What do medical billing services include?
Medical billing services manage the work required to turn clinical encounters into insurance payments. Persistex handles insurance verification, claim submission, payment posting, denial management, appeals, A/R follow-up, reporting, and related revenue cycle tasks. The team also supports specialty-specific billing needs for behavioral health, TMS, primary care, pediatrics, chiropractic, and podiatry practices, helping providers reduce administrative workload while maintaining visibility into collections.
How can outsourced medical billing improve collections?
An experienced billing partner improves collections by submitting cleaner claims, identifying payer issues early, following up consistently on outstanding balances, and appealing denials with supporting documentation. Persistex reports a 98% clean claim rate and a 72% appeals success rate. Its full-cycle approach also connects verification, coding, claims, and payment follow-up, helping practices find and correct revenue leakage rather than simply processing claims.
What types of practices does Persistex Medical Billing serve?
Persistex supports solo providers, small practices, multi-provider clinics, and larger organizations. Key specialties include behavioral health, therapy, psychiatry, TMS therapy, family medicine, internal medicine, primary care, pediatrics, chiropractic, and podiatry. The team adapts workflows to specialty-specific coding, authorization, modifier, session-limit, preventive-care, and coverage requirements that can affect reimbursement and claim acceptance.
Do you provide medical coding services as well as billing?
Yes. Persistex provides certified medical coding using CPT, ICD-10, HCPCS, and applicable modifiers. Coding support includes chart and documentation review, proactive audits, coding guidance, and checks designed to resolve issues before claim submission. The team holds CPC, CPB, RHIT, and CCS credentials, helping practices reduce coding-related denials and maintain a more compliant billing process.
How does the free billing audit work?
The free billing audit is a no-obligation review of your current billing process. Persistex examines denial patterns, workflow gaps, and potential revenue opportunities to identify where collections may be leaking. It is available to practices of all sizes and specialties, including organizations working with another biller. A billing specialist responds within 24 hours during business days to schedule the review, and information remains HIPAA-compliant.
What pricing options are available for medical billing?
Persistex offers flexible percentage-based and flat-rate pricing models, allowing the arrangement to fit a practice’s size, claim volume, and operational needs. The company states that there are no hidden fees and no long-term contracts required. Before choosing a model, practices can use a free billing, coding, or revenue cycle audit to understand current gaps and determine which services will provide the greatest impact.
How quickly can a practice see billing improvements?
Practices may see measurable improvements within 30 to 60 days of onboarding, particularly when there are clear denial, coding, or A/R follow-up gaps to address. Timing depends on payer turnaround times, the age and condition of existing receivables, and implementation readiness. Persistex uses onboarding to review workflows, align systems, and prioritize high-impact opportunities so corrective work can begin promptly.
Does Persistex work with practices outside Massachusetts?
Yes. Persistex is Massachusetts-based and serves practices throughout New England, while its nationwide coverage extends to all 50 states and major payers. This combines a dedicated U.S.-based service model with broader payer familiarity for organizations operating in multiple markets. Practices can receive support remotely through connected billing workflows, reporting, and account management without needing an in-house billing department.