Outsourced medical billing servicesthat make collections predictable
Medical billing, medical coding, physician credentialing and denial management handled end to end — so your clinicians stay focused on patients. MedValue has served healthcare organisations since 2004, and most clients see collections improve 10–15% within the first six months.
- Since 2004
- Serving healthcare clients for 20+ years
- 10–15%
- Typical collections lift in the first 6 months
- 24–48 hrs
- Claim submission turnaround
- 15+
- Specialties billed
Get your free billing audit
Takes 2 minutes. No commitment, no obligation to switch.
Questions first? Read the billing FAQ or build a custom quote.
Our services
Everything between the visit and the deposit
Take the whole revenue cycle, or just the part that is holding you back. Each service is staffed by specialists who know your payer mix.
Revenue Cycle Management
End-to-end billing — charge capture, coding review, claim submission, payment posting, denials and AR follow-up.
Explore revenue cycle managementCredentialing & Enrollments
Provider enrollment with Medicare, Medicaid and commercial payers, plus CAQH upkeep and re-validation tracking.
Explore credentialing & enrollmentsPatient-Centric Enablement
Faster reports, accurate benefits verification and the online conveniences your patients already expect.
Explore patient-centric enablementBilling Assessments & Compliance
A senior team audits your current revenue cycle and shows you exactly where money is leaking — before you commit.
Explore billing assessments & complianceInbound & Outbound Call Center
Cost-effective, scalable inbound and outbound call support delivered by our expertly managed team in India.
Explore inbound & outbound call centerAnalytics & Reporting
Weekly and monthly dashboards that make collections, AR days and denial rates impossible to misread.
Explore analytics & reportingHow it works
A transition your front desk barely notices
- 01
Free billing audit
Share a few details about your practice. We review a sample of claims, denials and aged AR, then show you the revenue you are currently leaving behind.
- 02
Transition plan
We map your EHR/PM workflow, payer mix and specialty rules, agree on SLAs, and set up secure access — with no disruption to patient care.
- 03
Run the cycle
Your dedicated team codes, scrubs and submits claims, works every denial, and chases aged balances until they are resolved or documented.
- 04
Report and improve
You get weekly reporting and a monthly review. We eliminate denial root causes so each quarter is cleaner than the last.
Specialties
Billed by people who know the rules
Modifier logic, medical necessity documentation and payer quirks differ wildly by specialty. Your team is assigned accordingly.
- Cardiovascular Surgery
- Invasive Cardiology
- Neurosurgery
- Orthopedic Surgery
- Gastroenterology
- Hematology / Oncology
- General Surgery
- Internal Medicine
- Pulmonology
- Non-Invasive Cardiology
- Urology
- Family Practice
- Neurology
- OBGYN
- Otolaryngology
- Psychiatry
- Nephrology
- Pediatrics
- Ophthalmology
- Dermatology
Platform experience
We work in the systems your team already uses
MedValue teams have hands-on experience with leading practice management, EHR and clearinghouse platforms, helping you transition without replacing your current workflow.
Practice management & EHR
Clearinghouses
- Office Ally
Product names and logos are trademarks of their respective owners. Their display reflects MedValue's platform experience and does not imply endorsement or partnership.
Beyond provider billing
Dedicated divisions for payers and clinical research
EDI Services
Paper claims to EDI conversion, member enrollment processing, EOB-to-835 remittances and claims database support for health plans, TPAs, MSOs and Medicaid MCOs.
Explore payer servicesClinical Trials Services
Contract research and bioanalytical lab support, clinical data management, study administration and research billing support for sponsors and sites.
Explore clinical trialsCommon billing questions, answered
Denials and clean claim rates, AR days and aged balances, pricing and contracts, onboarding, HIPAA-aligned security, reporting and specialty coverage — all in one place.
Our process
Five stages, one team, the whole revenue cycle
From the first claim review to aged AR recovery, every stage is owned by the same MedValue team working inside the system you already use — so nothing falls between vendors.
