Certified coders, fast claim follow-up and clear monthly reporting, so you get paid in full for every patient you see.
Founded in 2010, CoreMedix is a U.S. medical billing company that works as an extension of your practice. Our certified coders, billers and account managers handle the full revenue cycle, so your team can spend less time on paperwork and more time with patients.
Since 2010, we have helped practices across the United States reduce denials, speed up payments and collect more of what they earn. We combine certified coding expertise, proven billing processes and transparent reporting to give every practice a reliable, predictable revenue cycle.
Most revenue loss comes from a few repeat problems. Here is how we solve each one.
Claims come back for the same coding and eligibility errors every month.
Every denial is fixed, appealed and tracked so the same error stops recurring.
Aging A/R ties up the cash your practice needs to operate.
A/R specialists chase every unpaid claim before it ages out.
Every resignation means retraining, backlogs and missed deadlines.
Coders, billers and an account manager assigned to your practice.
You can't tell what's been billed, paid or written off.
Collections, A/R and denial trends, plus a review call every month.
From the first patient visit to the final payment, we manage every step of your revenue cycle. Choose full revenue cycle management or only the services your practice needs, and our certified team will handle the rest.
Accurate charge entry, clean claim submission within 24 hours and precise payment posting. Every claim is checked against payer rules before it goes out, so you get paid faster.
AAPC-certified coders assign accurate CPT, ICD-10 and HCPCS codes and modifiers for your specialty. Correct coding prevents denials, protects you in audits and captures the full value of every visit.
Every denied claim is reviewed, corrected and appealed with the right documentation. We also track denial trends and fix the root cause, so the same errors stop coming back.
Our A/R specialists follow up on every unpaid and aging claim before filing limits expire. We recover old balances and keep your days in A/R low, so cash flow stays steady.
We handle payer enrollment for new providers, re-credentialing and CAQH profile updates. Faster credentialing means your providers can start seeing insured patients and billing sooner.
Insurance coverage, benefits and patient responsibility are verified before every appointment. This prevents eligibility denials and helps your front desk collect the right amount upfront.
We obtain prior authorizations for procedures, imaging and medications before services are delivered. No more delayed treatments or claims denied for missing approvals.
Complete end-to-end revenue cycle management, from patient registration and eligibility to coding, billing, follow-up and reporting. One accountable partner for your entire revenue cycle.
Four simple steps, with no disruption to your front desk or patients.
We review your claims, denials, A/R aging and payer mix to show exactly where revenue is leaking, at no cost to you.
We connect to your EHR, map your payers and fee schedules, and take over billing with no gap in cash flow.
Claims are coded, scrubbed, submitted and tracked every day, and every denial is worked until it is paid.
You get a clear performance report and a call with your account manager to plan next month's improvements.
Every specialty has its own coding rules and denial patterns. Our certified coders work within yours.
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No new software and no retraining for your staff. Our billers log in to the EHR or practice management system you already use, work your claims inside it, and keep all your data where it belongs.
Billing rules change from state to state. We know the Medicaid programs, regional commercial payers, filing limits and state regulations in every state we serve, so your claims meet local requirements the first time.
Every claim is coded by AAPC-certified professionals trained in your specialty and payer rules.
One point of contact who knows your practice, your providers and your goals, and answers when you call.
Our fee is a percentage of what we collect, so we only do well when your practice does well.
Month-to-month agreements with no lock-in. We keep clients by delivering results, not contracts.
Charges are submitted within one business day of receipt, which shortens your payment cycle.
You can see every claim, payment and adjustment. Nothing is hidden and nothing is written off without your approval.
Every payer has its own rules, filing limits, prior authorization requirements and denial patterns. We know them in detail and build every claim to meet them, so more claims are accepted the first time and paid faster.
An in-house billing team means salaries, benefits, software, training and turnover risk. Outsourcing to CoreMedix gives you a full team of certified specialists for a cost tied to your collections.
| What matters | CoreMedix | In-house billing | Typical billing company |
|---|---|---|---|
| Certified, specialty-trained coders | Yes | Depends on hire | Sometimes |
| Every denial worked and appealed | Yes | When time allows | Often high-value only |
| Dedicated account manager | Yes | Not applicable | Rarely |
| Monthly report and review call | Yes | Rarely | Basic reports |
| Staffing and turnover risk | None for you | High | Low |
| Cost structure | Tied to collections | Salaries and software | Often hidden fees |
| Long-term contract | No | Not applicable | Usually 1 to 3 years |
You always know where your revenue stands. Every month you receive a plain-language report on collections, A/R and denials, with clear next steps, so you can make confident decisions for your practice.
We sign a Business Associate Agreement with every client and follow HIPAA privacy and security rules in every process.
Patient and financial data is encrypted in transit and at rest, using secure, access-controlled systems.
Each team member can only access the data their role requires, and every access is logged.
Our team completes annual HIPAA training, and we run regular internal coding audits to keep quality high.
Can’t find your answer? Our team replies within one business day.
Most medical billing companies charge a percentage of collections, usually based on your specialty, claim volume and the services you need. CoreMedix provides a custom quote after a free revenue audit, with no setup fees or hidden charges.
Most practices are fully transitioned within 2 to 4 weeks. We handle the data migration, payer setup and EHR access, and we work your existing A/R during the switch so your cash flow is not interrupted.
Yes. We sign a Business Associate Agreement, use encrypted and access-controlled systems, and train every team member on HIPAA every year.
No. We work inside the EHR or practice management system you already use, including Epic, athenahealth, eClinicalWorks, AdvancedMD, NextGen and many others.
Every denial is reviewed, corrected and resubmitted or appealed with the right documentation. We also track denial reasons and fix the root cause, so the same denials stop happening.
Yes. We handle payer enrollment for new providers, re-credentialing and CAQH profile maintenance, so your providers can bill without delays.
You receive a monthly report covering collections, A/R aging, denial trends, clean claim rate and payer performance, plus a review call with your account manager.
No. Our agreements are month-to-month. We would rather earn your business through results than lock you into a contract.
Tell us about your practice. A billing specialist will show you exactly where revenue is being lost.