Built for Private Practice

Physician Billing

Running a private practice means wearing every hat at once. Let Probiz own the financial operations entirely β€” so you can focus on the clinical side with zero billing overhead.

Get Physician Billing Proposal

We Serve Every Practice Model

From solo providers to large multi-specialty groups β€” our model scales to match your size and complexity.

Solo Physician Practice

A dedicated billing team that acts as your entire back-office financial department. We handle coding, claims, follow-up, and patient billing so you can see more patients with zero administrative distraction.

Performance-based pricing β€” we earn when you earn

Multi-Provider Group

Coordinated billing across multiple NPI numbers with per-provider performance tracking. We manage the complexity of group billing β€” split billing, incident-to rules, and shared savings arrangements β€” with precision.

Unified reporting across all providers

Concierge & DPC Models

For practices transitioning to Direct Primary Care or concierge models, we manage the billing hybrid β€” ensuring insurance claims continue accurately while your membership revenue structure is properly documented.

Tailored for hybrid payment models

The Most Common Revenue Leak in Physician Billing

E&M Code Optimization:
Are You Undercoding?

Evaluation and Management (E&M) codes are the backbone of physician revenue. But studies show that The majority of physicians routinely undercode their visits β€” leaving significant revenue behind without even realizing it.

Since the 2021 AMA E&M documentation reforms, code selection is now based on Medical Decision Making (MDM) or total time β€” not the old documentation-length approach. Many practices haven't updated their coding processes.

Our coders are fully trained on the current 2024 E&M guidelines and will review your documentation patterns to identify systematic undercoding β€” and the revenue recovery it represents.

Office Visit E&M Levels (99202–99215)

99202
New / Level 2
Low complexity MDM
99203
New / Level 3
Low complexity MDM
99204
New / Level 4
Moderate complexity MDM
99205
New / Level 5
High complexity MDM
99215
Est. / Level 5
High complexity MDM

The difference between 99203 and 99205 can be $80–$140 per visit. Multiplied across your daily volume, undercoding costs thousands per month.

Everything Included in Our Physician Billing Service

Insurance Verification

Real-time eligibility confirmed for every scheduled patient.

Medical Coding

ICD-10 and CPT coding reviewed and optimized by certified coders.

Claims Submission

Electronic submission rapidly with industry-leading first-pass rate.

Denial Management

Every denial appealed within 24 hours with root-cause prevention.

Patient Billing

Patient statements, payment plans, and AR follow-up handled professionally.

Credentialing

CAQH, PECOS, and commercial payer enrollment maintained.

Monthly Reporting

Custom KPI dashboards showing collection rates, denial trends, and A/R aging.

HIPAA Compliance

Full BAA, encrypted data handling, and documented compliance program.

The Probiz Advantage

Why Leading Practices Partner With Us

We combine certified expertise with proprietary technology to deliver unmatched revenue cycle performance.

Maximized Clean Claim Rates

Our advanced rules-based scrubbing engine runs every claim against millions of payer-specific rules before submission, practically eliminating front-end rejections and accelerating your cash flow.

Certified Specialist Teams

We don't use generalists. Your account is managed by specialty-specific certified coders who understand the nuances of your exact clinical discipline, ensuring maximum compliant reimbursement.

Real-Time Financial Analytics

Stop waiting for end-of-month reports. Our proprietary BI dashboards give you real-time visibility into collection rates, A/R aging, and denial trends.

100% EHR Agnostic & Secure

We work seamlessly within your existing software via secure, HIPAA-compliant VPNs. Zero data migration required, and zero disruption to your clinical workflow.

A Seamless Transition Process

Switching billing partners shouldn't disrupt your cash flow. Our meticulously engineered onboarding process ensures a smooth, parallel transition.

  • 1

    Discovery & Integration

    We establish secure remote access to your EHR/PMS and map your existing workflows without interrupting your current team.

  • 2

    Historical Analysis

    We audit your past claims to identify immediate revenue leakage, coding errors, and systemic denial trends.

  • 3

    Custom Rule Building

    Our rules-based scrubbing engine is programmed with your specific payer matrix and local coverage determinations to prevent future denials.

  • 4

    Go-Live & Optimization

    We take over day-to-day operations, instantly applying our optimized workflows to accelerate your cash flow and reduce days in A/R.

The Cost of Inaction

Every day you wait to optimize your revenue cycle, you are losing money to timely filing limits, unappealed denials, and under-coded encounters. Stop accepting revenue leakage as a cost of doing business.

Stop Revenue Leakage Today

Frequently Asked Questions

Common questions about our process, integration, and security.

No. Our team is fully trained on all major platforms including Epic, Cerner, eClinicalWorks, AdvancedMD, Athenahealth, and Kareo. We log directly into your existing system via a secure, HIPAA-compliant connection. Your front office workflow remains entirely unchanged.

We operate primarily on a percentage-of-collections model. This means we don't get paid until you get paid, perfectly aligning our incentives with your practice's financial success. There are no hidden setup fees or rigid long-term lock-ins.

Absolutely. We are fully HIPAA compliant. We operate under strict Business Associate Agreements (BAAs), utilizing AES-256 encryption, zero-trust network access, and mandatory multi-factor authentication. Patient data is never stored on unauthorized local devices.

Stop Running Your Practice Like a Billing Company

Get a custom proposal for your specific practice size, specialty, and payer mix. No commitments β€” just clarity on what better billing could mean for your revenue.

Request My Custom Proposal