What does medical billing and coding include?
Medical coding translates clinical documentation into standardized CPT, ICD-10, and HCPCS codes. Medical billing uses those codes to create and submit claims, post insurer payments, correct rejections, manage denials, and follow up on outstanding balances. Persistex combines both functions with insurance verification, reporting, and accounts receivable management so practices have one coordinated revenue cycle partner.
How can outsourced billing reduce claim denials?
An outsourced billing partner can identify errors before submission by reviewing coding, modifiers, documentation, payer edits, eligibility, and authorization requirements. Persistex also tracks denial patterns and follows up on rejected or underpaid claims instead of allowing them to age. This proactive process is designed to reduce recurring errors, strengthen clean-claim performance, and recover revenue through timely appeals.
Which medical specialties does Persistex support?
Persistex supports behavioral health, TMS therapy, psychiatry, family medicine, internal medicine, primary care, pediatrics, chiropractic, podiatry, and other outpatient practices. The team applies specialty-specific knowledge to issues such as psychotherapy time-based codes, TMS CPT codes, E/M leveling, vaccine billing, chiropractic modifiers, and routine foot-care coverage rules. Support is available for solo providers through larger multi-provider organizations.
What coding systems do your certified coders use?
Persistex provides coding support for CPT, ICD-10, and HCPCS code sets. Certified professionals review documentation, select appropriate codes, assess modifier use, and identify gaps that could affect reimbursement or audit exposure. Coding work is also reviewed against applicable payer policies, helping practices submit claims that are accurate, supported by records, and aligned with current billing requirements.
How quickly will Persistex respond to a billing audit request?
After a free billing, coding, or revenue cycle audit request is submitted, a specialist responds within 24 hours during the Monday through Friday business schedule. The no-obligation review examines the current billing process, denial patterns, and potential revenue opportunities. It can also help practices considering a transition from another billing company understand where revenue leakage may be occurring.
Do you work with our EHR or practice management system?
Persistex integrates with major EHR and practice management systems, including AdvancedMD, Kareo, athenahealth, DrChrono, and TherapyNotes. During onboarding, the team evaluates the existing workflow and configures collaboration around the practice’s system. This approach helps preserve operational continuity while giving the billing team access to the information needed for coding, claims, and follow-up.
How is medical billing priced?
Persistex offers percentage-based and flat-rate pricing models based on practice size, claim volume, and service scope. The company does not require long-term contracts or charge hidden fees. A free audit can help clarify the work required and identify revenue opportunities before a practice selects a model, allowing decision-makers to compare the potential value of outsourced support.
Is patient and practice information handled securely?
Yes. Persistex operates with HIPAA-compliant processes designed to protect practice and patient information throughout coding, billing, reporting, and communication workflows. The team uses secure operational practices and limits information handling to what is needed for revenue cycle work. Practices can discuss their specific technology, access, and workflow requirements during onboarding to ensure appropriate safeguards are in place.