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
Percentage-of-collections pricing

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.

  • I have to admit that I was skeptical about offshoring our project, and especially when you mentioned that you can process our paper forms faster, cheaper and better than we could do in house. But now I want to thank you and your staff. You have succeeded in delivering more than you promised!

    President

    Marketing company — name withheld at client request

  • By automating our processes and your dedicated staff of over 100 people reviewing license plates for us daily, you have helped us improve turn-around time, eliminate backlog, and cut costs by over 60%! Thank you for your creative ideas, innovative solutions, and responsiveness. I'm glad we found MedValue.

    Vice President of Operations

    Large toll collection systems integrator — name withheld at client request

  • It's such a delight to arrive at work each morning to find the work sent to your team is done so exceptionally well… The time savings is great and your quality is impeccable. My staff and I thank you.

    Director of Operations

    Leading consumer product data capture company — name withheld at client request

  • It is a bit after the fact, but I am so pleased with the wonderful job you folks are doing… I appreciate the value you deliver every day.

    Department Head

    Ivy League university — name withheld at client request

  • I'm very pleased with the knowledge and professionalism of the MedValue staff.

    Chief Operating Officer

    Large systems integrator — name withheld at client request

  • …the data entry which your folks do so well has been a huge help to us and is allowing me to pursue other clients.

    Owner

    Invoice processing company — name withheld at client request

  • Just a quick note to let you know that the work your team has been doing has been perfect.

    Chief Operating Officer

    eCommerce company — name withheld at client request

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.