Service
Medical Billing Services for U.S. Healthcare Providers
Medical billing services for U.S. practices and groups — clean claim preparation, payer-specific submission, denial-resilient coding review, AR follow-up, and clear monthly reporting. Built for accuracy first, not throughput.
Overview
Outsourced medical billing, end to end.
LRx Healthcare provides outsourced medical billing for independent providers, group practices, clinics, and specialty practices across the United States. We take each encounter from charge entry to final payment: confirming eligibility and authorization, reviewing codes, submitting clean claims to each payer’s rules, posting payments, and following up on everything that is not paid.
We work inside your existing practice management and EHR systems rather than moving you onto ours, so your team keeps access to its own data and the transition does not disrupt scheduling or documentation. You get one accountable team, named points of contact, and a monthly report that shows where revenue is and is not coming in.
Medical billing is the core of our revenue cycle management service. Practices that need only part of it can engage individual workflows — denial management, A/R follow-up, credentialing, or prior authorization — on their own. If you are comparing vendors, our guide on how to choose a medical billing company lists the questions worth asking.
What you get
What’s included.
- Claim preparation and payer-specific submission
- Eligibility and authorization verification at intake
- Coding review for ICD-10, CPT, HCPCS, and modifiers
- Denial management and appeal workflows
- AR follow-up across aging buckets
- Monthly KPI reports with payer scorecards
Outcomes
What better looks like.
- Higher first-pass clean claim rates
- Lower denial volume and faster appeal turnaround
- Reduced AR days outstanding
- Predictable, transparent monthly performance
How it works
From patient visit to posted payment.
- 1
Eligibility & authorization
Coverage, benefits, and authorization requirements are confirmed before the visit, so the claim starts clean.
- 2
Charge entry & coding review
Charges are entered from your documentation and reviewed for ICD-10, CPT, HCPCS, and modifier accuracy against payer-specific rules.
- 3
Claim scrubbing & submission
Claims are checked against clearinghouse and payer edits before submission, then sent electronically to each payer.
- 4
Rejection handling
Clearinghouse and payer front-end rejections are corrected and resubmitted quickly, so they never age into A/R.
- 5
Payment posting
ERA and EOB payments are posted line by line, adjustments are categorized, and balances are routed to secondary payers or to the patient.
- 6
Denials & A/R follow-up
Denied and unpaid claims are worked by priority, appealed where supported, and followed up with documented payer contact.
- 7
Patient balances
Patient statements — and, where included, patient calling — resolve the patient-responsibility portion.
- 8
Monthly reporting
A KPI report covers clean claim rate, denial categories, A/R aging, net collections, and payer-level trends.
What onboarding involves
- A discovery call on your practice, payer mix, claim volume, and current workflow
- User access to your practice management system, clearinghouse, and payer portals
- Your fee schedule and any payer contracts you want reimbursement checked against
- A current A/R aging report, so existing claims are handed over rather than lost
- A signed Business Associate Agreement before any PHI is exchanged
What your monthly report covers
- Charges, payments, and adjustments for the month
- Clean claim rate and denial categories
- A/R aging by bucket and by payer
- Net collections and payer-level trends
- Open issues and anything we need from your team
Related services
Often paired with this service.
Most providers see the biggest gains when these workflows are operated together.
Medical Billing guides
Free guides on this topic.
Practical, answer-first guides from the LRx Healthcare revenue cycle team.
HIPAA-Compliant Medical Billing: The Controls That Actually Matter
What HIPAA-compliant medical billing requires: BAAs, minimum necessary access, MFA, encryption, breach notification deadlines, and vendor questions.
Read the guideMedical Coding Accuracy: Reduce Coding Denials Without Burning Out Coders
Improve medical coding accuracy: why coding denials happen, the ICD-10-CM, CPT, and HCPCS update calendar, modifier risks, and a coding audit program.
Read the guideHow to Choose a Medical Billing Company: 12 Questions to Ask Before You Sign
How to choose a medical billing company: 12 questions to ask, red flags to avoid, pricing models explained, and what should be in a medical billing contract.
Read the guideMedical Billing FAQ
Common questions about this service.
Quick, direct answers to the questions providers ask most about LRx Healthcare.
Let's get started
Ready to upgrade your medical billing workflow?
Request a free consultation or billing audit and we’ll walk you through where this service fits in your revenue cycle.