Astral Medical Services

Medical Billing Services

End-to-end revenue cycle management for independent practices — cleaner claims, fewer denials, faster payments.

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  • HIPAA-Compliant
  • U.S.-Based Experts
  • Free Practice Audit
Revenue Cycle Management

Billing That Pays for Itself

Independent practices lose 5–10% of their revenue to billing errors, unworked denials, and aging accounts receivable. Claims sit unfiled, denials go unappealed past timely-filing deadlines, and underpayments get posted without a second look. None of it shows up on a schedule — it just quietly compounds month after month.

Our medical billing service takes over the entire revenue cycle: charge entry, claim scrubbing, electronic submission, payment posting, denial management, and accounts receivable follow-up. We work inside your existing EHR, operate under a signed BAA, and report our performance every month in numbers you can verify — clean claim rate, days in AR, and net collections.

The result: practices we work with typically see a 95%+ clean claim rate, days in AR under 40, and a measurable lift in collections within the first two quarters.

What's Included in Our Billing Service

Charge Entry & Claim Scrubbing

Every encounter is coded, checked against payer rules, and scrubbed for errors before submission — the foundation of a 95%+ clean claim rate.

Claims Submission

Electronic claims filed within 24 hours of the encounter, with rejections from the clearinghouse corrected and resubmitted the same day.

Payment Posting & Reconciliation

ERAs and EOBs posted daily, payments reconciled against contracted rates, and underpayments flagged for recovery — not written off.

Denial Management & Appeals

Every denial is worked, categorized by root cause, appealed when winnable, and fed back into front-end processes so it doesn't repeat.

AR Follow-Up

Systematic payer follow-up on every claim over 30 days, prioritized by dollar value and timely-filing deadlines to keep AR days under 40.

Patient Billing & Statements

Clear patient statements, balance follow-up, and payment plan support that collect what's owed without damaging patient relationships.

Credentialing Support

Payer enrollment and revalidation handled alongside billing, so new providers and locations start generating revenue without gaps.

Monthly Reporting

Transparent monthly reports on collections, clean claim rate, denial trends, and AR aging — the numbers that actually run a practice.

How It Works

From Leaky Revenue to Predictable Cash Flow

01

Practice Assessment

We audit your current billing performance — clean claim rate, AR aging, denial patterns, and fee schedules — and show you exactly where revenue is leaking.

02

Onboarding & Setup

EHR access, clearinghouse configuration, payer enrollment verification, and a signed BAA. Most practices are fully transitioned in 30–60 days.

03

Daily Billing Operations

Charges entered, claims scrubbed and submitted within 24 hours, payments posted daily, and denials worked as they arrive.

04

Optimize & Report

Monthly performance reviews with denial root-cause analysis and payer trend data, so collections keep improving quarter over quarter.

Medical Billing FAQs

Most outsourced medical billing is priced as a percentage of monthly collections, typically between 3% and 8% depending on specialty, claim volume, and scope. Because pricing is tied to what you actually collect, our incentives are aligned with yours: we only do well when your practice gets paid.

A typical transition takes 30 to 60 days. We run a parallel onboarding process — payer enrollments, clearinghouse setup, EHR access, and fee schedule review — while your current biller works down existing claims, so cash flow never stops during the handoff.

Yes. We bill directly inside your existing systems (Athenahealth, Kareo/Tebra, AdvancedMD, eClinicalWorks, DrChrono, Office Ally, and most major EHRs), so you keep full ownership of your data and can see our work in real time.

Well-run practices target a clean claim rate of 95%+ and days in AR under 40. If your first-pass acceptance is below 90% or AR days are creeping past 50, billing process issues are almost certainly costing you revenue every month.

Yes. We operate under a signed Business Associate Agreement (BAA), restrict PHI access to credentialed billing staff, and follow HIPAA administrative, physical, and technical safeguards across every workflow.

Get a Free Billing Assessment

Tell us about your practice and we'll show you exactly where revenue is leaking — no commitment required.