MedValueMedValue — home
Healthcare RCM · Serving clients since 2004

Make your revenue cycleefficient and predictable

Billing, coding, credentialing and denial management handled end to end — so your clinicians stay focused on patients. Serving healthcare organisations since 2004, and most MedValue clients see collections improve 10–15% within the first six months.

Since 2004
Serving healthcare clients for 20+ years
10–15%
Typical collections lift in the first 6 months
24–48 hrs
Claim submission turnaround
15+
Specialties billed

Get your free billing audit

Takes 2 minutes. No commitment, no obligation to switch.

Questions first? Read the billing FAQ or build a custom quote.

HIPAA-minded handling. We never sell or share your details.

HIPAA-minded workflows
Certified coding review
Weekly performance reporting
15-day free trial · 30-day money-back guarantee

How it works

A transition your front desk barely notices

  1. 01

    Free billing audit

    Share a few details about your practice. We review a sample of claims, denials and aged AR, then show you the revenue you are currently leaving behind.

  2. 02

    Transition plan

    We map your EHR/PM workflow, payer mix and specialty rules, agree on SLAs, and set up secure access — with no disruption to patient care.

  3. 03

    Run the cycle

    Your dedicated team codes, scrubs and submits claims, works every denial, and chases aged balances until they are resolved or documented.

  4. 04

    Report and improve

    You get weekly reporting and a monthly review. We eliminate denial root causes so each quarter is cleaner than the last.

Specialties

Billed by people who know the rules

Modifier logic, medical necessity documentation and payer quirks differ wildly by specialty. Your team is assigned accordingly.

  • Cardiovascular Surgery
  • Invasive Cardiology
  • Neurosurgery
  • Orthopedic Surgery
  • Gastroenterology
  • Hematology / Oncology
  • General Surgery
  • Internal Medicine
  • Pulmonology
  • Non-Invasive Cardiology
  • Urology
  • Family Practice
  • Neurology
  • OBGYN
  • Otolaryngology
  • Psychiatry
  • Nephrology
  • Pediatrics
  • Ophthalmology
  • Dermatology

Common billing questions, answered

Denials and clean claim rates, AR days and aged balances, pricing and contracts, onboarding, HIPAA-aligned security, reporting and specialty coverage — all in one place.

Our process

Five stages, one team, the whole revenue cycle

From the first claim review to aged AR recovery, every stage is owned by the same MedValue team working inside the system you already use — so nothing falls between vendors.

  1. 01

    Stage 1 · Weeks 1–2

    Discovery and secure setup

    We review your EHR or practice management system, payer mix, fee schedules, denial history and AR aging. Your named team is assigned and given role-limited, HIPAA-aligned access. Nothing in your system changes — we document how you work before we adjust anything.

  2. 02

    Stage 2 · Before the visit

    Eligibility and prior authorization

    Coverage is verified ahead of the encounter: active plan, copay, deductible and any authorization requirement. Problems caught here never turn into denials later, which makes this the cheapest quality check in the whole cycle.

  3. 03

    Stage 3 · Claim submission

    Coding review and clean claims

    Charges are reconciled against your schedule daily. ICD-10, CPT and HCPCS codes are reviewed against provider documentation, then claims run through payer-specific edits for bundling, modifiers and place of service before they go out — typically within 24 to 48 hours.

  4. 04

    Stage 4 · Post-payment

    Posting, denials and appeals

    ERA and EOB payments are posted and reconciled against contracted rates, and variances are flagged. Denials are categorised by reason code, appealed with supporting documentation, and the upstream cause is corrected so the same denial does not return next month.

  5. 05

    Stage 5 · Ongoing

    Aged AR recovery and reporting

    Aging claims are worked by dollar value and filing deadline, including balances a previous biller wrote off. You get weekly reporting and a monthly review with your account manager covering collections by payer, denial categories and AR aging buckets. No black box.

Every stage is included in one rate

No separate vendors for coding, denials, appeals or credentialing support, and no per-item invoicing. Start with the free billing audit and we will show you which stages are costing you the most today.

Testimonials & results

Trusted by healthcare organisations since 2004

Two decades of billing, payer and clinical research support. We only publish numbers, quotes and logos a client has approved — everything else here is what we commit to and how we prove it.

Baseline audit before any change

Every engagement opens with a documented review of your current claims, denials and AR ageing, so improvements are measured against your own starting point — not an industry average.

Reported weekly, not annually

Clean claim rate, days in AR, denial reasons and collections are published on a shared dashboard you can check any day of the week.

HIPAA-minded operating controls

Access is role-based and least-privilege, with signed BAAs, audit logging and staff trained on PHI handling before touching a chart.

A named team, not a ticket queue

You get specific people who know your payer mix and your front desk by name, with an escalation path that reaches a human the same day.

In our clients' words

Feedback from MedValue outsourcing clients. Names are withheld at each client's request; references are available during your billing audit.

  • A 14% collections lift in under six months! When we partnered with MedValue for end-to-end RCM, our aged AR was drowning us. Their team stepped in, optimized our charge capture, and streamlined our denial management. We saw our collections jump 14% within the first six months, and our clinicians can finally focus entirely on patient care.

