Medical billing services
Don't let your revenue ghost you!
Don’t leave your hard-earned revenue wandering the afterlife. We bring billing, coding, denial management, and A/R together to keep your practice’s payments alive and accounted for.
Our operational footprint
These aren't aspirational targets.
These metrics are what we deliver, consistently, across all practices and specialties we work with.
100K+
Monthly claims processed
15-25%+
Increase in monthly revenue
Under 10%
Denial rate
Under 40
AR Days
90%+
First-pass rate
97%+
Net collection rate
Experienced across 50+ EHRs. We work natively within your system and never route patient data through third-party tools.
Practices don't hire us just to submit claims. They hire us to keep revenue moving.
As your practice grows, billing as a standalone service stops being enough. With end-to-end revenue cycle management, it becomes a coordinated system that drives how consistently and accurately your practice gets paid. This is how we run and manage your revenue cycle.
Revenue cycle management
MedHeave manages your entire revenue cycle as one integrated system, covering eligibility, charge capture, coding, claim submission, and AR follow-up until fully paid.
Medical billing
We run your complete billing cycle, from charge entry through denial appeals, with a dedicated team accountable at every stage, so you generate revenue on every claim.
Medical coding
We review every diagnosis, procedure, and modifier against your documentation and payer-specific edits, so a coding error is never the reason you lose revenue overall.
Payor credentialing
We manage your credentialing cycle, from primary source verification to CAQH maintenance and PECOS enrollment, so lapsed credentials never cause a claim denial.
Prior authorization
We handle every prior authorization request with the exact documentation each payer needs, follow it through to approval, and appeal every denial so care never stalls.
Worker’s comp & no-fault billing
We verify claims, submit correct codes and documents within 24-48 hours, follow up with adjusters on delays, and manage denials & appeals until you get paid in full.
Denial management
Denial management runs as a dedicated function on our end, with the payer knowledge and the root-cause discipline to recover every dollar that belongs to the practice.
Patient billing
We confirm patient responsibility from EOBs, send up to three statements, make follow-up calls, and coordinate payment plans before escalating accounts to collections.
We Run the Revenue.You Run the Practice.
We Run the Revenue.
You Run the Practice.
One conversation with our team and you will know where your billing is failing and how fixing it will increase your revenue by 15-25%.
Trusted by 700+ providers from coast to coast.
MedHeave works with practices across the country, with a presence in 40+ states, adapting to each state’s payer rules while keeping operations consistent at every location.
Apparently, doctors say very nice things
when they do not have to fight insurance companies.
“Really impressed with how responsive you guys have been and really like making it work, which is amazing. So thank you so much.”
Dr Anika Goldman
Clinical Psychologist
“You people saved my life, I have to tell you. As far as the billing goes, I am very pleased.”
Dr. Jeffery Kaplan
Podiatrist
“So that has been interesting and stress-free just to know that you guys have my back.”
Jazzmine Carrilo (Licensed Alcohol and Drug Counselor)
Practice Owner
Generic billing doesn’t work across specialties. Ours is built especially for yours.
MedHeave works closely with practices in 20+ specialties where we’ve built deep operational familiarity, supporting each field with structured revenue cycle management built around its specific demands.
Behavioral health
In behavioral health, missing eligibility or session tracking can cost several visits, not just one. We stay ahead of authorization limits, benefit caps, telehealth rules, and co-pay terms so billing stays steady through care.
Podiatry
For podiatry billing, we make sure modifiers like 25 and RT/LT are accurate, services align with global periods and payer edits, and orthotics always meet payer-specific authorization and DME requirements before claims go out.
Urgent care
We handle urgent care billing across walk-ins, diagnostics, and procedures. From there, we track payor coding rules, facility contracts, prior authorizations, and eligibility checks so claims never get delayed, cut, or denied.
Orthopedic
We handle orthopedic billing, making sure procedures get authorized upfront and modifiers like LT/RT and bilateral get applied well. Surgical cases with implants are coded and billed the way payers actually expect for payment.
Cardiology
Cardiology billing often triggers NCCI edit denials, bundling issues, and global period violations when E/M services and procedures are billed together. We manage coding and modifier logic to reduce denials and boost payments.
DME
DME billing is handled by aligning orders, documentation, and delivery timelines with payer rules. We apply HCPCS coding, manage capped rentals, and enforce refill limits so claims are never denied for missing paperwork today.
Pediatrics
In pediatrics, we handle well visits and immunizations, making sure vaccine administration and VFC eligibility are correct. Age-based coding stays accurate as well, so nothing gets missed, underbilled, or delayed at any visit.
