More than one in-house biller
Instead of relying on one person to cover every billing task, you work with an assigned account contact backed by a billing support team.
Small and independent practices
Medical Billing Services for Small Practices
A small practice runs the same revenue cycle as a large group, from eligibility and coding to claims, denials, posting, and follow-up, usually with far fewer people. All State RCM can take on the billing work you choose to hand off while your practice keeps visibility into claim status and control over decisions that need provider input.
All State RCM
Small Practice Billing
ReviewScopeSupport
The workload
Small teams still manage a full revenue cycle.
Payers apply the same claim rules to a two-provider office as they do to a large medical group. The difference is usually who does the work. In many smaller offices, billing sits with one or two people who also answer phones, check in patients, and handle other administrative tasks.
When that person is out or pulled to the front desk, billing tasks start to queue up. The work that needs consistent attention typically includes:
- Accurate patient demographics and insurance details at registration
- Eligibility and benefits checks before the visit
- Coordination between documentation, coding, and charge entry
- Claim submission and correction of clearinghouse rejections
- Review and follow-up of denied claims
- Payment posting and reconciliation of remittances
- Insurance follow-up on unpaid claims and aging A/R
- Patient balances that depend on accurate posting and adjustments
- Reporting that shows what is open and why
- Payer enrollment and credentialing when providers join or records change
Not every practice struggles with every step. Most can point to one or two areas, often denials, aging A/R, or credentialing, where work falls behind first.
Billing work you can hand off.
Choose one function or combine several. Each is available within an agreed scope that is documented before work begins.
Claims, Rejections & Payment Posting
Charge entry, claim preparation and submission, clearinghouse rejection correction, and posting of payer and patient payments.
Medical billing servicesEligibility & Benefits Verification
Coverage and benefit checks before visits, handled as part of a billing or front-desk scope.
Front-desk and eligibility supportMedical Coding Support
Review of ICD-10, CPT, HCPCS, and modifiers against the documentation before claims go out.
Medical coding servicesDenial Management
Denial reason review, corrections, resubmissions, appeal support, and feedback on repeat causes.
Denial managementA/R Follow-Up
Aging review, payer calls, underpayment checks, and a documented next action for each open balance.
Accounts receivable servicesProvider Credentialing
Payer enrollment, CAQH maintenance, recredentialing, and demographic updates for new or existing providers.
Provider credentialingAudit & Reporting
Aging, claim-status, and workflow reporting at a cadence agreed with the practice.
Audit and reportingAll RCM Services
See how these functions connect across the full revenue cycle, including virtual front-desk support.
Revenue cycle servicesDesigned around small-practice operations.
A medical practice billing service is most useful when it is clear who does what. These are the practical differences it can make for an office without a dedicated billing department.
Defined responsibilities
Included tasks, practice responsibilities, access, and handoffs are written down before work begins, so nothing depends on one person’s memory or inbox.
Consistent follow-up
Rejections, denials, and unpaid claims are worked on a regular rhythm rather than whenever someone has a free afternoon.
Visibility into open items
Status reporting shows which claims are unresolved, why, and what the next action is, at a cadence agreed with the practice.
Structured escalation
Questions that need provider input or practice records go to a named contact through an agreed path instead of sitting in a queue.
More attention on patients
Clinical and front-desk staff spend less of their day chasing unresolved billing work and more of it on patient care.
What your practice keeps and what we support.
Outsourced billing works when both sides know where their responsibilities start and stop. A typical split is shown below; the exact division is set in your written scope.
Your practice
Your practice retains responsibility for
- Clinical documentation that supports the services billed, and all care decisions
- Accurate patient and insurance information collected at registration
- Provider or owner approvals where required, such as appeal content that needs clinical input
- Write-off or adjustment approvals where required by the practice’s policies or the agreed engagement scope
- Payer contracts and practice-level business and compliance responsibilities
- Supplying requested records, remittances, system access, and information
All State RCM, within agreed scope
Supported by our billing team
- Billing workflow support, including charge entry and claim preparation
- Claim submission and rejection correction
- Payer follow-up on pending and unpaid claims
- Denial review, correction, and appeal support
- A/R work prioritized by age, value, and filing deadlines
- Payment posting and reconciliation
- Status reporting at an agreed cadence
- Other administrative RCM tasks listed in the engagement, such as eligibility checks or credentialing
Payer decisions sit outside either side’s control: coverage, adjudication, appeal outcomes, and payment timing remain with the payer. Protected health information is handled through approved workflows and applicable agreements, and the tasks, systems, and reporting for each engagement are documented before access or claim activity begins.
Onboarding
How onboarding works.
The sequence is the same whether you hand off one function or most of the billing workflow. Timing depends on your systems, access setup, and any backlog that needs attention first.
-
Review your current workflow
We look at your specialty, billing or practice-management system, payer mix, open A/R, denial patterns, and who handles each task today.
-
Define scope and responsibilities
You receive a written scope listing included tasks, exclusions, practice responsibilities, and the fee structure.
