MediCommerce

Industries Who We Serve

Rural Hospitals

Improve rural hospital revenue cycle performance with medical billing, payer contract monitoring, and disciplined accounts receivable follow-up that keeps reimbursements predictable while you focus on patient care.

Medical Groups

Scale medical groups with provider credentialing, surgery scheduling, coding compliance, and revenue reporting across multiple physicians, locations, and insurance payers.

Independent Physicians/Nurse Practitioners

Get medical billing, coding, credentialing, prior authorizations, and accounts receivable support without the cost of building a full in-house team.

Home Healthcare

Manage referrals, patient scheduling, benefits verification, prior authorizations, and unit tracking that helps home healthcare agencies protect reimbursements.

Radiology/Imaging Centers

Coordinate referrals, verify patient benefits, secure prior authorizations, and manage radiology billing and coding across imaging modalities.

Ambulatory Surgery Centers

Prevent costly surgical claim denials with benefits verification, CPT authorization, multi-specialty coding, and disciplined accounts receivable follow-up.

Rural Hospitals

Rural Hospitals

We proactively identify and resolve global billing conflicts early, diligently monitor payer trends across your contracts, and maintain disciplined accounts receivable follow-up to ensure that insurance receivables remain low and predictable. While you focus on serving your community, we safeguard the revenue that makes it all possible.

Medical Groups

We offer comprehensive management of hospital and insurance credentialing, along with efficient scheduling for surgeries and new patients. Our services include coding compliance oversight and governance dashboards that provide you with clear visibility into revenue performance — analyzed by provider, location, and payer. Every appointment, every claim, and every provider credential is meticulously managed, empowering your group to grow with confidence.

Independent Physicians/Nurse Practitioners

Running a practice solo means wearing too many hats. We work alongside you as a fractional practice management and revenue cycle management (RCM) partner — handling insurance credentialing, billing, coding, prior authorizations, and accounts receivable (AR) follow-up so seamlessly integrated that it feels like your own in-house team. You get expert operations without the overhead of building one.

Home Healthcare

From the moment a referral arrives, we manage the process seamlessly. We coordinate with your Director of Nursing, the referral source, and the patient to get the appointment scheduled. After that, we verify benefits, handle prior authorizations, and track unit utilization throughout the care episode. With most members limited to 60 authorized units per year, proactive authorization management is essential — it’s crucial for keeping your agency financially healthy.

Radiology/Imaging Centers

Every radiology study begins with a referral and culminates in reimbursement — but numerous issues can arise in between. We efficiently receive and coordinate incoming referrals, verify patient benefits prior to the study, and manage prior authorizations to ensure that your imaging center never performs a scan that won't be reimbursed. Our billing specialists expertly handle the complete claim lifecycle across various payers, guaranteeing accurate coding and prompt reimbursement for every modality you provide.

Ambulatory Surgery Centers

The financial impact of a single denied claim for an ASC center is significantly greater than that of other billing processes. Given the high costs associated with surgery fees, a single coverage oversight can result in thousands of dollars lost. To mitigate this risk, we verify benefits prior to scheduling the procedure, ensuring that the correct diagnosis and CPT codes receive authorization. Our expert coders manage multi-specialty surgical claims across various payers, submit them promptly, and maintain a disciplined accounts receivable follow-up process, ensuring your receivables remain stable.

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