Complex procedures, modifier expertise, and multi-payer coordination.
Urgent Care
Fast-paced environments, self-pay workflows, and after-hours posting.
"Since partnering with NELSON LAZARO, our denial rate has dropped from 12% to under 3%, and our collections have increased by 28%. Their team is proactive, detail-oriented, and genuinely invested in our success. The monthly reports alone have given us insights we never had before."
Dr. Amanda Chen, MD – Horizon Medical Associates
Ready to Streamline Your Revenue Cycle?
Let's discuss how our comprehensive billing services can reduce administrative burden, improve cash flow, and let you focus on patient care.