-
Set up access and reporting
Permissions, security requirements, reporting cadence, and escalation contacts are set up before work begins. Compatibility with your current system is confirmed here, not assumed.
-
Begin the agreed billing work
The billing team starts on the functions in scope, such as claim submission, payment posting, denial work, or follow-up on existing balances.
-
Review open items and fit
Status reporting at the agreed cadence covers unresolved claims, items waiting on the practice, and whether the scope still fits.
As the practice grows
Billing support as the practice grows.
Adding a provider, a location, or a new payer changes the billing workload. So does a jump in visit volume or a backlog left by staff turnover. Our physician medical billing services are scoped to the work in front of you, and that scope can be revisited when the work changes.
One practice might start with denial and A/R cleanup, then add claim submission and payment posting once the backlog is under control. Another might outsource most of the billing workflow from the start and keep front-desk collections in-house. Either way, the engagement covers the agreed functions without asking you to build each one internally.
New providers also need payer enrollment before they can bill as participating providers, so provider credentialing can be added to the same engagement. If you want full-service medical billing, the same written scope lists which tasks move to All State RCM and which stay with your team. For a wider view of how these functions connect, see our revenue cycle management services.
Pricing
How pricing is determined.
All State RCM does not publish a fixed rate for small-practice billing. Each quote is prepared in writing after reviewing the work involved, because two practices of similar size can need very different amounts of support.
Factors that shape the quote include:
- Practice size, including providers, locations, and tax IDs
- Specialty and coding complexity
- Monthly claim volume
- Which billing and RCM functions are in scope
- Current A/R condition and any denial backlog
- Credentialing and payer enrollment requirements
- Workflow complexity, including your current system and any clean-up before work starts
Why practices work with All State RCM.
Founded in 2024, All State RCM supports healthcare practices with claims, credentialing, denial follow-up, aging A/R, and reporting, with an assigned account contact keeping your team informed.
-
200+ Healthcare Practices
Supporting healthcare practices with billing, RCM, credentialing, and revenue-cycle support.
-
99% Clean Claims
Claims are reviewed before submission to help minimize preventable errors and rework.
-
~25-Day Reimbursement Cycle
Applicable claims typically reach payer reimbursement in about 25 days, depending on payer processing and claim complexity.
Questions practices ask before outsourcing billing.
01 What does a medical billing service handle for a small practice?
It depends on the scope you choose. Common tasks include eligibility checks, charge entry, coding review, claim submission, rejection correction, payment posting, denial follow-up, A/R work, and reporting. Credentialing and payer enrollment can be added when providers join or records change. The included tasks are listed in writing before work begins.
02 Is outsourced medical billing suitable for an independent practice?
It can be, particularly when billing depends on one or two staff members, when follow-up falls behind during busy periods, or when denials and aging balances keep growing. Some practices prefer to keep billing in-house and bring in help for specific functions. Reviewing your current workflow is a practical first step before deciding.
03 Can All State RCM handle only part of our billing workflow?
Yes. A practice can hand off a single function, such as credentialing, denial management, or A/R follow-up, or several connected functions. Handoffs between your team and ours are documented so each task has a clear owner.
04 How are denied claims and aging A/R handled?
Denials are reviewed for the underlying reason, corrected where the record supports it, and resubmitted or appealed. Open balances are prioritized by age, value, payer, and filing deadlines, and each one is given a documented next action. Recovery depends on the account, payer policy, and deadlines, so no outcome is guaranteed.
05 Can credentialing and eligibility support be included?
Yes, when they are part of the agreed scope. Eligibility and benefits verification can be handled within a billing or front-desk scope. Provider credentialing can cover payer applications, CAQH maintenance, recredentialing, and demographic updates. Payers control enrollment decisions and effective dates.
06 How is medical billing pricing determined for a small practice?
Pricing is quoted in writing after reviewing your providers and locations, specialty, claim volume, the functions in scope, current A/R and denial workload, credentialing needs, and onboarding complexity. All State RCM does not publish a fixed rate.
07 What does onboarding involve?
Onboarding starts with a review of your current workflow and systems, followed by a written scope. Access, security requirements, reporting cadence, and escalation contacts are then set up before billing work begins. Compatibility with your current billing or practice-management system is confirmed during this stage.
08 How does the practice maintain visibility into billing activity?
The reporting cadence, status information, communication channels, and responsible contacts are agreed during onboarding. Reporting shows what is in progress, what is unresolved, and what needs input from the practice. Portal access and available tools are confirmed for each engagement.
Free consultation
Discuss your practice’s billing workflow.
Tell us how billing works in your office today. We can talk through your current setup, the services you are considering, open A/R and denial issues, credentialing needs, and what a transition would involve. Please leave patient information out of the form.
Request a Free Consultation
Start a conversation
Let’s strengthen your revenue cycle.
Tell us where your billing workflow needs attention. We’ll discuss your practice, priorities, and the support that may fit.