Who we serve
Medical billing services for small practices
Medical billing services for small practices work when one person owns the queue and someone else can step in when they cannot.
Remitwright gives practices with one to twenty-five providers a dedicated biller with named cover, working inside the software you already use, with a one-page report every week and a straight answer about every unpaid claim.
For larger groups, new practices and clinics, see medical billing by practice type.
Last reviewed by the Remitwright billing team. Editorial policy
What is different
What is different about a small practice
In a practice of one to twenty-five providers the billing usually belongs to one person, and that person usually has another job too. Billing gets the time that is left after the phone, the rooming and the prior authorizations. The problems that follow are predictable and none of them are about effort.
- One person, no cover. When the biller is sick, on leave or leaving, the queue stops. Filing limits do not.
- No fee schedule on file. Short payments are posted as contractual adjustments because nobody has the contract to compare against.
- Denials logged, not worked. The PM system shows them; nobody has the hours to appeal them inside the window.
- Small balances never followed up. Secondary claims, patient balances and underpayments of a few dollars each, which together are a payroll.
- No report. The first sign of trouble is the bank balance, weeks after the cause.
What we do
What we do for small practices
- A named biller works your claims inside your PM system and clearinghouse, with a cover biller who knows the account.
- Charges reconciled against the schedule, claims scrubbed before they go out, and rejections worked before the next batch.
- Remittances posted and read; underpayments checked against your contract once we have it on file.
- Every denial gets an owner, a cause and a deadline, and the cause goes back to the front desk or the clinician so it stops recurring.
- Patient statements only for balances genuinely owed, with patient questions answered by the biller who posted the payment.
- A one-page report every week. Five minutes to read.
Small practices can take full-service medical billing, or keep charge entry in-house and hand over denial management and A/R follow-up. Either way, the report and the named biller are the same.
- BAA signed before any access
- A user you create and can remove
- MFA on every login that supports it
- Patient data stays in your systems
Worked example: the two-provider family practice
A family practice with two physicians and a nurse practitioner has had the same in-house biller for eight years. She gives notice. In the four weeks before she leaves, the new biller is set up in Tebra and the clearinghouse, walks the open queue with her, moves the payer portal logins to accounts the practice owns, and loads the three commercial fee schedules that were in a drawer. The first weekly report shows two things the practice did not know: one commercial payer has been paying short on 99214 since a contract renewal, and the Medicaid MCO's eligibility rejections all trace to one intake template. Both are fixed in the first month. The aging does not grow during the handover because the queue never stopped being worked.
Getting started
How it starts
A short written review of your aging, denials and payer mix, then a quote that says exactly what is in scope. If your current arrangement is working, we will say so. The how it works page covers the five stages from first message to first report.
Questions
What practices like yours ask
Still deciding?
If your question is not here, add it as a note in the review and a billing specialist replies in writing.
Get a billing reviewOr write to sales@remitwright.com
Are we too small to outsource billing?
No. A solo practitioner with a few hundred claims a month is exactly where one biller leaving, or one month of unworked denials, hurts most. The question is not size but whether anyone owns the queue and covers it when that person is out. A dedicated biller with named cover does, at a cost that is quoted for your volume.
What does medical billing cost for a small practice?
It depends on specialty, volume, payer mix and scope, which is why we quote in writing after a short review rather than publishing a rate card. The pricing page explains the three models used in this market and what drives the number.
Our biller is retiring. Can you take over without a gap?
Yes, and the time to start is while they are still there. The parallel run lets your biller walk the new one through the open queue, the payer quirks and the portal logins, so open claims keep being worked while the handover happens. The switching plan sets out each day.
Will we lose touch with our own billing?
You will see more of it, not less. The weekly report is one page: what went out, what came in, what is stuck and why. The biller is named on it, and the work happens in your own system where you can look at any time.
Do you work in the software small practices actually use?
Yes. Tebra, AdvancedMD, athenahealth, eClinicalWorks, DrChrono, Practice Fusion, SimplePractice, TherapyNotes, Office Ally and the clearinghouses that go with them. Your biller works as a user you create. Nothing is migrated.
What do you need from a two-provider practice to start?
A signed BAA, a user for your biller in your PM system and clearinghouse, copies of your payer contracts if you have them, and signed notes. If you have an aging report and a denial report, bring them to the review; if not, we pull them once we have access.
Should we hire a biller or use a billing company?
Hire if you have a biller you trust, enough volume to keep them busy and a plan for their leave. Use a billing company if billing is one of several jobs for one person, or if the next hire would take months to find and train. The comparison sets the two side by side without a thumb on the scale.
Next step
Billing resting on one person? Ask a biller where claims stall.
Three quick questions. No patient data. A billing specialist reads every request and replies in writing.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
Prefer email? sales@remitwright.com
Request received
Thanks. Your review request is in.
Reference . Quote it if you write to us about this request.
- A billing specialist reads your answers and replies by email.
- If a look at real claims makes sense, we agree read-only access under a BAA first.
- You get a written summary of what is worth working and what it would take. No commitment.
While you wait: see the sample weekly report or read how switching works. You can also download the sample weekly report (PDF).