Medical Billing Consulting Services
ClaimCarePro offers medical billing consulting services for practices that want a second set of eyes on billing, coding and credentialing before — or instead of — outsourcing. Request a consultation for your practice. Built for physicians and office managers who want to collect more, spend less time on billing, and get straight answers. We'll call you back within one business day.
Recover the money your practice already earned — then hand us the billing so it stops happening. Full-service medical billing and aged A/R recovery.
Start here
Aged A/R Recovery
- We work claims your team has written off — denials, no-response, aged past 90 days.
- 10% of what we actually recover. you keep 90%. No recovery, no fee.
- Free A/R Leak Audit first — you see the number before you commit to anything.
- You keep your current biller. Nothing changes on your end.
Then
Full-Service Medical Billing
- Charge entry, claim submission, denial management, appeals, payment posting, and A/R follow-up.
- 6% of collections with a $1,000/month minimum — month-to-month, no long-term contract. You pay on money that lands in your account — never on what we billed.
- No upcoding. Ever. We'd rather lose the claim than put your license at risk.
- Insurer-side only: Medicare, PIP/auto, commercial. We don't chase your patients.
Most practices start with the recovery. The ones who see what we find usually hand us the billing too.
What we handle for your practice
Medical Billing
End-to-end claim submission, tracking, denial management, and payment posting so you collect more of what you're owed, faster.
Medical Coding
Accurate CPT/ICD-10 coding and coding review that keeps clean-claim rates high and reduces audit risk.
Credentialing & Enrollment
Provider credentialing and payer enrollment handled for you — new providers, revalidations, and CAQH upkeep.
Revenue Cycle Management
Full RCM: eligibility, charge capture, AR follow-up, and financial reporting, with clear visibility into your numbers.
What medical billing consulting covers
Consulting is for practices that want to fix billing in-house, or check it before deciding whether to outsource. You keep your staff and your systems; we review them and show where money and time are being lost.
- Billing workflow review — how a charge moves from check-in to posted payment, where it stalls, and who owns each handoff.
- Intake and charge capture — front-desk eligibility and demographic errors, and services performed but never billed or billed late.
- Coding review — CPT/ICD-10/HCPCS and modifier patterns checked against documentation, with under-coding and over-coding risk both flagged.
- A/R and denial review — aging by payer, timely-filing exposure, and the denial reasons behind it.
- Payer contract and credentialing review — enrollment and revalidation status by payer, and gaps that cause payer-wide denials.
- Posting, reconciliation and controls — unposted remits, payments checked against contracted rates, who can post, adjust and write off, and the monthly numbers to watch.
- EHR and clearinghouse setup, plus staff training — payer IDs, claim edits and ERA/EFT enrollment configured, and your team trained on the workflow so it holds.
Consulting engagements are quoted per engagement after the first conversation, because a single-workflow review and a full billing-office rebuild are very different jobs. If you later decide to outsource, full-service billing is 6% of collections with a $1,000/month minimum, month-to-month, no setup fee.
The advice comes from running practices, not only billing for them: our founder ran two practices while doing billing, trained one practice's staff on their EHR for about 3 months, and installed EHRs in two more practices.
Frequently asked questions
- Who is this consultation for?
- Physicians, office and practice managers, and administrators who want to outsource or improve their medical billing, coding, credentialing, or full revenue cycle management.
- What happens after I submit the form?
- Cary or Jacob will reach out directly — usually within one business day — to learn about your practice and walk through how we can help. There's no obligation.
- Do I have to outsource my billing to use your consulting services?
- No. Medical billing consulting stands on its own: you keep your biller, your EHR and your clearinghouse, and we review the workflow, coding, A/R, denials and credentialing behind them. Some practices use the review to fix things in-house; others use it to decide whether outsourcing makes sense.
- How are medical billing consulting engagements priced?
- Consulting is quoted per engagement after a short conversation, because pricing depends on your specialty, volume and scope, from a single coding review to EHR and clearinghouse setup plus staff training. The free A/R audit is a separate no-cost starting point. If you later outsource, full-service billing is 6% of collections, $1,000/month minimum.
- Do you work with practices outside Florida?
- Yes. We're based in Clearwater, Florida and serve practices across the country.