    Practice Administrator

    Multi-Specialty Physician Group

  • Turnaround times that transformed our cash flow. Getting claims out the door within 24 to 48 hours used to be an impossible dream for our busy billing department. MedValue's dedicated team handles our daily claims scrubbing and submission seamlessly. Our cash flow has never been more predictable.

    Chief Financial Officer

    Orthopedic Clinic Network

  • Finally, a billing partner with zero friction. The transition was so smooth our front desk barely noticed. MedValue integrated with our existing EHR/PM workflows effortlessly. Their weekly reporting dashboards give complete transparency into our clean claim rate and days in AR without needing endless meetings.

    Operations Director

    Cardiology Practice

  • Mastering complex hospital billing structures. Hospital billing combining professional and facility claims is a maze of moving parts. MedValue brought advanced AI-enhanced review for our UB-04 and 1500 claims, dramatically cutting down our DRG mismatches and medical necessity denials.

    VP of Revenue Cycle

    Community Hospital System

  • Turning root-cause analytics into real savings. MedValue doesn't just chase denials—they find out why they happened in the first place. Their denial root-cause analytics and custom CFO reports have fundamentally changed how our administrative departments operate.

    Chief Operating Officer

    Regional Medical Center

  • Uncovered revenue leakage we didn't even know existed. Before committing to a full contract, we requested MedValue's billing assessment and compliance audit. Their senior management team reviewed our fee schedules, CPT coding, and past rejections, pointing out thousands of dollars in hidden revenue leakage that we quickly recovered.

    Managing Partner

    Multi-Physician IPA

  • Certified coding precision that guarantees compliance. Compliance is a constant anxiety point for healthcare practices. Knowing that MedValue utilizes certified coding reviews and rigorous HIPAA-minded operating controls gives our board absolute peace of mind.

    Compliance Officer

    Diagnostic Imaging Group

  • Eliminated months of credentialing delays. Enrolling new providers with Medicare, Medicaid, and commercial payers used to take months of bureaucratic back-and-forth. MedValue's credentialing team took over our CAQH upkeep and re-validation tracking, cutting our onboarding timeline in half.

    Credentialing Coordinator

    Pediatric Health Network

  • Flawless paper claims to EDI conversion. As a growing TPA, managing incoming paper claims and converting them smoothly into EDI format was a massive operational bottleneck. MedValue handles our data streams with astonishing speed and accuracy, keeping our provider network happy.

    Director of Operations

    Third-Party Administrator (TPA)

  • Seamless EOB-to-835 remittance processing. MedValue's automated payment services from EOBs transformed our back-office efficiency. Their team processes complex remittances and updates our database systems with remarkable precision, saving our internal staff hundreds of hours a month.

    Claims Operations Manager

    Regional Health Plan

  • Reliable member enrollment and authorization support. During open enrollment spikes, our internal resources would instantly buckle. MedValue gives us immediate scalability for member enrollment and medical authorization support. Their scale and availability are unmatched.

    VP of Member Services

    Managed Care Organization (MCO)

  • Patient billing support that builds loyalty. Billing is often the primary touchpoint a patient has with our brand after care. MedValue's patient-centric enablement and inbound call support provide the clarity, online convenience, and polite professionalism our patients expect.

    Patient Access Manager

    Specialty Clinic

  • An offshore team that feels like an in-house extension. We were initially hesitant about outsourcing our call center and data entry. However, MedValue's English-speaking, well-trained team operates seamlessly as an extension of our office. They know our regional payer mix inside and out.

    Practice Manager

    Dermatology Associates

  • Cutting operational overhead by over 50% without losing quality. Finding a partner that can cut operational costs by 40% to 60% while maintaining a 99% accuracy rate sounds too good to be true—but MedValue delivers on that promise every single month. Their hybrid AI-driven and human-verified workflows are revolutionary.

    Chief Executive Officer

    Healthcare Services Corporation

  • Uncompromising data security and HIPAA compliance. In our industry, data security is non-negotiable. MedValue's role-based access, signed BAAs, strict audit logging, and HITRUST-aligned standards gave us the absolute confidence to transition our heavy data back-office tasks overseas.

    Chief Information Security Officer

    Healthcare Analytics Firm

  • Fast turnaround times that keep our business scaling. Most of our data processing tasks are turned around in under 24 hours. That kind of speed allows our executive team to scale our operational output rapidly without scrambling to hire and train local staff.

    Operations Lead

    Healthcare Enterprise Group

Client logos

We name and display client logos only with written permission. Client references are available on request during your billing audit.

Request client references

No-cost revenue check

See exactly what your practice is leaving on the table

Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.

  • A claim-level look at what is being denied and why
  • Aged AR you can still recover, quantified in dollars
  • Coding and fee schedule gaps costing you per visit
  • A plain-English action plan you can keep either way

Prefer to talk first? Call 630-430-1040

Get your free billing audit

Takes 2 minutes. No commitment, no obligation to switch.

Questions first? Read the billing FAQ or build a custom quote.

HIPAA-minded handling. We never sell or share your details.