Medical Billing Services | Revenue Cycle Management | Probuilt Sites

๐Ÿฅ Free Billing Audit Available โ€” Find out exactly how much revenue your practice is losing. No obligation, delivered within 3 business days. Chat on WhatsApp: 0344 786 4656

โœš HIPAA-Compliant Revenue Cycle Management

Focus on
Your Patients.

We’ll defend your revenue.

Professional medical billing and RCM for solo practitioners and small clinics. We handle insurance claims, denials, AR follow-up, and patient billing โ€” so you can focus entirely on care.

98%+ Clean claim rate
<5% Target denial rate
30โ€“45 AR days (vs 60โ€“90 avg)
$0 Setup or upfront fee
RCM Dashboard Live
This Month Collections
$52,480
โ†‘ +28% vs in-house
Clean Claim Rate
98.4%
โ†‘ Target met
Avg AR Days
32 Days
โ†“ Was 74 days
Denial Rate
3.2%
โ†“ Industry avg: 12%
Claims by Status
Paid
87%
Pending
10%
Denied
3%
โœš HIPAA Compliant ๐Ÿ”’ Encrypted ๐Ÿ“Š Real-time
98%+
Clean claim submission rate
<5%
Target denial rate (industry avg: 12%)
30โ€“45d
AR days (vs 60โ€“90 industry average)
20โ€“40%
Average revenue increase for clients
$0
Setup fee โ€” performance-based only
The Revenue Crisis

Your Practice Is Losing Money
Every Single Day

Most healthcare providers lose 30โ€“40% of earned revenue through a combination of billing errors, slow follow-ups, undercoding, and unchallenged denials. In 2026, AI-powered payer systems are denying claims faster and more aggressively than ever โ€” making professional billing management not a luxury, but a survival necessity.

โฑ

4โ€“8 hours per day lost on billing tasks that pull your staff away from patient care and administrative work that actually grows the practice.

โŒ

Industry-average denial rate of 10โ€“15% means roughly 1 in 8 claims you submit is rejected โ€” and most practices never appeal them, leaving money permanently on the table.

๐Ÿ“…

60โ€“90 days AR cycle creates dangerous cash flow gaps that force practices to delay equipment, hiring, and growth investments.

โš–๏ธ

2026 CMS Physician Fee Schedule changes โ€” including efficiency adjustments reducing work RVUs by 2.5% for ~7,700 codes โ€” demand expert billing knowledge just to maintain current revenue levels.

Average Revenue Leakage
30โ€“40%

of earned revenue never collected by the average practice due to billing inefficiencies, unchallenged denials, and outdated processes.

$70k+
Annual cost of an in-house biller (salary + benefits + software)
12%
Industry-average denial rate โ€” we target below 5%
74d
Average AR days for self-managed practices
487
New ICD-10-CM codes in 2026 requiring specialist knowledge
Our Approach

Revenue Cycle Defense,
Not Just Billing Submission

We don’t just submit claims. We actively defend your revenue at every stage of the cycle โ€” from charge capture to final payment posting.

๐ŸŽฏ
Proactive Claim Scrubbing

AI-assisted pre-submission review catches errors before they reach the payer โ€” achieving 98%+ first-pass acceptance across all submissions.

๐Ÿ›ก
Aggressive Denial Management

Every denial is analysed, root-caused, and appealed. We don’t accept denials as final โ€” we recover what you’ve earned with targeted appeals.

โšก
Same-Day Claim Submission

Claims are submitted electronically within 24 hours of service. Faster submission means faster payment and improved cash flow predictability.

๐Ÿ“Š
Real-Time Reporting

Full transparency into your financial performance with monthly reports, AR aging analysis, and payer performance breakdowns you can actually read.

๐Ÿ”’
HIPAA Compliance Built-In

Every process, system, and communication is HIPAA-compliant with full BAA provided. Encrypted transmission, secure storage, and audit trails on everything.

๐Ÿ“ž
Dedicated WhatsApp Support

Your dedicated account manager responds via WhatsApp within 15 minutes during business hours. No ticket systems, no wait queues, no chasing.

