97% Clean Rate
Medical Billing
Accurate electronic CMS-1500 and UB-04 claim filing with customized claim scrubbing rules across all commercial and government payers.
97%
Clean Claim Rate
First-pass insurance acceptance rate that keeps your cash flow uninterrupted.
-35%
Days in A/R Reduced
Accelerated adjudication reducing your average collection cycle to under 28 days.
$150M+
Revenue Recovered
Uncollected balances and aged denials successfully recouped for our partners.
500+
Practices Served
Physicians, clinics, and laboratories nationwide trust TBL MedRCM daily.
About TBL MedRCM
Why Independent Practices Switch to TBL: We Collect the Revenue Other Billers Leave on the Table
TBL MedRCM was founded on a singular clinical-financial principle: healthcare providers should never have their earned revenue delayed, downcoded, or written off by commercial payers. We operate as an embedded billing department within your practice, eliminating administrative friction and accelerating clean cash flow.
Unlike automated clearinghouse algorithms or rotating offshore call centers, we assign dedicated, credentialed US-based account managers and AAPC-certified coders who know your clinical sub-specialty, your local Medicare MAC rules, and your highest-volume payer contracts.
100% US-Based Standards: Strict adherence to HIPAA, HITECH, and NIST data privacy frameworks.
Proactive Claim Scrubbing: Multi-tier automated and human code audits before electronic submission.
24-Hour Denial Appeals: Immediate root-cause diagnosis and correction on rejected claims.
Dedicated Account Executive: Direct phone and email access to the specialist managing your ledger.
Our Comprehensive Capabilities
End-to-End Medical Billing & RCM Services
From initial eligibility verification to aging accounts receivable recovery, we manage each stage with clinical precision to maximize your practice collections.
Full Cycle
Revenue Cycle Management
Complete revenue lifecycle integration connecting clinical scheduling, pre-authorizations, coding, and real-time bank reconciliation.
30-120+ Days
AR Recovery
Tenacious follow-up on aged, delayed, and unresolved claims. We audit aging buckets to recover outstanding revenue other billers write off.
<2% Rejection
Denial Management
Immediate root-cause categorization, clinical modifier correction, and rapid appeal submissions within 24 hours of payer rejections.
Major Payers
Credentialing Services
Direct provider enrollment through Medicare PECOS, state Medicaid portals, and top commercial panels. Ongoing CAQH ProView re-attestation and hospital re-privileging to prevent out-of-network claim rejections.
Real-Time
Insurance Verification
Pre-visit coverage validation, copay and coinsurance calculations, and deductible tracking to eliminate front-end eligibility denials.
Zero Delays
Prior Authorization
Specialized clinical documentation submission ensuring timely payer approvals for high-cost diagnostics, therapies, and specialty pharmaceuticals.
24h Posting
Payment Posting
Automated electronic remittance advice (835 ERA) ingestion, manual EOB posting, contractual write-off audits, and secondary claim billing.
PAMA & CLIA
Laboratory Billing
Tailored coding for independent clinical, genetic, and toxicology labs. High-volume batch claims processing with strict medical necessity verification.
Parity Focus
Behavioral Health Billing
Mastering complex mental health codes (90837, 90791), time-based therapy tracking, telehealth modifiers, and state mental parity standards.
High Volume
Family Medicine Billing
Maximized reimbursements for primary care encounters, wellness exams, chronic disease management (CCM), and minor outpatient procedures.
Practice Growth
Practice Management
Strategic financial advisory, payer contract renegotiation, fee schedule benchmarking, and EHR/practice management software optimization.
Targeted Medical Coding
Specialties We Serve
Every medical discipline is governed by distinct CPT modifier rules and payer guidelines. Select your specialty below to view our tailored revenue strategy:
Dedicated Coders
AAPC Certified
Family Medicine Billing
High-Volume Primary Care E/M Coding & Chronic Care Reimbursements
Family practices manage varied patient encounters daily. Our certified coders master Level 3–5 E/M leveling, preventive care code bundling (99381–99397), Chronic Care Management (CCM 99490), and modifier 25 requirements to stop revenue leakage.
Common CPT Codes
99213-99215, 99490
Clean Claim Rate
98.5%
Avg. Adjudication
21 Days
The TBL Advantage
Why Healthcare Providers Choose TBL MedRCM
We do not merely submit claims—we optimize your entire financial engine. Built on deep specialty expertise, transparent cloud analytics, and relentless denial defense.
