Medical Billing & RCM
End-to-end revenue cycle management, from patient intake to final payment posting.
- Charge capture & claim submission
- Real-time clearinghouse monitoring
- Patient statements & collections
Revenue cycle, built for independent practices
Collect more of what you've already earned.
You focus on patients. Medicure Solutions protects your revenue — fewer denials, faster A/R, and a clean view of where every claim stands.
As featured inRCM TodayPracticeWireHealthcare Ops WeeklyClinicPulse
First-pass acceptance
Reduction in denials
Average days in A/R
Lift in net collections
HIPAA-ready data handling
Experienced medical coders
Compliance-first workflows
Encrypted, secure reporting
Why Medicure Solutions
Built around the numbers that pay the bills.
We don't focus on activity, rather we focus only on the dollars that end up in your account quicker than usual.
Higher net collections
Practices typically see a 15–25% lift in net collections within the first six months on Medicure Solutions.
Faster days in A/R
Aged-claim workdown plus same-week appeals shrink A/R from 30+ days in most specialities.
Audit-ready posture
Documented coding decisions and HIPAA-aligned data handling keep you ready for any payer review.
Decisions you can act on
Monthly executive reviews translate revenue data into the next three moves — not a 40-tab spreadsheet.
The Medicure Solutions RCM Pipeline
Nine stages, one accountable team.
Every claim moves through the same disciplined pipeline — front-end accuracy, mid-cycle quality, back-end recovery, and the analytics that close the loop.
We capture clean demographics and insurance data before the visit so claims start accurate, not corrected later.
- Verified demographics & payer details
- Digital intake along with error-checking
- Reduces downstream rework
Clean claim rate, end-to-end
Average claim turnaround
Denials overturned on appeal
How it works
From assessment to compounding revenue, in four steps.
01
Assess
Free revenue analysis on your last 90 days — payer mix, denial drivers, and recoverable revenue.
02
Onboard
EHR access, payer enrollments, and workflow alignment in 7 to 14 days, not months.
03
Go Live
Your team keeps practicing and our team starts working claims, denials, and A/R from day one.
04
Improve
Monthly executive review with the next three operational moves, ranked by revenue impact.
Services
Everything between the visit and the deposit.
Choose a single service or hand us the full revenue cycle. Either way, you get the same disciplined team and the same monthly clarity.
Coding & Denial Management
Experienced coders and a denial team that treats every rejection as preventable.
- ICD-10, CPT & HCPCS accuracy
- Modifier and E/M leveling reviews
- Same-week appeal workflow
Credentialing & Enrollment
Get providers in-network faster and stay credentialed without surprises.
- Initial enrollment with all major payers
- CAQH attestation & maintenance
- Re-credentialing calendar
Eligibility & Benefits Verification
Front-desk-ready verification that prevents denials before the visit happens.
- Real-time payer checks
- Prior-auth identification
- Patient responsibility estimates
A/R Follow-Up & Recovery
Aged claims worked methodically until they're paid, denied with reason, or appealed.
- Aged A/R workdown program
- Payer-specific follow-up cadence
- Underpayment recovery
Compliance & Audit Support
Stay aligned with HIPAA and payer rules with workflows built for accountability.
- HIPAA-aligned data handling
- Internal coding audits
- Payer audit response support
Specialities
Speciality-tuned, not one-size-fits-most.
Every speciality has its own coding rules, payer quirks, and denial patterns. We staff and train accordingly.
Behavioral Health Division
A dedicated team for therapy, psychiatry, and SUD billing — time-based codes, telehealth modifiers, and renewal-heavy authorizations handled with care.
Urgent Care
Real-time eligibility
Mental & Behavioral Health
Time-tracked coding workflow
Family Medicine
Preventive coding playbook
Physical Therapy
8-minute rule audits
Cardiology
Pre-bill scrub on procedures
Internal Medicine
HCC capture support
Pediatrics
Vaccine code accuracy
OB/GYN
Global period tracking
EHRs we work in
We adapt to your system, not the other way around. Medicure Solutions has active workflows in most major EHR and practice management platforms.
Insights
Field notes from the revenue cycle.
Denial Management Apr 12, 2025 6 min read
Five Denial Patterns Quietly Costing Independent Practices
Most denials aren't bad luck — they're repeating patterns. Here are five we see in nearly every new practice we onboard.
Revenue Cycle Mar 28, 2025 5 min read
Clean Claim Rate vs. First-Pass Rate: Which Number Actually Matters
Clean claim rate looks great on a dashboard. First-pass rate tells you what's really being paid. Here's the difference.
Behavioral Health Mar 4, 2025 7 min read
Three Behavioral Health Billing Mistakes That Trigger Audits
Behavioral health billing is unforgiving. These three documentation patterns are the ones payers flag most often.
Ready to see what your revenue could look like?
Send us your last 90 days. We'll return a free, line-item analysis of recoverable revenue, denial patterns, and the next moves to make.
- No obligation
- Confidential review
- Speciality-aware