What’s Included

Every Service in Our
Billing Programme

Comprehensive end-to-end revenue cycle management โ€” from the moment a patient checks out to when the final dollar posts to your account.

๐Ÿ“‹
Service 01

Insurance Claim Submission

We submit clean, accurate electronic claims to all major payers โ€” primary and secondary insurance โ€” within 24 hours of service. Our AI-assisted scrubbing process checks every claim against payer-specific rules before submission, dramatically reducing rejection rates.

โœ“Primary & secondary insurance billing
โœ“Electronic claim submission (EDI)
โœ“AI pre-submission scrubbing
โœ“Same-day submission protocol
โœ“Payer-specific rules engine
โœ“All specialties supported
โœ“Medicare, Medicaid & commercial
โœ“Real-time claim tracking
Clean Claim Rate Target
98%+
First-pass acceptance across all payers โ€” vs 85% industry average
Submission Speed Same Day
Industry Avg Clean Rate ~85%
Our Target 98%+
Medicare/Medicaid โœ“ Included
๐Ÿ‘ฅ
Service 02

Patient Billing & Collections

Clear, professional patient statements and a full suite of collection tools that protect your revenue while preserving the patient relationship. We handle all patient-facing billing communication in a transparent, compassionate manner.

โœ“Clear, readable patient statements
โœ“Payment plan setup & management
โœ“Online patient payment portal
โœ“Credit & debit card processing
โœ“Patient inquiry handling
โœ“Collections when necessary
โœ“Patient communication scripts
โœ“Balance verification support
Patient Collection Goal
95%+
Patient balance recovery rate within 90 days of statement delivery
Statement Delivery Within 48hrs
Payment Plans โœ“ Managed
Online Portal โœ“ Included
Patient Relationship Protected
๐Ÿ’ฐ
Service 03

Revenue Cycle Management

Full-spectrum revenue cycle oversight โ€” from the moment a patient books an appointment to when the final payment clears your bank account. We optimise every touchpoint in the financial lifecycle of your practice.

โœ“End-to-end cycle management
โœ“Charge capture & entry
โœ“Eligibility verification (pre-visit)
โœ“Prior authorisation support
โœ“Payment posting & reconciliation
โœ“Account reconciliation
โœ“Cost-to-collect monitoring (<5%)
โœ“Cash flow optimisation
Cost-to-Collect Target
<5%
Efficient practices maintain under 5% โ€” we help you get and stay there
Pre-Visit Eligibility โœ“ Verified
Prior Auth Support โœ“ Managed
Error Rate (AI scrub) <2%
Manual entry error rate ~7% industry avg
๐Ÿ“ž
Service 04

Accounts Receivable Follow-Up

Persistent, systematic AR management that ensures no claim ages out or slips through the cracks. We track every outstanding balance with a structured follow-up cadence โ€” keeping your AR days well below the industry average.

โœ“30/60/90-day AR aging reports
โœ“Structured follow-up cadence
โœ“Insurance AR follow-up calls
โœ“Patient AR follow-up
โœ“Underpayment identification
โœ“Underpayment recovery
โœ“Zero AR abandonment policy
โœ“Collections referral when needed
Target AR Days
30โ€“45d
Average AR cycle โ€” vs 60โ€“90 days when self-managed
Industry Average 60โ€“90 days
Our Target 30โ€“45 days
AR Abandoned $0 policy
Underpayment Recovery โœ“ Active
๐Ÿ›ก
Service 05

Denial Management & Appeals

In 2026, AI-powered payer systems are denying claims faster and more aggressively than ever. We don’t accept denials โ€” we appeal them with precision, track root causes, and implement process improvements that prevent future denials of the same type.

โœ“100% denial review policy
โœ“Root cause analysis
โœ“First & second-level appeals
โœ“Payer-specific appeal strategies
โœ“Process improvement feedback
โœ“Denial trend tracking
โœ“Denial prevention strategies
โœ“Target: <5% denial rate
Denial Rate Target
<5%
Industry average is 10โ€“15% โ€” we keep it under 5% through prevention and appeals
Industry Average Denial 10โ€“15%
Our Target <5%
Denial Reviews 100% reviewed
Appeal Success Rate 80%+ recovered
๐Ÿฅ
Service 06

Credentialing & Enrollment

Provider credentialing and insurance enrollment is a time-consuming, documentation-heavy process that causes significant revenue delays when not managed properly. We handle the entire process โ€” from initial application to re-credentialing โ€” so your billing can start as fast as possible.

