Eligibility & Benefits Verification
We verify active coverage, copays, deductibles, coinsurance, out-of-network benefits, and prior authorization requirements before every patient visit.
End-to-End Medical Billing Services for Healthcare Practices
Doc Flow RCM delivers full-cycle medical billing, insurance eligibility verification, certified charge capture, claim scrubbing, payment posting, and aggressive A/R recovery for physicians, clinics, and surgical groups across the United States.
- ✓ 24-Hour Charge Entry, Claim Scrubbing & Electronic Submission
- ✓ Proactive Denial Management, Appeals & Aging A/R Follow-Up
- ✓ Real-Time Insurance Verification & Prior Authorization Support
- ✓ ERA/EOB Payment Posting, Patient Statements & Financial Reporting
98.6%
First-Pass Clean Claim Rate
24 Hrs
Charge Entry & Claim Submission
< 32 Days
Average Days in A/R
15% – 25%
Net Collection Growth
Complete Medical Billing Support From Patient Intake to Final Reimbursement
Doc Flow RCM manages every stage of your billing lifecycle to eliminate revenue leakage, reduce administrative overhead, and accelerate payer reimbursements.
Charge Entry & Coding Review
Superbills and signed clinical encounters are reviewed for accurate CPT, ICD-10-CM, HCPCS codes, modifiers, and charge amounts within 24 hours.
Claim Scrubbing & Submission
Claims undergo multi-layer NCCI, MUE, and clearinghouse rule scrubbing before electronic 837P/837I transmission—resolving rejections the same day.
ERA & EOB Payment Posting
Daily electronic remittances (835) and manual EOBs are posted line-by-line with contractual adjustment verification and bank deposit reconciliation.
Denial Management & Appeals
Zero-pay and denied claims are analyzed by root cause, corrected, and appealed with clinical records and payer policy citations within 48 hours.
Accounts Receivable (A/R) Recovery
Dedicated A/R specialists systematically pursue unpaid claims across 30, 60, 90, and 120+ day buckets via payer portals and direct phone follow-up.
Patient Billing & Statements
Clear, accurate patient statements and courteous billing support help practices collect copays, deductibles, and remaining balances smoothly.
Analytics & Financial Reporting
Custom weekly and monthly executive reports covering net collection rate, days in A/R, payer mix performance, and denial trends.
How Our Medical Billing Process Works
We operate as a seamless extension of your practice, managing every claim through a disciplined 6-step revenue cycle workflow.
01
Pre-Visit Verification
Patient demographics, insurance eligibility, plan benefits, and prior authorizations are verified before service.
02
Coding & Charge Capture
Signed clinical notes are audited and converted into accurate ICD-10, CPT, and HCPCS charges within 24 hours.
03
Scrubbing & Claim Filing
Claims pass through NCCI/LCD edits and clearinghouse scrubbers before electronic submission to payers.
04
Payment Posting & Balancing
ERAs and EOBs are posted daily, adjustments are verified against fee schedules, and deposits are reconciled.
05
A/R Follow-Up & Appeals
Unpaid, underpaid, or denied claims are aggressively worked and appealed before timely filing deadlines.
06
Patient Statements & Reporting
Verified patient balances are billed cleanly and leadership receives transparent monthly financial analytics.
Full-Spectrum Revenue Cycle Management Across Front, Middle, and Back Office
Most claim denials start at the front desk or during charge capture. Our integrated approach secures every touchpoint of your billing operation.
Front-End Revenue Cycle Prevention
- ✓Real-time insurance eligibility and coordination of benefits (COB) checks
- ✓Prior authorization submission, tracking, and expiration alerts
- ✓Demographic and subscriber ID validation to prevent front-end rejections
- ✓Upfront patient copay and deductible estimation
Mid-Cycle Charge Capture & Scrubbing
- ✓Daily charge reconciliation against appointment schedules and surgical logs
- ✓Certified CPT, ICD-10-CM, HCPCS, and modifier validation
- ✓Automated and manual claim scrubbing for LCD/NCD and NCCI edits
- ✓Same-day resolution of clearinghouse 277CA claim rejections
Back-End A/R Recovery & Denial Resolution
- ✓Proactive claim status tracking starting 14 days post-submission
- ✓Clinical appeal packets for medical necessity and bundling denials
- ✓Contractual underpayment auditing against payer fee schedules
- ✓Dedicated recovery campaigns for aged 60, 90, and 120+ day A/R
Financial Reconciliation & Practice Intelligence
- ✓24-hour ERA/EOB posting and secondary insurance crossover
- ✓Daily EFT, ACH, and lockbox bank deposit reconciliation
- ✓Credit balance audits, refund processing, and patient statement management
- ✓Monthly KPI review calls with your dedicated Account Manager
Why Practices Transition From In-House Billing to Doc Flow RCM
Outsourcing your medical billing eliminates staff turnover disruptions, lowers overhead costs, and puts a specialized team of billers, coders, and A/R analysts behind every claim.
