What does professional medical billing include?
Professional medical billing covers the financial work required to turn clinical services into accurate, timely insurance reimbursement. Persistex manages insurance verification, claim submission, payment posting, denial management, accounts receivable follow-up, reporting, and payer communication. Services can also include coding support, prior authorization management, fee schedule review, and documentation guidance, creating one accountable workflow from scheduling through final payment.
How can outsourced medical billing improve collections?
Outsourced billing improves collections by giving claims consistent attention at every stage. A specialized team can identify missing information before submission, monitor payer responses, correct rejections, appeal denials, and pursue aging balances promptly. Persistex reports a 98% clean claim rate and a 72% appeals success rate, helping practices reduce avoidable delays and recover revenue that may otherwise remain uncollected.
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 understands specialty-specific billing challenges, including psychotherapy time-based codes, TMS CPT codes, E/M coding, vaccine billing, chiropractic modifiers, and routine foot-care coverage rules. This focused knowledge helps align claims with documentation and payer requirements.
How does Persistex handle denied medical claims?
Persistex investigates denials to determine whether the issue involves eligibility, authorization, coding, documentation, filing limits, payer policy, or another claim detail. The team corrects resubmittable errors, assembles supporting documentation when needed, and manages appeals for eligible claims. Denial patterns are also tracked so recurring issues can be addressed upstream, reducing the likelihood of similar denials in future billing cycles.
Is medical billing pricing percentage-based or flat-rate?
Persistex offers flexible percentage-based and flat-rate pricing models based on practice size and billing volume. The right structure is selected to match the practice’s operational needs and collection goals. There are no hidden fees or long-term contracts required. A free billing audit can identify denial patterns and revenue opportunities before a practice decides whether to move forward with services.
Will I have a dedicated medical billing contact?
Yes. Persistex provides dedicated named account teams rather than rotating call-center staff. Your billing team learns your specialty, workflows, payer mix, and priorities, making communication more efficient and follow-up more consistent. The company also provides real-time dashboards and comprehensive reporting so practices can see billing activity, collection progress, outstanding A/R, and areas requiring attention.
Can Persistex work with my 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 reviews existing workflows, system access, payer setup, and data needs to establish an efficient process. This approach helps minimize workflow disruption while allowing claims, payments, and reports to be handled within the systems your practice already uses.
How quickly can a practice see billing improvements?
Practices may begin seeing measurable improvements within 30 to 60 days of onboarding, particularly when there are preventable denials, aging A/R, coding gaps, or inconsistent follow-up. Timing varies according to payer turnaround times and the condition of the existing receivables. Persistex starts by reviewing billing processes and denial patterns, then prioritizes actions that can improve clean claims and cash flow.