โœ“Provider credentialing (new)
โœ“Insurance panel enrollment
โœ“CAQH profile maintenance
โœ“Medicare/Medicaid enrollment
โœ“Commercial payer enrollment
โœ“Payer contract review support
โœ“Re-credentialing management
โœ“Status tracking & communication
Credentialing Pricing
$500โ€“1k
One-time fee per provider โ€” separate from the % of collections billing fee
New Provider Setup $500โ€“$1,000
CAQH Maintenance โœ“ Ongoing
Payers Covered All major
Re-Credentialing โœ“ Managed
๐Ÿ“Š
Service 07

Reporting & Analytics

Complete financial visibility into your practice performance with monthly reports you can actually understand. We turn billing data into actionable insight โ€” tracking collection rates, denial trends, payer performance, and AR health across every provider in your practice.

โœ“Monthly financial performance report
โœ“AR aging breakdown by payer
โœ“Collection rate analysis
โœ“Denial rate & trend tracking
โœ“Payer performance comparison
โœ“Provider performance (multi-provider)
โœ“Year-over-year comparisons
โœ“Custom report requests
Reporting Cadence
Monthly
Full financial report delivered every month โ€” plus 24/7 dashboard access
Report Delivery Monthly
Dashboard Access 24/7 Cloud
Custom Reports โœ“ Available
Format Plain English
Specialties We Serve

Deep Expertise Across
Every Medical Specialty

Generic billing fails specialties. We know the unique coding requirements, payer nuances, and 2026 regulatory changes for each specialty we serve.

๐Ÿฉบ
Primary Care

Family medicine and internal medicine billing with specialised knowledge of the G2211 visit complexity add-on and 2026 E&M documentation requirements.

Family Medicine Internal Medicine G2211 Coding
โš ๏ธ 56% of internists face 5%+ payment cuts in 2026 โ€” proper coding is critical
๐Ÿง 
Mental Health

Specialised billing for psychiatry, psychology, and therapy โ€” including telehealth POS 10 billing, 90837 documentation thresholds, and parity law compliance.

Psychiatry Psychology Telehealth POS 10
โš ๏ธ Telehealth place of service coding changed in 2026 โ€” expertise required
๐Ÿฆด
Physical Therapy

PT billing including functional limitation reporting, KX modifier management, cap exemption documentation, and outcome measure coding for optimal reimbursement.

PT Billing KX Modifier Cap Management
โš ๏ธ Non-facility billing site changes in 2026 โ€” PE RVU adjustments impact reimbursement
๐Ÿฆท
Dental Practices

Medical and dental crossover billing, medical necessity documentation for dental procedures, and dual insurance coordination for maximum reimbursement.

Dental Billing CDT Codes Medical Crossover
โš ๏ธ Dual billing opportunities often missed โ€” we capture both dental and medical reimbursements
๐Ÿฆด
Chiropractic

Chiropractic billing with focus on medical necessity documentation, Medicare compliance, CMT coding, and management of spinal manipulation claims across all payers.

CMT Codes Medicare Compliance Spinal Billing
โš ๏ธ Medicare documentation requirements for chiropractic are strict โ€” we ensure full compliance
๐Ÿ”ฌ
Specialty Medicine

Cardiology, oncology, infectious disease, and multi-specialty groups โ€” with detailed knowledge of territory-based codes, chemotherapy administration, and complex E&M services.

Cardiology Oncology Multi-Specialty
โš ๏ธ 39% of oncologists face cuts of 10โ€“20% in 2026 โ€” coding expertise is revenue-critical
Our Onboarding Process

From Free Audit to
Fully Operational in 2โ€“3 Weeks

A structured, low-disruption onboarding that gets your billing optimised without impacting patient care or staff workflow.

1
๐Ÿ”

Free Billing Audit

Day 1โ€“3 ยท No obligation

We perform a comprehensive audit of your current billing process โ€” reviewing claim data, denial patterns, AR aging, and revenue leakage points. You receive a detailed written report with specific findings and projected savings. Absolutely free, no strings attached.