Traditional In-House Billing
Common challenges faced by internal billing teams
- High overhead from salaries, benefits, payroll taxes, and office space
- Cash flow disruptions during staff sick leave, vacations, or turnover
- Older 60–120+ day A/R buckets often neglected due to daily workload
- Limited specialty coding expertise across complex procedures and modifiers
- Reactive denial handling leading to missed timely filing deadlines
Doc Flow RCM Medical Billing
Dedicated, scalable, and performance-driven billing operations
- Transparent percentage-based pricing—we only get paid when you get paid
- Uninterrupted 365-day coverage with dedicated backup specialists
- Separate, specialized teams for Charge Entry, Payment Posting, and Aging A/R
- AAPC/AHIMA-certified coders and specialty-trained billing analysts
- 98.6% clean claim rate and 48-hour turnaround on all claim denials
Built for Transparency, Compliance, and Maximum Reimbursement
We combine experienced RCM professionals with intelligent claim scrubbing technology to deliver measurable financial growth for your practice.
Dedicated Account Team
Single Point of Contact
You get a dedicated Account Manager supported by specialty billers, certified coders, and A/R collectors who know your payer mix inside out.
All Major EHRs
Zero Software Migration
We work directly inside your existing EHR/PM platform—including Epic, Athenahealth, eClinicalWorks, AdvancedMD, Kareo/Tebra, and NextGen.
Aggressive A/R
Old A/R Cleanup Included
We don’t just bill new claims—our recovery team audits and collects your existing 60, 90, and 120+ day aging accounts receivable backlog.
Full Visibility
Real-Time Financial Dashboards
Maintain 100% ownership and visibility of your billing data with detailed weekly and month-end closing reports reconciled to your bank deposits.
Credentialing Alignment
Payer Enrollment Synchronization
We coordinate closely with provider credentialing and EDI/ERA enrollments to prevent out-of-network or non-participating provider denials.
100% HIPAA Compliant
Strict Data Security & Audits
All billing workflows adhere to HIPAA, HITECH, CMS, and OIG compliance protocols with encrypted access and multi-tier quality assurance.
Medical Specialties We Support Across the United States
Tailored billing rules, modifier protocols, and payer-specific workflows for over 50+ medical and surgical specialties.
Pain Management
Psychiatry & Mental Health
Orthopedics & Spine
Cardiology & Vascular
Primary Care & Family Medicine
General & Specialty Surgery
Ambulatory Surgery Centers (ASC)
ENT & Otolaryngology
Neurology & Neurosurgery
Gastroenterology
Internal Medicine & Geriatrics
Urgent Care & Multi-Specialty
Frequently Asked Questions About Medical Billing Services
Everything you need to know about transitioning your medical billing to Doc Flow RCM.
Q1. What is included in Doc Flow RCM’s end-to-end medical billing services?
Our comprehensive billing service covers insurance eligibility verification, prior authorization support, charge entry, coding review, claim scrubbing, electronic claim submission, ERA/EOB payment posting, denial management, aggressive A/R follow-up, patient statements, and monthly financial reporting.
Q2. Do we have to change our current EHR or Practice Management software?
No. We integrate directly with your existing EHR and Practice Management system (including AdvancedMD, eClinicalWorks, Athenahealth, Epic, Kareo/Tebra, NextGen, DrChrono, and 30+ others), allowing a smooth transition without disrupting your clinical staff.
Q3. How quickly can our practice onboard and go live with Doc Flow RCM?
Most medical practices complete onboarding and go live within 5 to 10 business days. During onboarding, we audit your fee schedules, clearinghouse connections, ERA enrollments, and existing A/R so zero claims are delayed.
Q4. Will your team also work our existing backlog of aging Accounts Receivable (A/R)?
Yes. When you partner with Doc Flow RCM, our A/R recovery specialists immediately audit and pursue your legacy 30, 60, 90, and 120+ day unpaid claims to recover revenue before timely filing limits expire.
Q5. How does your pricing work, and are there any hidden setup fees?
We offer a straightforward, transparent percentage-of-collections model tailored to your specialty and claim volume, or dedicated full-time equivalent (FTE) staffing. There are no hidden setup fees, and our success is tied directly to your collected revenue.
Ready to Accelerate Collections & Eliminate Billing Headaches?
Schedule a free medical billing and A/R audit with Doc Flow RCM. Discover how much hidden revenue your practice can recover with a 98.6% clean claim rate.