01
HIPAA Compliance & Security
Bank-level AES-256 encryption, signed Business Associate Agreements (BAAs), and strict adherence to federal patient privacy mandates protect your clinical reputation.
02
Certified Billing Specialists
Every account is supervised by AAPC and AHIMA certified professional coders (CPC, CPB) trained in specific medical sub-specialties to prevent down-coding.
03
Faster Reimbursements
Streamlined electronic 837 claim submission within 24 hours of encounter closure reduces average days in A/R to sub-28 days, speeding up cash distribution.
04
Dedicated Account Managers
A single, highly responsive US point of contact dedicated to your practice. No rotating tiers, tickets, or overseas call centers—just direct accountability.
05
Transparent Cloud Reporting
Real-time visibility into collection rates, denial categories, payer mix aging, and provider productivity dashboards accessible 24/7 on any device.
06
Proactive Denial Elimination
Our multi-tier claim scrubbing algorithms catch invalid NPIs, missing modifiers, and eligibility lapses prior to submission, keeping rejection rates under 2%.
The 7-Stage Cash Flow Protocol
Our Proven 7-Step Revenue Cycle Process
A disciplined, chronological workflow designed to capture revenue at every patient and payer touchpoint without delays.
01
Insurance Verification
Pre-service eligibility, benefits, and copay determination.
02
Medical Coding
Compliant CPT, ICD-10 & modifier assignments by certified coders.
03
Claim Submission
Electronic scrubbing and 837 filing within 24 hours.
04
Payment Posting
Automated 835 ERA posting and patient balance reconciliation.
05
AR Follow-Up
Relentless pursuit of unpaid claims reaching the 30-day mark.
06
Denial Resolution
Rapid analysis, clinical correction, and 24-hour appeals.
07
Revenue Optimization
Ongoing analytics, fee audits, and executive strategy reviews.
Client Feedback
Trusted by Independent Practices Nationwide
Read how TBL MedRCM has helped healthcare providers elevate collections and conquer claim denials.
Clear Answers
Frequently Asked Questions
Everything you need to know about our billing standards, onboarding workflow, and pricing structure.
We serve over 50 medical disciplines, with deep specialized coding expertise in Family Medicine, Behavioral Health & Psychiatry, Clinical Laboratory Billing, Internal Medicine, Pediatrics, Cardiology, Urgent Care, Mental Health Counseling, Physical Therapy, and Chiropractic Care. Our certified coders understand payer-specific guidelines, modifiers, and LCD/NCD medical necessity rules for each field.
We employ a two-phase defense: First, proactive pre-submission scrubbing eliminates common billing oversights such as missing modifiers (e.g. 25, 59, KX), mismatched diagnosis codes, or patient eligibility lapses. Second, any claim rejected by a clearinghouse or payer is automatically routed to our denial resolution unit within 24 hours. Our specialists identify root causes, correct clinical documentation or coding, and re-file appeals to keep net collection rates above 97%.
Yes, unconditionally. TBL MedRCM is 100% compliant with HIPAA, HITECH, and Omnibus rules. We execute formal Business Associate Agreements (BAAs) with all practice partners. All patient health information (PHI) is encrypted at rest and in transit using bank-grade AES-256 protocols, and our workforce undergoes mandatory semi-annual compliance training.
Standard practice onboarding is completed in 7 to 14 business days with zero interruption to your ongoing claim cycle. We build direct, certified API, SFTP, and HL7 clearinghouse bridges across all major EHR and Practice Management platforms, including Epic, Athenahealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, NextGen, DrChrono, Allscripts/Veradigm, and ModMed.
We operate strictly on a performance-based percentage of net collections model. That means our incentives are 100% aligned with yours: we only get paid when you get paid. There are zero hidden fees, and we provide transparent monthly accounting reconciling every electronic deposit.
You receive 24/7 access to our real-time cloud reporting portal, along with scheduled weekly executive summaries and monthly financial reviews. Track gross charges, net collections, payer turnaround times, aging buckets (0-30, 31-60, 61-90, 91-120+), denial trends, and provider-level RVUs in real time.
Your Practice, Our Priority
Ready to Maximize Your Practice Collections & Eliminate Denials?
Schedule a confidential, complimentary Revenue Cycle Audit today. Our certified coding specialists will analyze your current clean claim rate, identify hidden denials, and formulate a customized reimbursement strategy.