- 01
Stage 1 · Weeks 1–2
Discovery and secure setup
We review your EHR or practice management system, payer mix, fee schedules, denial history and AR aging. Your named team is assigned and given role-limited, HIPAA-aligned access. Nothing in your system changes — we document how you work before we adjust anything.
- 02
Stage 2 · Before the visit
Eligibility and prior authorization
Coverage is verified ahead of the encounter: active plan, copay, deductible and any authorization requirement. Problems caught here never turn into denials later, which makes this the cheapest quality check in the whole cycle.
- 03
Stage 3 · Claim submission
Coding review and clean claims
Charges are reconciled against your schedule daily. ICD-10, CPT and HCPCS codes are reviewed against provider documentation, then claims run through payer-specific edits for bundling, modifiers and place of service before they go out — typically within 24 to 48 hours.
- 04
Stage 4 · Post-payment
Posting, denials and appeals
ERA and EOB payments are posted and reconciled against contracted rates, and variances are flagged. Denials are categorised by reason code, appealed with supporting documentation, and the upstream cause is corrected so the same denial does not return next month.
- 05
Stage 5 · Ongoing
Aged AR recovery and reporting
Aging claims are worked by dollar value and filing deadline, including balances a previous biller wrote off. You get weekly reporting and a monthly review with your account manager covering collections by payer, denial categories and AR aging buckets. No black box.
Every stage is included in one rate
No separate vendors for coding, denials, appeals or credentialing support, and no per-item invoicing. Start with the free billing audit and we will show you which stages are costing you the most today.
Testimonials & results
Trusted by healthcare organisations since 2004
Two decades of billing, payer and clinical research support. We only publish numbers and quotes a client has approved — everything else here is what we commit to and how we prove it.
Baseline audit before any change
Every engagement opens with a documented review of your current claims, denials and AR ageing, so improvements are measured against your own starting point — not an industry average.
Reported weekly, not annually
Clean claim rate, days in AR, denial reasons and collections are published on a shared dashboard you can check any day of the week.
HIPAA-minded operating controls
Access is role-based and least-privilege, with signed BAAs, audit logging and staff trained on PHI handling before touching a chart.
A named team, not a ticket queue
You get specific people who know your payer mix and your front desk by name, with an escalation path that reaches a human the same day.
In our clients' words
Feedback from MedValue outsourcing clients. Names are withheld at each client's request; references are available during your billing audit.
- Provider RCM
“A 14% collections lift in under six months! When we partnered with MedValue for end-to-end RCM, our aged AR was drowning us. Their team stepped in, optimized our charge capture, and streamlined our denial management. We saw our collections jump 14% within the first six months, and our clinicians can finally focus entirely on patient care.”
Practice Administrator
Multi-Specialty Physician Group
- Provider RCM
“Turnaround times that transformed our cash flow. Getting claims out the door within 24 to 48 hours used to be an impossible dream for our busy billing department. MedValue's dedicated team handles our daily claims scrubbing and submission seamlessly. Our cash flow has never been more predictable.”
Chief Financial Officer
Orthopedic Clinic Network
- Provider RCM
“Finally, a billing partner with zero friction. The transition was so smooth our front desk barely noticed. MedValue integrated with our existing EHR/PM workflows effortlessly. Their weekly reporting dashboards give complete transparency into our clean claim rate and days in AR without needing endless meetings.”
Operations Director
Cardiology Practice
- Hospital Billing
“Mastering complex hospital billing structures. Hospital billing combining professional and facility claims is a maze of moving parts. MedValue brought advanced AI-enhanced review for our UB-04 and 1500 claims, dramatically cutting down our DRG mismatches and medical necessity denials.”
VP of Revenue Cycle
Community Hospital System
- Analytics
“Turning root-cause analytics into real savings. MedValue doesn't just chase denials—they find out why they happened in the first place. Their denial root-cause analytics and custom CFO reports have fundamentally changed how our administrative departments operate.”
Chief Operating Officer
Regional Medical Center
- Credentialing
“MedValue cleared our credentialing backlog in weeks, getting our incoming physicians in-network and billing from day one instead of sitting in administrative limbo.”
