Our Services

    End-to-End Medical Billing & RCM Solutions

    From eligibility verification to payment collection, Billorarcm Services LLC provides comprehensive billing and revenue cycle management services tailored to your specialty, practice size, and growth goals.

    Medical Billing Services

    Complete end-to-end billing services including charge entry, claim scrubbing, electronic claim submission, payment posting, and patient statement management. Our team handles the entire billing lifecycle so your practice never misses a reimbursement.

    What's Included

    • Electronic claim submission within 24 hours
    • Payment posting & ERA reconciliation
    • Patient statement management
    • Insurance follow-up & appeals
    • Secondary & tertiary claims
    • Workers' comp & no-fault billing

    Medical Coding Services

    Our AAPC and AHIMA certified medical coders ensure accurate assignment of ICD-10-CM, CPT, HCPCS Level II, and modifier codes, minimizing claim denials, audit risks, and compliance issues.

    What's Included

    • ICD-10-CM, CPT & HCPCS coding
    • Chart auditing & reviews
    • E/M leveling & MDM compliance
    • Specialty-specific coding
    • Coder education & training
    • Risk adjustment / HCC coding

    Revenue Cycle Management (RCM)

    Comprehensive RCM services that optimize every touchpoint of your revenue cycle, from patient registration and insurance verification to final payment collection and reporting.

    What's Included

    • Real-time eligibility verification
    • Prior authorization management
    • Claims management & scrubbing
    • Accounts receivable management
    • Underpayment recovery
    • Contract management & analysis

    Provider Credentialing & Enrollment

    Streamlined credentialing and enrollment services for individual providers and group practices with Medicare, Medicaid, commercial payers, and IPA networks.

    What's Included

    • Initial credentialing & enrollment
    • Re-credentialing & revalidation
    • CAQH ProView management
    • Medicare PECOS enrollment
    • Commercial payer enrollment
    • Hospital privileging support

    Denial Management & Appeals

    Aggressive denial analysis, correction, and resubmission to recover revenue that would otherwise be lost. We identify root causes to prevent recurring denials and rebuild your clean claim rate.

    What's Included

    • Denial trend analysis
    • Appeal letter preparation
    • Root cause identification
    • Payer-specific strategies
    • Underpayment recovery
    • Prevention workflow design

    Practice Analytics & Reporting

    Real-time dashboards and custom reports that give you complete visibility into your practice's financial health, productivity metrics, and key performance indicators.

    What's Included

    • Real-time KPI dashboards
    • Custom executive reports
    • Payer mix analysis
    • Provider productivity metrics
    • A/R aging analysis
    • Monthly performance reviews

    Specialty Billing Expertise

    Specialized billing knowledge across 40+ medical specialties, from anesthesia time units to interventional radiology bundling and behavioral health authorizations.

    What's Included

    • Specialty-specific coding
    • Modifier optimization
    • Bundling & unbundling expertise
    • Specialty payer rules
    • Specialty-specific compliance
    • Sub-specialty support

    Compliance & Auditing

    Regular internal audits and compliance reviews to ensure your practice meets all federal, state, and payer billing regulations, including HIPAA, OIG, and Stark Law.

    What's Included

    • HIPAA compliance audits
    • OIG compliance reviews
    • Internal coding audits
    • Documentation review
    • Staff training programs
    • Compliance program design

    Old A/R Recovery

    Dedicated A/R recovery specialists working aging accounts (including claims older than 90, 120, and 180+ days) to recover lost revenue most billers leave on the table.

    What's Included

    • Aging A/R analysis
    • Aggressive payer follow-up
    • Patient collection strategies
    • Bad debt reduction
    • Small balance recovery
    • Legacy A/R cleanup

    Specialties

    We Serve 40+ Medical Specialties

    Specialty billing isn't generic. Our coders and billers train on payer-specific rules, modifier nuances, and documentation requirements unique to each specialty.

    OrthopedicsCardiologyRadiologyAnesthesiologyEmergency MedicineInternal MedicineFamily PracticeDermatologyGastroenterologyNeurologyOncologyUrologyOB/GYNPediatricsPsychiatryPulmonologyMental HealthPain ManagementPhysical TherapyChiropractic

    EHR / EMR / PM Integrations

    Compatible With The EHRs & EMRs You Already Use

    Our team is trained on all leading EHR, EMR, and Practice Management platforms. No workflow disruption, no platform switching, no learning curve for your staff.

    Epic Systems
    Oracle Health (Cerner)
    MEDITECH
    athenahealth
    eClinicalWorks
    NextGen Healthcare
    Veradigm (Allscripts)
    Homecare Homebase
    Netsmart
    Practice Fusion
    Tebra (Kareo)
    Greenway Health
    Modernizing Medicine (ModMed)
    ChiroTouch
    SimplePractice
    AdvancedMD

    Don't see yours? We integrate with 50+ additional EHR / EMR / PM systems.

    Let's Optimize Your Revenue Cycle

    Get a free practice assessment and discover how our services can recover lost revenue and reduce A/R days.

    Request Free Assessment