Current collection rate analysis Denial rate & root causes AR aging assessment Revenue leakage identification Projected savings calculation Process inefficiency map
2
๐Ÿ“‹

Audit Review & Agreement

Day 3โ€“5

We review the audit findings with you via WhatsApp or call, answer all questions, and walk through the specific improvements we’ll make. Once you’re satisfied, we sign the service agreement and BAA before a single step of work begins.

Audit findings walkthrough Service scope confirmation Service agreement signing BAA (Business Associate Agreement)
3
๐Ÿ”—

System Onboarding

Week 1

We connect to your EHR/Practice Management system, gather all required provider and practice information, verify insurance credentials, and configure your reporting dashboard. Our team handles the technical integration โ€” minimal disruption to your staff.

EHR/PM system access setup Provider information collection Insurance credential verification Reporting dashboard configuration Staff communication setup WhatsApp channel established
4
๐Ÿงช

Transition & Parallel Billing

Week 2โ€“3

We begin with a controlled transition โ€” submitting test claims, working the existing AR backlog, and running parallel billing if needed to ensure zero disruption to cash flow. Your existing claims continue to be processed while we take over.

Test claim submission Existing AR workup begins Parallel billing (if needed) Cash flow continuity maintained
5
๐Ÿš€

Go Live

Week 3โ€“4

Full billing operations begin. Claims are submitted daily, payments are posted, denials are managed, and patient billing runs on schedule. Your first monthly report arrives at the 30-day mark showing exactly what changed.

Daily claim submission Payment posting begins Active denial management Patient billing live
6
๐Ÿ“ˆ

Ongoing Optimisation

Continuous

Every month, we review performance data, identify new optimisation opportunities, and provide a clear report. As payer rules change and coding updates arrive (like the 487 new ICD-10 codes in 2026), we adapt your billing strategy automatically.

Monthly performance review Quarterly strategy sessions ICD-10 & CPT code updates Payer rule change adaptation WhatsApp โ€” 15min response Proactive issue resolution
EHR Compatibility

We Work With Your Existing Systems

No need to change your EHR or practice management software โ€” we integrate directly with 50+ systems.

Epic
Cerner
Athenahealth
eClinicalWorks
Kareo
DrChrono
NextGen
AdvancedMD
Practice Fusion
Simple Practice
Jane App
Meditech
Allscripts
Netsmart
ModMed
ChiroTouch
Dentrix
Eaglesoft

Not listed? We likely support it โ€” ask us on WhatsApp to confirm your system.

Pricing & ROI

Performance-Based Pricing โ€”
We Only Earn When You Do

No setup fees. No monthly minimums. No per-claim charges. Just 6% of what we actually collect for you.

Factor
In-House Billing
Probuilt Sites
Annual Cost
$70,000+ (salary + benefits)
6% of collections
Setup Fee
Recruitment + onboarding
$0
Error Rate
~7% (manual entry)
<2% (AI-scrubbed)
Denial Rate
10โ€“15% (industry avg)
<5% target
AR Days
60โ€“90 days
30โ€“45 days
Software Cost
Fragmented, expensive
Integrated AI-RCM stack
Staff Coverage
Leaves, turnover risk
Uninterrupted
Typical Savings
โ€”
$2,000โ€“$5,000/mo
Our Pricing Model
6% of collections

We only charge a percentage of what we actually collect for your practice. Zero risk, pure performance. You pay nothing until we bring in revenue.

โœ“Unlimited claim submissions
โœ“Unlimited AR follow-up
โœ“Full denial management & appeals
โœ“Patient billing management
โœ“Monthly financial reports
โœ“Dedicated account manager
โœ“WhatsApp direct support
โœ“$0 setup fee โ€” ever
Example โ€” Solo Practitioner
Monthly collections $50,000
Our fee (6%) $3,000
You keep $47,000
Avg savings vs in-house $2,800+/mo
๐Ÿ”’
HIPAA Compliant

Full compliance with all HIPAA Privacy & Security Rules

๐Ÿ“œ
BAA Provided

Business Associate Agreement executed before work begins

๐Ÿ›ก
AES-256 Encryption

Bank-grade encryption for all PHI in transit and at rest

๐Ÿ‘
Audit Trails

Complete access logs and audit trails on all PHI access

๐Ÿ“š
Certified Billers

CPB and CPC certified coders with HIPAA training

โ˜๏ธ
Secure Cloud

SOC 2 compliant cloud with daily encrypted backups

Compliance & Security

HIPAA Isn’t a Checkbox.
It’s How We Operate.

Every process, communication, and system is built with HIPAA compliance as a foundation โ€” not an afterthought.

๐Ÿ“
Business Associate Agreement (BAA)

A fully executed BAA is signed before any PHI is handled. This legally protects your practice and defines our data handling obligations under HIPAA.

๐Ÿ”
End-to-End PHI Encryption

All patient health information is encrypted with AES-256 both in transit (TLS 1.3) and at rest. Unauthorised access is technically impossible under our security architecture.

๐ŸŽ“
Annual HIPAA Training for All Staff

Every billing team member completes annual HIPAA training certification. Coders hold CPB and CPC credentials with continuing education requirements.

๐Ÿ“‹
Incident Response Protocol

In the unlikely event of any data concern, our breach notification and incident response protocol is activated immediately โ€” including required notifications within the HIPAA 60-day window.

Client Results

Real Practices,
Real Revenue Recovered

These aren’t projected figures โ€” they’re actual results achieved for practices that made the switch to professional billing management.

Family Medicine ยท 3 Providers
Mid-Size Primary Care Group โ€” Midwest
35%
Revenue increase
18%โ†’4%
Denial rate reduced
$8k/mo
Monthly savings
The Challenge

18% denial rate driven by incorrect modifier usage and outdated coding. AR cycle averaging 72 days with no systematic follow-up process. In-house billing staff costing $94K/year in salary and benefits.

Our Solution

Implemented payer-specific modifier rules engine. Full AR workup of $148K backlog within 60 days. Established structured denial appeal workflow. AR cycle reduced to 38 days within 90 days of go-live.

Mental Health ยท Solo Practitioner
Private Therapy Practice โ€” New York
40%
Revenue increase
+3
New insurance panels
8hrs/wk
Time recovered
The Challenge

Solo psychologist spending 8 hours per week on billing. Complex insurance requirements including telehealth POS coding changes in 2026. Credentialing not current โ€” losing patients to other in-network providers.

Our Solution

Full billing takeover plus credentialing for 3 additional payers. Updated telehealth POS 10 coding compliance. Practice now fully in-network with 3 major commercial plans โ€” revenue grew 40% in 6 months.

Physical Therapy ยท 2 Locations
Outpatient PT Clinic โ€” Texas
28%
Collections increase
72dโ†’34d
AR cycle improvement
$42k
AR backlog recovered
The Challenge

Two-location PT clinic with overwhelmed front desk handling billing. $42K in aged AR (90+ days) never followed up. KX modifier errors causing Medicare denials. Staff turnover disrupting billing continuity.

Our Solution

Full billing takeover for both locations. Complete $42K AR backlog recovery in 45 days. Implemented KX modifier tracking system. Staff freed to focus on patient scheduling โ€” PT owner reports “complete peace of mind.”

โ“

Still Have Questions?

Our billing specialists answer questions directly on WhatsApp within 15 minutes during business hours. No chatbots, no wait queues.

