Medical Billing Services for Small Practices
A full billing team for solo practitioners and small groups, priced in proportion to your collections, with no hiring, training, or turnover risk.
- HIPAA-Compliant
- U.S.-Based Experts
- Free Practice Audit
Small Practice, Full Billing Team
Large groups solve billing with headcount: separate people for eligibility, coding, denials, and AR. A small practice can't, so those five jobs compete for the same hours, usually the front desk's, sometimes yours. The work that loses is always the same: denial follow-up and aging AR, the exact work that determines whether you get paid.
Our small practice billing service gives a solo or 2-5 provider practice the same specialized team a hospital revenue department has, priced as a percentage of collections so the cost stays proportional to your size. We work inside your existing EHR under a signed BAA, and we report the numbers that matter every month: clean claim rate, days in AR, and net collections.
The targets are the same ones we hold for every client: 95%+ clean claims and days in AR under 40.
Why Small Practices Lose the Most to Billing
Billing happens between patients
The front desk verifies a benefit here, posts a payment there, and works a denial when things are quiet. Things are never quiet. Claims age while everyone does two jobs at once.
One resignation stops your cash flow
When the person who knows your billing leaves, claims stop going out and knowledge walks out the door. Small practices feel a biller's departure within two weeks.
Denials get written off, not worked
Appealing a denial takes 30 to 60 minutes nobody has. So recoverable money quietly becomes a write-off, month after month, without anyone deciding it should.
No numbers, no visibility
Most small practices can't say their clean claim rate, days in AR, or net collection rate. What isn't measured leaks, and nobody notices until cash gets tight.
Built for Practices Like Yours
Solo Practitioners
One provider, no billing staff, and evenings currently spent on claims. We take the whole revenue cycle so you take your time back.
Small Group Practices (2-5 Providers)
Big enough that billing is a real workload, too small to staff a department. You get the division of labor a large group has, sized to your volume.
New & Startup Practices
Credentialing, payer enrollment, fee schedules, and billing workflows set up right from day one, so your first patient visit is billable.
Specialty Clinics
Therapy, behavioral health, chiropractic, and other specialties with their own coding rules get specialty-specific billing, not generic templates.
Specialty practice? See how we bill for mental health, physical therapy, chiropractic, and 16 more specialties.
Everything Included, Nothing to Staff
Eligibility Checks Before Visits
Coverage, copays, and deductibles verified before every appointment, so denials are prevented instead of appealed.
Claims Out Within 24 Hours
Charges coded, scrubbed against payer rules, and submitted electronically within a day of the visit.
Daily Payment Posting
ERAs posted and reconciled against your contracted rates, with underpayments flagged for recovery rather than absorbed.
Every Denial Worked
Denials categorized, corrected or appealed, and traced to root cause so the same one stops recurring.
AR Follow-Up That Actually Happens
Systematic payer follow-up on every claim over 30 days, prioritized by dollar value and filing deadlines.
Patient Statements & Balances
Clear statements and respectful follow-up that collect patient responsibility without straining relationships.
Credentialing Included in the Relationship
Payer enrollments, revalidations, and new-provider setup handled alongside billing, not sold as an extra.
Monthly Reports You Can Read
Collections, clean claim rate, denial trends, and AR aging in plain English, benchmarked against the standards.
From Checkup to Predictable Collections
01
Free Billing Checkup
We benchmark your clean claim rate, AR days, and collections against industry standards and show you what your current setup is leaving behind.
02
Simple Onboarding
EHR access, clearinghouse setup, payer verification, and a signed BAA. Small practices are typically fully switched in 30 to 45 days.
03
We Run Your Billing
Eligibility before visits, claims out in 24 hours, payments posted daily, denials and AR worked continuously by a named team.
04
You Watch the Numbers Improve
Monthly reports track clean claims, AR days, and collections against the 95% and 40-day benchmarks, quarter over quarter.
Check Your Practice's Numbers
Small Practice Billing FAQs
How much does medical billing cost for a small practice?
Pricing is a percentage of monthly collections, typically 4% to 8% for small practices. Because the fee scales with what you collect, a solo practitioner pays proportionally less in dollars than a large group, while getting the same team and workflows. Compare that to the $55,000+ fully loaded cost of one in-house biller and the math usually settles the question.
Is my practice too small to outsource billing?
No. Solo practitioners are the practices that benefit most, because the alternative is doing billing yourself after hours or splitting it across front-desk staff between patients. If you submit claims to insurance at all, there is enough billing work to do it properly, and enough revenue at stake to justify doing it well.
Do you work inside our existing EHR?
Yes. We bill inside whatever system you already use (Athenahealth, Kareo/Tebra, AdvancedMD, eClinicalWorks, DrChrono, Office Ally, SimplePractice, and most major platforms). Your data stays in your system, you keep every login, and you can watch our work in real time.
How long does it take a small practice to switch?
Usually 30 to 45 days for a small practice, faster than large groups because there are fewer payer enrollments and fee schedules to verify. We onboard in parallel with your current process, so claims keep flowing and cash flow never pauses during the handoff.
Can you help a brand-new practice get started?
Yes, and starting clean is easier than fixing bad habits later. For new practices we handle payer credentialing and enrollment first (it takes 60 to 120 days, so it should start before you open), then set up eligibility checks, fee schedules, and claim workflows so your first visit is billable from day one.
Will I still know what's happening with my money?
You'll know more than you do now. Small practices with in-house billing rarely get real reports. We deliver monthly numbers on collections, clean claim rate, denial trends, and AR aging, and because we work inside your own system you can verify every claim yourself whenever you like.
Related Services
Outsource Medical Billing
The full in-house vs outsourced cost comparison
Medical Billing Services
End-to-end billing for independent practices
Revenue Cycle Management
Front-to-back RCM across the full patient journey
Provider Credentialing
Payer enrollment for new and growing practices
Denial Management
Denial analysis, appeals, and prevention
AR Management
Aged AR recovery and payer follow-up
Eligibility Verification
Stop denials before the patient visit
Virtual Assistants
Front-office support for lean teams
Get a Free Billing Checkup
Tell us about your practice and we'll benchmark your billing against the 95% clean-claim and 40-day AR standards. No commitment, and no pressure.