What does a medical billing and coding company do?
A medical billing and coding company helps healthcare practices translate documented care into accurate codes, submit claims, post payments, follow up on unpaid balances, and manage denials. Persistex also supports insurance verification, prior authorizations, reporting, and accounts receivable follow-up. This creates a connected revenue cycle so providers can spend less time on administrative tasks and more time caring for patients.
How can outsourced medical billing improve practice revenue?
Outsourced billing can improve revenue by catching coding and documentation issues before submission, filing clean claims, tracking payer deadlines, and actively following up on denials and aging balances. Persistex reports a 98% clean claim rate, 72% appeals success rate, and average A/R of 30 days. Consistent oversight helps reduce revenue leakage and makes monthly cash flow more predictable.
Which practice 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 understands specialty-specific challenges, including psychotherapy time-based codes, TMS CPT codes, E/M leveling, vaccine billing, chiropractic modifiers, and routine foot care coverage rules. Services can support solo providers through larger multi-provider clinics.
Are your billing and coding professionals certified?
Yes. Persistex team credentials include CPC and CPB certifications from AAPC, plus RHIT and CCS credentials from AHIMA. These certifications demonstrate specialized knowledge of coding, billing, health information, and claims processes. Certified professionals review applicable CPT, ICD-10, HCPCS, modifier, documentation, and payer-policy requirements to support accurate, compliant claim submission and stronger reimbursement outcomes.
Do you work with MassHealth and New England payers?
Yes. Persistex is Massachusetts-based and has hands-on experience with MassHealth, Blue Cross Blue Shield of Massachusetts, Harvard Pilgrim, Tufts Health Plan, and other regional New England payers. The team applies local payer knowledge alongside broader major-payer experience to help practices navigate authorization requirements, coverage policies, claim edits, and denial patterns affecting reimbursement.
How does the free billing audit work?
The free billing audit is a no-obligation review of your current billing process, denial patterns, and potential revenue opportunities. Persistex evaluates where claims may be delayed, denied, underpaid, or overlooked and identifies practical improvement areas. A billing specialist responds within 24 hours during business days to schedule the review. There are no hidden fees or long-term contracts required.
What pricing options are available for medical billing services?
Persistex offers flexible percentage-based and flat-rate pricing models based on practice size and claim volume. The structure is designed to align the company’s success with your collection performance while avoiding hidden fees and mandatory long-term contracts. During an audit or consultation, the team can review your current workflow, specialty, volume, and goals to determine the most appropriate arrangement.
How quickly can a practice see billing improvements?
Many practices begin seeing measurable improvements within 30 to 60 days of onboarding, depending on claim volume, existing A/R, payer mix, and documentation quality. Early work typically focuses on resolving urgent denials, correcting coding gaps, improving claim submission, and organizing follow-up priorities. Longer-term gains come from consistent reporting, cleaner workflows, and proactive prevention of recurring revenue issues.