Maximize Revenue. Increase Cash Flow. Stay Focused on Patients.
Focused billing solutions built for small independent practices across Texas.
Rates starting at 2.49% — one of the most competitive contingent fee structures for small practices in Texas.
MediCommerce handles the full billing cycle for small medical groups, independent physicians, nurse practitioners, and radiology, home health, and hospice providers, from charge entry through claims submission, payment posting, accounts receivable follow up, and denial management. Once insurance has processed a claim, we manage electronic patient statements for any remaining balance, keeping your patient billing experience clean and professional. This is a contingent fee service, meaning MediCommerce is paid a percentage only when you collect, so our incentives are built around growing your collections rather than simply processing claims. This model works especially well for smaller practices that want a fully managed billing partner without adding internal headcount.
What's Included in Core Billing Services
Every claim that leaves your practice touches each of these steps. We own the process end to end so nothing falls through the cracks.
- Charge Entry — Accurate, timely entry of charges from your EHR or superbill into the billing system
- Claims Submission — Clean claim scrubbing and electronic submission to reduce first pass rejections
- Payment Posting — Insurance and patient payments posted promptly with proper reconciliation
- Denial Management — Root cause review, correction, and resubmission of denied or underpaid claims
- Accounts Receivable Follow Up — Active, aged AR worked on a defined schedule rather than left to sit
- Patient Statements — Clean electronic statements sent for any balance remaining after insurance processes the claim
- Reporting — Monthly visibility into collections, denial trends, and outstanding AR so you always know where your revenue stands
More Revenue in Your Pocket, Starting at 2.49%
Most billing companies charge flat percentages regardless of performance. Our rates start at 2.49%, so more of every dollar collected stays with your practice.
Who This Service Is For
Core Billing Services is built for practices that want a dedicated billing partner without the overhead of an internal team, including:
- Small medical groups
- Independent physicians
- Nurse practitioners
- radiology and imaging providers
- home health agencies
- hospice providers
If your practice is processing claims on your own, relying on a part time biller, or outgrowing what your front desk staff can manage, this is the service line built for you.
How the Contingent Fee Model Works
MediCommerce is paid a percentage of what we collect for you, not a flat fee for simply submitting claims. That structure means:
- We only succeed when your practice gets paid
- There is no incentive to submit claims quickly at the cost of accuracy
- Our attention naturally goes toward denials, aging AR, and underpayments, since that is where collections are won or lost
- You avoid the fixed cost of hiring, training, and retaining in house billing staff
For a small practice, this turns billing from a fixed overhead cost into a variable cost tied directly to performance.
Why Small Practices Choose MediCommerce
- Dedicated attention. Core Billing Services is built specifically for smaller practices, not treated as an afterthought behind larger hospital clients.
- No added headcount. You get a fully staffed billing function without recruiting, training, or managing anyone.
- Aligned incentives. Because we are paid on collections, our goals match yours from day one.
- Clean patient experience. Professional, easy to understand statements reduce patient billing confusion and support faster patient pay.
- Texas based. Familiarity with Texas payers, Medicaid managed care plans, and regional payer behavior.
Our Process
- Practice Assessment — We review your current billing setup, payer mix, and any existing AR backlog
- Onboarding — Systems access, EHR integration, and workflow setup between your team and ours
- Go Live — We begin managing charge entry, claims, and payment posting on your behalf
- Ongoing Management — Denial management and AR follow up run on a defined cadence
- Reporting & Review — Monthly check ins on collections performance and opportunities to improve
FAQ
What is included in RCM Core Billing Services?
Core Billing Services covers the full billing cycle, including charge entry, claims submission, payment posting, denial management, accounts receivable follow up, and patient statements for balances remaining after insurance processes a claim.
How does the contingent fee model work?
MediCommerce is paid a percentage of what we collect on your behalf. There is no flat fee for claim submission, so our incentive is focused on maximizing your collections rather than simply processing volume.
Which practices is this service designed for?
This service is designed for small medical groups, independent physicians, nurse practitioners, and radiology, home health, and hospice providers who want a fully managed billing partner.
Do I need to hire additional staff to use this service?
No. This service is built so you do not need to add internal billing headcount. MediCommerce manages the full billing function for you.
How are patient balances handled after insurance processes a claim?
Once insurance has adjudicated a claim, we send clean, professional electronic patient statements for any remaining balance, so your patients have a clear and simple billing experience.
What happens when a claim is denied?
We review the denial, identify the root cause, correct the claim, and resubmit it, then continue following up until it is resolved.
How often will I see reporting on my collections?
We provide regular reporting on collections, denial trends, and outstanding accounts receivable so you always have visibility into your revenue.
Is this service only for practices in Texas?
Texas is our home base and our primary focus, with concentrated experience serving practices in the DFW and Houston metros and active growth into San Antonio and Austin. That said, we also serve clients in other states such as New York, Alabama, California and Florida, so our expertise extends beyond state lines while our roots and specialization remain firmly in Texas.
Ready to stop chasing claims and start focusing on patients?
Book a free revenue cycle consultation and see how a contingent fee billing partner can grow your collections without growing your headcount.