Practice Administrator
Cardiology Group
- Credentialing
“Keeping up with CAQH re-validations and commercial payer rosters used to be a nightmare. MedValue manages the entire pipeline flawlessly now.”
Credentialing Manager
Orthopedic Clinic
- Patient Access
“MedValue verifies patient insurance benefits and authorizations before the visit, practically eliminating our front-end eligibility denials.”
Billing Manager
Surgical Center
- Patient Access
“Our front desk no longer drowns in scheduling calls. MedValue's intake team handles patient scheduling with absolute professionalism and speed.”
Operations Director
Physical Therapy Practice
- Patient Communication
“Patients used to face long hold times when calling about billing questions. MedValue's call center team cut our abandonment rate in half while boosting satisfaction.”
Revenue Cycle Director
Multi-Specialty Clinic
- Patient Communication
“Outbound balance follow-ups require a delicate touch. MedValue's team handles patient billing inquiries with empathy, preserving our patient relationships while improving cash flow.”
Practice Manager
Pediatrics Group
- Billing & Compliance
“Their pre-engagement billing assessment uncovered thousands in hidden leakage from misapplied modifiers. The audit paid for itself immediately.”
CFO
Regional Health Network
- Billing & Compliance
“MedValue's compliance audit gave our board complete visibility into our coding accuracy and exposure risks before we scaled our practice.”
Managing Partner
Radiology Group
- Payer / TPA / BPO
“During our peak enrollment season, MedValue seamlessly absorbed our surging TPA document intake without missing a beat or adding overhead.”
Operations VP
Third-Party Administrator
- Payer / TPA / BPO
“Their back-office team processes our high-volume EDI transactions with extreme accuracy, keeping our clearinghouse rejection rates near zero.”
IT Director
Health Plan Services
- Clinical Trials
“Managing data pipelines for active clinical trials requires meticulous precision. MedValue's team delivered the exact scale and strict protocol adherence we needed.”
Director of Clinical Operations
Research Institute
- Clinical Trials
“Having a dual-shore back-office partner means our specialized health-data processing and administrative tasks never stop moving around the clock.”
COO
Healthcare Analytics Firm
- Employer Wellness
“We thought our turnover was strictly compensation-driven, but the general lifestyle health survey revealed overwhelming burnout tied to sleep deprivation and unmanaged daily stress. Armed with that data, we introduced flexible hours and mental health days, and our retention numbers bounced back almost immediately.”
VP of Human Resources
Tech Enterprise
- Employer Wellness
“Instead of guessing what our team needed, the HRA paired with biometric screenings gave us a clear demographic picture of our population's prediabetes and cholesterol risks. It allowed us to tailor our health coaching and nutrition stipends precisely to what our employees were facing.”
Benefits Director
Manufacturing Firm
- Employer Wellness
“With half our staff working remotely, musculoskeletal complaints were creeping up. The ergonomic health survey let employees self-report workspace pain points and request equipment assessments. It cut our workers' comp claims for repetitive strain down significantly within six months.”
Operations Manager
Financial Services Group
- Employer Wellness
“Our employees weren't utilizing their free annual physicals or cancer screenings because the benefits portal was too confusing. The targeted preventive care survey pinpointed where the communication breakdown was occurring, helping us redesign our messaging and double our annual wellness visit rates.”
Chief People Officer
Retail Corporation
- Security & Compliance
“Uncompromising data security and HIPAA compliance. In our industry, data security is non-negotiable. MedValue's role-based access, signed BAAs, strict audit logging, and HITRUST-aligned standards gave us the absolute confidence to transition our heavy data back-office tasks overseas.”
Chief Information Security Officer
Healthcare Analytics Firm
No-cost revenue check
See exactly what your practice is leaving on the table
Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.
- A claim-level look at what is being denied and why
- Aged AR you can still recover, quantified in dollars
- Coding and fee schedule gaps costing you per visit
- A plain-English action plan you can keep either way
Prefer to talk first? Call 630-430-1040
Get your free billing audit
Takes 2 minutes. No commitment, no obligation to switch.
Questions first? Read the billing FAQ or build a custom quote.