Anesthesia
The accuracy of anesthesia billing depends on capturing start and stop times correctly. We ensure precise time capture, apply base units and modifiers, and handle medical direction & concurrency so each unit is billed right.
Don’t see your specialty? We likely work in it.
Insights from the billing floor.
From denial trends to specialty-specific coding updates, our blog covers insights that actually matter to providers running a practice.
- Haroon Chaudhary
- October 27, 2026
- Anna Walker
- October 26, 2026
Still looking for a reason? Here's 700+.
Acupuncturist
David Behar
Behavioral Health
Shimmy Rottenberg
Tarnopol Applied Behavior Analysis, PLLC
pediatrics
Evelyn Kawalko
Gotham Footcare
Mental Health
Dr. Laura Cuevas
New England Counseling Services and Wellness PLLC
Mental Health
Datta Ghouri
Datta Ghouri MD
Behavioral Health
Sondrea Surette-Narcisse
Scars to Strenth Couselling
pediatrics
Joseph Miraglia
Mount Pleasant Medicine-Pediatrics, PLLC
Mental Health
Mari Carmen
Mari Carmen Cintron, LICSW
ENT
Theresa O’Callaghan Terry
North Shore Ear, Nose & Throat Associations
Urgent Care
Janet Testoni
WALK-IN MD CLINIC
Mental Health
Laura Goodridge
Andover Psychotherapy LLC
Podiatry
Dr. Amna Ashfaq
AAA Podiatry
Mental Health
Nadine Byrd
Destiny 4U Counseling & Training LLC
Podiatry
Dr. Andrea Schulman
All care Podiatry PC
Behavioral Health
Lori Krawetz
Boston Evening Therapy Associates
Behavioral Health
Guan Ellerbe
Leading Light Behavioral Health Inc
Behavioral Health
Marty Krakowsky
Brookline Adult and Child Counseling Inc.
Behavioral Health
Gouri Data
Datta Consultants LLC
Podiatry
Dr. Gireesh Reddy
Ankle and Foot Specialist of North Texas
Behavioral Health
Herbert Rothfarb
HERBERT IVAN ROTHFARB Ph.D.
Mental Health
Herbert Rothfarb
HERBERT IVAN ROTHFARB Ph.D.
Podiatry
Dr. Robert Maccabee
Advanced Foot Care and Sports Medicine
Podiatry
Dr. Walter Perez
Advanced Walk-In Foot Care
Psychology
Alyssa Dombrowski
Koüm, LLC
Wound Care
Akeem Kareem
Divine Wound Specialist L.L.C.
Behavioral Health
Katrina Lee
Caterpillar to Butterfly LLC
Mental Health
Lynn Rice
Lynn R. Rice LCSW Be Inspired Therapy
Home health
Hugues Marcelin
Washington Healthcare Inc
Behavioral Health
Martha Mino
Behavioral Health
Eva Pechin
Orthopedics
Connor Ziegler
Vitality Orthopedics and Biologics PLLC
Behavioral Health
Izabella Wilson
Center for Psychological Wellness
Podiatry
Danielle Petrowski
Lavoie Practice of Pediatrics
Mental Health
Anh Tran
HKD Outreach
Osteopath
Dr. Donald Williams
Mental Health
Kristen El Khattabi
Trust Therapeutics
Primary Care
Carmen Marquez
Tender Medical Care
Mental Health
Tiran Ambartsumyan
PSYCH THERAPY PROFESSIONALS
Podiatry
Dr Neha Khanna
Anchor Podiatry
Mental Health
Info ego
Ego Therapy
Behavioral Health
Mary Rea
Rea Counseling
Mental Health
Sara Pottinger
Podiatry
Zevi Isseroff
Podiatric Consulting Specialists
Behavioral Health
Rosemonde Paulo
MINDSET PSYCHIATRIC AND WELLNESS
Mental Health
Paula Villanueva
Psychiatry and Mental Health, A Physician
Kayla Hubbard
Heather Bibeau
Behavioral Health
Natalie Cardona
Trust Therapeutics
Podiatry
Mona Khoury
Avenue U Footcare
Occupational Therapy
Marianna Peykar
Mental Health
Michael Drewyor
Michael T Drewyor PhD
Jon
Mental Health
Deanne Dworski-Riggs
Behavioral Health
Vivian Minto
Mountain State Counseling and Behavioral Health Servcies
Mental Health
Julie Lucier
The Center for Psychological Wellness
Mental Health
Li Rob
Trust Therapeutics
Behavioral Health
Ana Depina
HKD Outreach
Podiatry
Dr. Paul Bernstein
Adult Health
James Meleney
Elizabeth Giaquinto, LLC
Behavioral Health
Shauna Dawson
Trust Therapeutics
Speech Therapy
Ginnette Valdez
AC Speech Therapy
Psychiatry
Nicole Leighton
Willow Women's Psychiatry and Wellness
Behavioral Health
Heidi Hughart
Alcohol and Drug Counselor
Matthew Yuyun
Northern Pines Counseling LLC
Mental Health
Odeline Jean-Baptiste, LCSW
TherapyWalk LLC / Odeline
Podiatry
Raymond Mollica
Behavioral Health
Samantha Heim
Samantha Heim,APRN PMHNP-BC
Podiatry
Fabienne Rottenberg
Mental Health
Rachael Darian
Fix Your Mind PLLC
Sugar Bear
Dr. Donald Williams
Mental Health
Nicole Lambert
InnovaMind Psychiatry
Cardiology Billing
Sanjeev Goyal
