Claims, coding, denials, AR, and credentialing from billing companies that take on practices in Charlotte, NC. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
Charlotte is a two-system town. Atrium Health and Novant Health have built hospitals, urgent care sites and employed groups in nearly every suburb, and a physician who opens a practice in Ballantyne, Huntersville or Matthews is within a few miles of both. Both have spent years acquiring primary care and specialty groups. What survives outside them is mostly specialty work: orthopedics, dermatology, physical therapy, behavioral health, eye care and urgent care, along with a handful of old family practices that never sold.
The city also sits on a state line. Fort Mill and Rock Hill are in South Carolina, so a Charlotte office sees patients with Blue Cross and Blue Shield of South Carolina or South Carolina Medicaid cards next to North Carolina ones, and the front desk has to know which rules apply to which. North Carolina's Medicaid program runs through managed care plans, and Blue Cross and Blue Shield of North Carolina is the dominant commercial name. The banks and other large employers here self-fund much of their coverage, so many members hold a card that reads Blue but follow rules set by the employer.
Growth is the main complication. New residents arrive with out-of-state plans, and new practices open faster than credentialing departments can process them. Billers with real experience are scarce because the systems hire them. A common sight is an office with solid patient volume and a six-month-old AR nobody has touched. When you fill out the form, give your specialty, how many providers, if you see patients from South Carolina, and how old your oldest unpaid claims are.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in Charlotte, NC.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals