Persistex = Persistence + Expertise

Medical Billing That Actually Gets You Paid

We turn your billing into a predictable, optimized revenue system. Stop chasing payments and start focusing on patient care.

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A New England billing team located in Massachusetts that knows your practice by name.
Specialty expertise in mental health, primary care, pediatric, chiropractic and podiatry billing.
HIPAA-compliant operations with transparent, real-time reporting.
Healthcare professional discussing care with patient in modern clinic
Our certifications

Industry-Recognized Credentials

Our team holds and pursues the top certifications in medical billing and coding to ensure accuracy, compliance, and maximum reimbursement.

CPC

Certified Professional Coder

CPB

Certified Professional Biller

RHIT

Registered Health Information Technician

CCS

Certified Coding Specialist

Why practices trust us

HIPAA Compliant
Massachusetts-Based Team
24hr Response Time
Transparent Reporting
What we do

End-to-End Revenue Cycle Solutions

From claim submission to payment posting, we handle every step so you can focus on patient care.

Financial documents and laptop showing billing dashboard

Medical Billing

Claim submission, payment posting, denial management, A/R follow-up, and patient billing support.

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Medical coding professional reviewing clinical documentation

Medical Coding

CPT/ICD-10 coding, audits, compliance review, and specialty-specific coding for every practice we serve.

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Analytics dashboard showing revenue performance metrics

Revenue Cycle Management

End-to-end RCM including insurance verification, prior authorizations, fee schedule optimization, and analytics.

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40% Fewer denied claims
$125K Monthly collections boost
90 → 30 A/R days reduced
98% Clean claim rate
Team of billing professionals collaborating at workstation
Why Persistex

We're Your Billing Team, Not a Call Center

You get a named team that knows your practice, understands your specialty, and picks up the phone. We're built for practices that deserve better than generic billing.

  • Deep expertise across mental health, primary care & specialty billing
  • Dedicated account team — not a ticket number
  • Transparent dashboards and regular reporting
  • Massachusetts-based U.S. team, HIPAA-compliant operations
About Our Team
Case Studies

Real Practices, Real Results

See how we've transformed billing operations for practices like yours.

Therapist office at a mental health practice
Mental Health

Multi-Provider Mental Health Clinic

Struggling with 35% denial rates and inconsistent cash flow across 8 providers.

-40%Denials
+$85KMonthly
22 daysAvg A/R
Family medicine clinician caring for a patient
Family Medicine

Busy Family Medicine Group

High visit volume across a wide payer mix, with eligibility errors and underpaid claims draining revenue.

97%Clean Claims
+$52KMonthly
2xFaster Pay
Solo practitioner in private clinic office
Chiropractic

Solo Chiropractic Practice

Owner spending 15+ hours/week on billing instead of seeing patients. Revenue plateaued.

15 hrsSaved/Week
+28%Revenue
98%Clean Claims
How it works

Getting Started Is Simple

We make the transition seamless so you see results fast.

01

Free Billing Audit

We analyze your current process and identify exactly where revenue is leaking.

02

Custom Strategy

We design a billing workflow tailored to your specialty, payer mix, and practice size.

03

Seamless Onboarding

We integrate with your EHR/PM system and begin processing claims with zero disruption.

04

Ongoing Optimization

Transparent reporting, proactive denial management, and continuous revenue improvement.

Testimonials

Trusted by Practices Across New England & Beyond

"Persistex completely transformed our billing. We went from chasing payments to predictable monthly revenue. I can finally focus on my patients."
Dr. Rachel M.
Dr. Rachel M.
Mental Health Practice Owner
"Our denial rate dropped from 30% to under 8% in three months. The team actually understands pediatric billing, which is rare."
Sarah K.
Sarah K.
Pediatric Practice Administrator
"Best decision we made was outsourcing to Persistex. Collections increased 28% and I got 15 hours a week back. They feel like part of our team."
Dr. James T.
Dr. James T.
Solo Chiropractic Practice
"We were drowning in denied claims before Persistex. Now our clean claim rate is above 97% and we've recovered over $200K in previously lost revenue."
Dr. Michelle L.
Dr. Michelle L.
Internal Medicine Group Director
"The transparency is what sold me. I can see exactly where every dollar is in the revenue cycle. No other billing company offered that level of visibility."
Dr. David R.
Dr. David R.
Podiatry Practice Owner
FAQ

Common Questions

Most practices are fully onboarded within 2–4 weeks. We handle the integration with your EHR/PM system and ensure a seamless transition with no disruption to your current billing.
We work with mental health, family medicine, internal medicine, primary care, pediatric, chiropractic and podiatry practices. Our coding team stays current with each specialty's billing and documentation requirements.
We offer flexible pricing models including percentage-based and flat-rate options depending on your practice size and volume. Our model is designed so we succeed only when you succeed.
Absolutely. We provide transparent reporting with real-time dashboards and regular detailed reports. You'll have more visibility into your billing performance than ever before.
We can start with a free billing audit to show you exactly how much revenue you're leaving on the table. When you're ready to switch, we'll make the transition smooth and can often work around existing contracts.

See How Much Revenue You're Leaving on the Table

Get a free, no-obligation billing audit and discover exactly where your practice is losing money.

Get a Free Billing Audit