How much does your medical billing service cost? +
Our pricing is 6% of collections โ€” a performance-based model with zero setup fees, zero monthly minimums, and zero per-claim charges. You only pay us a percentage of what we actually collect on your behalf. This means our interests are completely aligned with yours: we earn more only when you earn more. Credentialing assistance is available separately at $500โ€“$1,000 per provider (one-time fee). There are no hidden charges of any kind.
What does the 6% fee include? Are there any additional charges? +
The 6% includes everything: unlimited claim submissions, patient billing management, full AR follow-up, denial management and appeals, monthly financial reports, dashboard access, dedicated account manager, and WhatsApp support. There are absolutely no per-claim fees, no statement fees, no software fees, and no extra charges for denial appeals. The only separate cost is credentialing, which is a one-time fee if you need new providers enrolled.
Do I have to switch my EHR or practice management system? +
Absolutely not. We integrate directly with your existing EHR and practice management system. We support Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, DrChrono, NextGen, AdvancedMD, Practice Fusion, Simple Practice, Jane, and 40+ other systems. If your system isn’t on our standard list, ask us โ€” we’ve likely integrated with it before. You keep using the software you know.
How long does onboarding take before billing starts? +
Our onboarding process typically takes 2โ€“3 weeks from audit to go-live. Week 1 is system onboarding and information gathering. Week 2โ€“3 is the transition period where we begin claim submission while managing your existing AR. Many practices are fully operational within 14 days. We design the transition to avoid any disruption to cash flow โ€” your existing claims continue to be processed throughout.
Is my patient data secure? Are you fully HIPAA-compliant? +
Yes โ€” full HIPAA compliance is non-negotiable in everything we do. We sign a Business Associate Agreement (BAA) before handling any PHI. All data is encrypted with AES-256 both in transit and at rest. Our cloud infrastructure is SOC 2 compliant. All staff receive annual HIPAA training and certification. We maintain complete audit trails on all PHI access. You will never have a compliance concern with our service.
Do you handle patient billing and collections too? +
Yes โ€” full patient billing is included. We send professional, clear patient statements, manage payment plan setups, provide an online patient payment portal, handle patient inquiries, and pursue collections when necessary. We handle patient communication in a transparent, respectful manner that preserves the patient relationship while maximising recovery.
What if I already have a backlog of unpaid claims? +
We actively work your existing AR backlog as part of onboarding. During the free billing audit, we identify all aged claims and create a recovery plan. Our AR specialists systematically follow up on outstanding balances regardless of age โ€” we’ve recovered claims aged over 180 days. You don’t need to “clean up” before switching to us; we handle it as part of the transition.
Can I cancel the service? Is there a long-term contract? +
No long-term contracts. Our service agreement runs month-to-month. You can cancel with 30 days’ notice. We prefer to earn your continued business through results โ€” not contractual lock-in. In practice, the vast majority of our practices remain long-term partners because the results speak for themselves. But the choice to stay is always yours.
Do you guarantee specific collection rates or revenue increases? +
We don’t guarantee specific dollar amounts because revenue depends on many practice-specific factors โ€” payer mix, procedure volume, specialty, and documentation quality. What we do guarantee is: same-day claim submission, 100% denial review, structured AR follow-up with no abandoned claims, monthly performance reporting, and HIPAA-compliant processes. Our performance-based pricing model means we are financially incentivised to maximise your collections.
How do I access my billing reports and financial data? +
You get 24/7 access to your billing dashboard showing real-time claim status, payment postings, and AR aging. Monthly comprehensive financial reports are delivered on the first business day of each month. Reports are written in plain English โ€” not just raw data dumps. Your account manager is also available via WhatsApp to discuss any figures you want to understand better.
How does the 2026 Medicare Physician Fee Schedule affect my reimbursement? +
The 2026 CMS Physician Fee Schedule introduced several significant changes. A one-time 2.5% pay increase was offset by efficiency adjustments reducing work RVUs by 2.5% for approximately 7,700 non-time-based service codes. The site-of-service PE RVU methodology was also revised โ€” reducing indirect PE RVUs for facility settings to 50% of non-facility rates. This actually benefits solo office-based practices, as non-facility PE RVUs are relatively increased. Our billing team monitors all fee schedule changes and adapts your billing strategy automatically to capture every available reimbursement.
Free Billing Audit

Find Out Exactly How Much
Your Practice Is Leaving Behind

Our free billing audit delivers a complete analysis of your current billing health โ€” denial rates, AR aging, revenue leakage points, and projected savings with professional management. Delivered in 3 business days, zero obligation.

โœ“ Current collection rate analysis โœ“ Denial rate & root causes โœ“ AR aging assessment โœ“ Revenue leakage map โœ“ Process inefficiency review โœ“ Projected savings calculation
๐Ÿ“Š Calculate My Savings

Delivered in 3 business days ยท Zero obligation ยท HIPAA secure