Medical billing involves several connected steps between documenting a patient encounter and receiving and recording payment. Docrevrcm supports the billing workflow from charge entry and claim preparation through electronic claim submission, payment posting, secondary billing and follow-up, working within your existing EHR and payer-specific billing rules.
Core medical billing services
Docrevrcm manages the day-to-day billing cycle. Each component below is part of the standard scope; the exact mix is confirmed with your practice during onboarding.
- sendCharge entry and claim preparation — charges entered and prepared for submission from the information your practice supplies
- task_altClaim review and submission — claims checked for required billing information and submitted through the appropriate electronic workflow
- account_balance_walletPayment posting and reconciliation — payer payments, adjustments and patient responsibility posted and reconciled
- check_circleSecondary and tertiary billing — applicable balances submitted to secondary or tertiary coverage after primary payer processing
- request_quotePatient statements and balance follow-up — patient responsibility communicated and followed according to your agreed billing workflow
- blockRejection correction and resubmission — front-end claim rejections reviewed, corrected where appropriate and resubmitted
How our medical billing process works
A practice evaluating outsourcing usually wants to know what happens after billing information leaves the office. This is the sequence.
- account_treeBilling information received — patient, provider, service and billing information supplied through your existing workflow
- starCharge entry and review — charges and required billing information prepared for claim creation
- task_altClaim preparation — claims reviewed for completeness and relevant billing requirements
- sendClaim submission — claims submitted electronically to the appropriate payer or clearinghouse workflow
- account_balance_walletPayer response and payment posting — payments, adjustments and patient responsibility recorded when remittance information is received
- hourglass_bottomRejections, denials and follow-up — unpaid claims routed to correction, denial management or accounts receivable
- monitoringReporting — agreed reporting and account visibility provided to the practice
Medical billing as part of your revenue cycle
Medical billing is one part of the broader revenue cycle. It focuses primarily on preparing claims, submitting them, recording payments and supporting billing follow-up. Practices that need additional support can also use Docrevrcm's eligibility verification, denial management, accounts receivable, credentialing and billing audit services.
Why practices outsource medical billing
Managing billing internally requires dedicated staff, technology and continuous attention to changing payer requirements. Whether outsourcing is the right fit depends on your practice size, internal billing resources, claim volume, specialty and existing revenue cycle performance.
- groupsReduce the billing workload handled by internal staff
- task_altAccess dedicated billing support rather than a single in-house biller
- support_agentMaintain more consistent claim follow-up
- receipt_longReduce dependence on one employee for billing continuity
- check_circleSupport the practice as claim volume changes
- verifiedGive administrative and clinical staff more time for patient care
Medical billing support for different practice types
Billing workflows are adjusted to the size and structure of the practice rather than applied identically to every client.
- task_altSolo and independent practices where internal administrative resources are limited
- stacked_line_chartGroup practices with higher billing volume and multiple providers
- medical_servicesMulti-specialty practices where workflows must account for different services and billing requirements
- check_circleSpecialty practices needing specialty-specific documentation and payer knowledge
Medical billing that works with your existing workflow
Switching billing support should not require a practice to rebuild its clinical workflow. Docrevrcm works within your existing EHR and billing process based on the systems and access available during onboarding.
- account_treeWorkflow review during onboarding
- keyRequired system access and permissions confirmed
- task_altBilling handoff process agreed
- groupsCommunication path between practice and billing team
- monitoringReporting method and frequency set
What happens when a claim is rejected or denied?
A rejected claim is generally stopped before full payer adjudication because required claim information or formatting needs correction, so it is reviewed, corrected where appropriate and resubmitted. A denied claim has been processed by the payer but was not paid as submitted, so the denial reason is reviewed and the claim moves into the appropriate follow-up or appeal path. More complex denial work is handled through the denial management workflow.
Submitting a clean claim does not always complete the billing cycle. When a claim remains unpaid, follow-up becomes part of the accounts receivable process.
Billing reporting and practice visibility
A common concern with outsourced billing is losing visibility into the operation. Reporting is agreed with your practice during onboarding and reflects the services included in your engagement.
- sendClaim submission status
- account_balance_walletPayment posting activity
- verifiedRejected claim status
- blockDenial trends
- hourglass_bottomAged accounts receivable
- account_balancePayer-level activity and patient balances
Medical billing pricing starting at 3% of collections
Docrevrcm medical billing fees start as low as 3% of monthly collections. Final pricing depends on the practice, specialty and required scope of billing support, and may also reflect claim volume, payer mix, existing A/R and any additional RCM services included.
