SoftbeckMedicare
Physician Billing Services

Physician Billing Services

Our physician billing services are designed to optimize your practice's financial health. We offer specialized, specialty-specific coding, claim submission, and denial management to ensure accurate and timely reimbursement. With deep expertise in E/M coding, surgical billing, and modifier usage, we help you capture every dollar you've earned while ensuring full compliance.

Our Success in Numbers

Collection Ratio

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Trusted by

0+ Physicians

Revenue Increase

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Serving Specialties

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Specialized Billing Solutions & Documentation Support

Claim Approved

Payment processed

Specialized Billing Solutions & Documentation Support

Our physician billing solutions are tailored to the unique needs of your practice. We provide expert documentation support to ensure that your medical records clearly support the level of service billed. From detailed history and exam documentation to medical decision-making, we help you capture the complexity of your care, ensuring full and compliant reimbursement.

Specialty Focused

Specialty-Specific Coding for Complex Cases

Our certified coders are trained in a wide range of specialties, including cardiology, orthopedics, oncology, and more. We understand the nuances of each specialty's coding guidelines, ensuring accurate code selection for even the most complex cases. This reduces the risk of audits and ensures your practice receives appropriate reimbursement for the advanced care you provide.

Doctor reviewing a medical chart with a specialist
Medical assistant verifying insurance information

Eligibility Verified

Medicare Validated

Streamlined Patient Enrollment & Eligibility

We manage the entire patient enrollment and eligibility verification process. Our team ensures that all patient demographics, insurance information, and referral data are accurate and up-to-date before services are rendered. This minimizes claim rejections, speeds up the billing cycle, and reduces financial risk for your practice.

Real-time Insurance Checks

Instant coverage verification

Referral Tracking

Automated management of authorizations

Proactive Denial Prevention & Revenue Protection

Our denial prevention strategy focuses on catching issues before they become problems. We use AI-powered claim scrubbing and specialty-specific coding audits to ensure clean claims. By fixing potential errors early, we significantly reduce denials and protect your revenue from costly delays.

Patient Scheduling
Eligibility & Referral
Documentation & Coding
Claim Scrubbing
Claim Submission
Payer Adjudication
Payment Posting
Denial Management

Who We Serve

All Medical Specialties

Surgical Groups

Multi-Specialty Clinics

Independent Physicians

Hospital-Based Practices

In Association With

ASRMAmerican Society for Reproductive Medicine
NILANATIONAL INDEPENDENT LABORATORY ASSOCIATION
HIPAACOMPLIANT
ISO9001:2015
AAPCEDUCATION PROVIDER

Denials Management Services We Provide

Our team expertly manages all types of denials, from coding errors to medical necessity issues. We work to recover your revenue and resolve the root cause of denials to prevent recurrence.

EHR/EMR Systems Expertise

We ensure clinical data is captured accurately in the EHR to support coding and billing, reducing the risk of clinical validation denials.

Care Coordination Software

Our integration with care coordination tools helps track the time and complexity of services, providing crucial evidence for appeal.

RPM Platforms Management

We manage data from RPM platforms to ensure billing requirements are met for remote care services, preventing associated denials.

Billing & Coding Software

Our advanced billing software automates routine tasks and validates codes, helping to minimize human error and improve first-pass acceptance rates.

Team of billing experts analyzing data

Why Choose SoftbeckMedicare for Physician Billing?

Specialty-specific coding expertise to maximize reimbursement

High first-pass acceptance rate for clean claims

Comprehensive denial management and appeals process

Dedicated account managers for personalized service

Transparent, detailed reporting on practice performance

Scalable solutions for practices of any size

Client Success

What Our Clients Say About Working With Us

Dr. Marcus Vance
Dr. David Chen
Doctor Godfrey Mensah
Featured
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Responsive

“SoftbeckMedicare, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls.”

Doctor Godfrey Mensah

Co-Founder, AW Care

Frequently Asked Questions

Physician billing (professional component) covers the services of the physician or provider, while facility billing (institutional component) covers the use of the hospital or clinic's facility. Our services are specialized for physician billing.