Medicare denial recovery, RAC audit defense, and credentialing for practices that take Medicare patients. We put our fees where our results are.
We're not generalists. Every service we offer is built specifically for medical practices dealing with Medicare.
We work your Medicare denial backlog on contingency. No upfront costs, no monthly fees, no long-term contracts.
Pricing
25%
of recovered amount
Avg. recovery: 30-45% of denied claim value
When the Recovery Audit Contractor comes knocking, you need a fast, strategic response. Deadlines matter — and we don't miss them.
Pricing
$5K-$25K
flat fee, depending on scope
Fast turnaround — we meet every deadline
New provider enrollment, re-validations, reassignments, and group enrollments. We handle the paperwork so you can focus on patients.
Pricing
$1,500
per provider enrollment
$2,500 for group enrollments
We understand Medicare billing because that's all we do. No distractions, no generalization.
We don't dabble in Medicare. It's our only focus. We know the codes, the rules, and the loopholes that others miss.
On denial recovery, we put our fees where our results are. If you don't win, neither do we. That's how confident we are.
Month-to-month on most services. We earn your business every single month. If we're not delivering results, you're free to go.
Real-time dashboards. Monthly reports. You see exactly what we see — denial trends, recovery rates, and cash flow impact.
30-45%
Average recovery rate on denied claims
1 Week
Average onboarding time
30-60 Days
Time to first recovery payment
100%
HIPAA compliant operations
"We recovered over $87,000 in denied claims in the first 90 days. The ROI was immediate."
Behavioral Health Practice
Minnesota, 12 providers
See why Medicare-specific services beat general billing companies.
| Feature | Traditional Billing Service | MedicareBilling.ai |
|---|---|---|
| Medicare Focus | ||
| Contingency Pricing Available | ||
| No Long-Term Contracts | ||
| RAC Audit Defense | ||
| Credentialing Services | ||
| Specialty-Specific Codes | ||
| Real-Time Reporting Dashboard | ||
| BAA Available |
Ready to stop leaving money on the table?
Schedule Your Free AuditCommon questions from medical practices about our services.
We start by reviewing a sample of your recent denials at no cost. This gives us (and you) a sense of your denial patterns and recovery potential. Then we provide a proposal with expected recovery amounts and timeline. You can send us all denials or just a portion to test our work.
Most practices are fully onboarded within one week. This includes signing the service agreement, establishing data access (if applicable), and receiving your first denial file for review. First recoveries typically appear within 30-60 days.
No. Our denial recovery services work alongside your existing billing software and workflows. We don't need direct system access unless you want us to integrate more deeply. We can work with claims data exported from Athenahealth, Kareo, AdvancedMD, SimplePractice, DrChrono, and most other EHRs.
We work with most major EHRs including Athenahealth, Kareo, AdvancedMD, SimplePractice, DrChrono, eClinicalWorks, and more. If you're using something else, just ask. We're flexible with data formats and can often work with custom exports.
Contact us immediately. RAC audit deadlines are strict and missing them can result in automatic denials. We can often step in mid-process and help respond strategically. Even if you've already responded, we can review your response and identify weaknesses before the next level.
We have specialists for different service categories. When you engage us, we assess your practice mix and assign appropriate experts for each specialty. Our team includes coders and billers with specific experience in behavioral health, PT, chiropractic, dental, optometry, and primary care.
Our primary focus is independent physician practices. However, we can work with some facility-based arrangements on a case-by-case basis. Contact us to discuss your specific situation and we'll let you know if we're a good fit.
We'll review a sample of your recent denials and give you a recovery estimate at no cost. No obligation, no pressure.
We discuss your denial challenges and goals.
We analyze a sample of your recent denials.
You receive a detailed recovery projection.
Call our provider services team. We understand the business side of medicine.
763-230-2183Help your patients understand and fight their Medicare bills. We handle everything.