Heart rhythm specialists of Central Massachusetts
Preventative care
Domenick Bianchi
Preferred Healthcare Associates INC
Mental Health
Susan Buckman
The Wishing Tree Counseling
Podiatry
Gireesh Reddy
Restore Foot & Ankle Specialists PLLC
Behavioral Health
Amy Farrar
Pathways to Wellness LLC
Mental Health
Ernesto Alvarez
Podiatry
Dr Louis Scotti
All lsland Footcare
Mental Health
Jazzmine Carrillo
Ready 2 Rise Counseling LLC
Psychiatry
Colleen Bailey/Jordan Ouellete
Nutrition Empowered
FAQs
Questions we often hear from providers like you.
Switching to a different billing setup is not a small decision. These are the operational questions practice owners ask us before making the move, to make sure it’s the right one.
How does MedHeave handle denied claims?
90% of denials are caught through ERAs. 70% are resolved with modifier corrections and resubmitted. The rest are sent to the provider for clinical input. If the corrected claim is denied again, we appeal. Write-offs only happen with provider approval.
What happens to our existing AR when we transition to MedHeave?
We build a full aging sheet and identify claims still within rework windows. Commercial payers allow approximately 90 days; Medicare allows up to 1 year. Claims in the 60 to 120 day bucket are prioritized first. Write-offs are only recommended with your approval.
How do you handle out-of-network billing and the No Surprises Act?
For OON claims, we verify benefits, submit clean claims, and negotiate underpayments through companies like MultiPlan and Zelis. For NSA-eligible claims, we manage open negotiation, IDR filing through the CMS portal, and QPA analysis. Our IDR success rate runs 75 to 85%.
Do you handle prior authorizations or just claims?
We handle both. Auth requirements are verified by specialty and payer, requests are submitted with clinical documentation, and status is tracked centrally. Standard turnaround is 2 to 5 business days. If a claim is denied for missing auth, we check retro auth first, then file a medical necessity appeal.
How do you handle underpayments on in-network claims?
Every EOB is compared against the contracted fee schedule. If the payment is below the contracted rate, we request reprocessing. We bill at 150% of the allowable to prevent charge-level underpayments. Consistent underpayers are flagged to the provider and escalated to credentialing for contract renegotiation.
How quickly do you submit claims after the provider signs the encounter?
Within 24 hours of the signed encounter notes. Missing CPT or diagnosis codes are flagged to the provider the same day. Unsigned notes are flagged weekly. All submissions are tracked through the clearinghouse to confirm successful transmission.
Who works on our account, and what happens if someone leaves?
A dedicated team handles charges, AR, and payment posting, each with a supervisor running daily audits. Resigning staff serve a 30-day notice for SOP handover. Supervisors are a real-time backup on every account.
Do you handle credentialing?
Initial and re-credentialing, including primary source verification and payer follow-ups every 14 business days. Commercial payers take 2 to 4 months; Medicare and Medicaid take 1.5 to 3 months. Expirables are tracked and flagged 60 to 90 days before lapse. CAQH maintenance is included.
How do you handle coordination of benefits with multiple payers?
We determine primary and secondary responsibility. If both plans refuse primary, we contact the patient to update COB with the insurers. Conference calls are arranged when needed. Primary is billed first, remaining balance goes to secondary.
What reporting do we get and how often?
Charge and payment reports weekly. AR reports monthly. Denial trends, underpayment patterns, and payer performance are tracked continuously. Custom reporting is available on request.
How do you protect patient data and stay HIPAA compliant?
Encrypted systems with role-based access controls. ERA and EFT setups are configured during onboarding to minimize manual data handling. Coders hold CPC certifications through AAPC and stay current via CMS, AMA, and continuing education. Coding is based strictly on documentation.
