Revenue Cycle Services for US Practices
Vector Medical Billing runs the path from a finished visit to a posted payment: eligibility, coding, claim submission, denials, and accounts receivable. The office is in Jamaica, New York. The work covers all 50 states.
Included in the billing percentage
These steps are the monthly engagement. The fee is a percentage of net collections, the dollars that land, not a percentage of gross charges.
Medical Billing Services
Eligibility through payment posting and accounts receivable, inside the EHR the practice already uses. The fee is a percentage of net collections. No setup fee. Month to month.
Medical Coding
AAPC and AHIMA certified coders assign ICD-10-CM, CPT, and HCPCS from the note. Specialty rules stay with the coder assigned to that specialty.
Charge Entry
Charges are entered from the chart into the practice management system: patient, payer, date of service, CPT, diagnosis, and modifiers. A charge left off the batch is revenue that never becomes a claim.
Eligibility Verification
Coverage is checked before the visit: active plan, copay, deductible, and whether the payer on the card is the payer that will actually adjudicate the claim.
Prior Authorization
When the plan requires an authorization, it is obtained before the service. A missing auth is a denial the appeal rarely overturns.
Claim Scrubbing and Submission
Edits run before the payer sees the claim: missing modifiers, bundled CPT pairs, and a diagnosis that does not support the procedure. Clean claims then go to the clearinghouse. Submission averages 24 hours after the charge is received.
Payment Posting
The 835 or the paper EOB is posted line by line: allowed amount, contractual write-off, patient responsibility, and takebacks. If the books do not match the remittance, the accounts receivable balance is wrong.
Denial Management and Appeals
Each denial is sorted by the payer reason code, appealed when the payer will reopen it, and corrected when the claim was billed wrong.
Accounts Receivable Follow-up
Aging buckets are worked so claims do not sit. Days in A/R under 35 is a strong US benchmark. Over 50 usually means follow-up stopped.
Patient Statements and Collections
After the payer posts, the remaining patient balance is statemented when that work is in scope. It is the balance on the EOB, not a separate fee.
RCM Reporting
The monthly report is days in A/R, first-pass resolution, denial reasons, and net collections. Vector Medical Billing’s published net collection rate is 98%.
Quoted as their own engagement
These are not silent add-ons on the billing percentage. Each one is scoped and priced on its own.
Old AR Recovery
Balances already aged when a practice switches are worked as their own file, so new claim submission is not buried under old accounts.
Credentialing and Re-credentialing
Payer enrollment and CAQH. A new payer typically takes 60–120 days, and claims to that payer wait until enrollment is finished.
Billing and Coding Audit
A retrospective read of coded claims, fee schedule, and payer payments: what was undercoded, what was denied for a repeat reason, and what the contract actually allows.
Underpayment Recovery
Payments below the contracted fee schedule or the Medicare allowable are identified from the 835 and reopened with the payer.
Out-of-Network Negotiation and IDR
Out-of-network balances and independent dispute resolution are quoted on their own. They are not inside the billing percentage.
MIPS / QPP Reporting
Merit-based Incentive Payment System reporting is a separate engagement. It is not assumed with the monthly billing fee.
HIPAA Security Risk Analysis
A security risk analysis for the practice’s own environment can be scoped separately. HHS does not certify billing companies. Every client still gets a business associate agreement.
EFT and ERA Enrollment
Electronic funds transfer and electronic remittance advice are enrolled with each payer so payments and the 835 arrive without a paper EOB.
Medical Transcription
Dictation turned into a chart note is quoted separately from coding and claim submission.
EHR Integration
Billers log into the system the practice already uses, including Athenahealth, eClinicalWorks, Tebra, AdvancedMD, DrChrono, NextGen, CareCloud, Practice Fusion, CureMD, and Office Ally. A different system is confirmed before the work starts.