Our Services
Medical Billing, Coding and RCM Services for US Healthcare Practices
ClainetRCM is a medical billing company that covers the whole revenue cycle, from setting up and credentialing a practice to collecting the last dollar on a claim. AAPC and AHIMA certified coders file claims within 24 to 48 hours, AR is worked every 14 days, and a BAA is signed before we touch a single chart.
- AAPC and AHIMA certified coders
- HIPAA compliant, BAA signed
- Practices in all 50 states
- No setup fee, no long-term contract
Last updated .
Medical Billing and Revenue Cycle Services
The core services that turn visits into paid claims and keep the practice running. Take the full cycle, or only the stage you need.
Revenue Cycle Management
End-to-end RCM services covering the patient financial journey from registration to final payment, managed by one team.
Explore RCM servicesMedical Billing
Claim preparation, scrubbing, submission and follow-up, with clean claims filed within 24 to 48 hours.
Explore medical billing servicesMedical Coding
ICD-10, CPT and HCPCS coding by certified coders who review every chart before it becomes a claim.
Explore medical coding servicesDenial Management
Root-cause analysis, corrected claims and appeals on every denial, refiled within 24 to 48 hours.
Explore denial management servicesAccounts Receivable Management
Insurance and patient AR worked on a 14-day cycle, including recovery of older balances.
Explore AR recovery servicesPractice Management
Front-office and back-office operations managed inside the software you already use.
Explore practice management servicesFront-End Services That Prevent Denials
Many denials are created before the claim exists. These services fix the problem at the source.
Eligibility and Benefits Verification
Coverage, deductibles, copays and authorization requirements confirmed with the payer before the visit.
Explore eligibility verificationPrior Authorization
Payer criteria checked, clinical documentation packaged, and every request followed to a decision.
Explore prior authorization servicesMedical Scribing
Virtual medical scribes who document visits in your EHR in real time, so charts can be closed the same day.
Explore medical scribe servicesMedical Virtual Assistant
HIPAA-trained remote assistants for scheduling, patient calls, intake and referrals.
Explore virtual assistant servicesPractice Setup, Credentialing and Licensing
Everything a provider needs in place before the first claim can be paid.
Provider Credentialing
Payer enrollment, CAQH, primary source verification and re-credentialing, to get providers in network and keep them there.
Explore credentialing servicesProvider Licensing
State medical licenses, DEA and controlled substance registrations filed, tracked and renewed on time.
Explore provider licensing servicesHealthcare Business Registrations
Entity formation, EIN, organizational NPI, CLIA and state registrations filed in the order each depends on.
Explore practice startup servicesWhich Service Does Your Practice Need?
Start from the problem. Each one points to a different stage of the revenue cycle.
| If this sounds familiar | Start with |
|---|---|
| Claims go out late or pile up when a biller is away | Medical billing |
| Denials keep coming back for the same reasons | Denial management |
| Your 90-day AR bucket is growing | AR recovery |
| Patients arrive with inactive or wrong insurance | Eligibility and benefits verification |
| Procedures are delayed waiting for approvals | Prior authorization |
| Coding errors or audit worries | Medical coding |
| A new provider cannot bill because enrollment is pending | Provider credentialing |
| You are opening a practice or adding a location | Business registrations and licensing |
| Providers chart at night | Medical scribing |
| The front desk cannot keep up with phones | Medical virtual assistant |
| All of the above | Full revenue cycle management |
Why Practices Choose ClainetRCM
Certified coders
AAPC and AHIMA certified coders review the work, not a rules engine on its own.
Fixed turnaround times
Claims filed within 24 to 48 hours, denials reworked in the same window, and AR reviewed every 14 days.
We work in your system
We work inside most major EHR and practice management platforms, so you keep your software.
Straightforward pricing
Pricing starts at 2.29% of monthly collections, with no setup fee and no long-term contract. See pricing.
HIPAA compliant
A signed BAA with every client, encrypted data handling and access-controlled systems.
Specialty depth
Programs for more than 50 specialties, each built around the codes, modifiers and payer policies that decide whether you get paid.
A Medical Billing Company for Practices in All 50 States
ClainetRCM is based in Boston, Massachusetts and serves healthcare providers nationwide. We handle state licensure, Medicare and Medicaid enrollment, and billing for the commercial payers that hold share in your market.
Whether you are a solo provider, a private practice, a clinic or a hospital, the account is set up around your state's Medicaid program, your Medicare contractor and your payer mix.
Find your state
Billing by specialty
Medical Billing Services: Frequently Asked Questions
What does a medical billing company do?
A medical billing company manages the process of getting a healthcare provider paid. It verifies insurance, codes and submits claims, posts payments, follows up on unpaid claims, appeals denials and reports on results, so the practice can focus on patient care.
How much do medical billing companies charge?
Most charge a percentage of collections, commonly between 4% and 10% depending on specialty, volume and scope, or a flat fee per claim. ClainetRCM's pricing starts at 2.29% of monthly collections, with no setup fee and no long-term contract. See pricing.
What are RCM services?
RCM, or revenue cycle management, services cover every step between scheduling a patient and collecting final payment: eligibility verification, prior authorization, coding, billing, payment posting, denial management and AR follow-up.
Can I use just one service, or do I need the full package?
You can start with a single service, such as denial management, AR recovery, credentialing or coding, and add others later. Many practices begin with the area causing the most lost revenue.
How does onboarding work?
Onboarding takes 7 to 14 business days. We sign a BAA, set up secure access to your systems and payer portals, and run alongside your current process until the handover is clean.
Do you serve my state and specialty?
We serve practices in all 50 states and more than 50 specialties. Browse states we serve and specialties.
Do I have to change my EHR or billing software?
No. We work inside most major EHR and practice management systems, so there is no migration.
Not Sure Where to Start?
Share a recent aging report or 90 days of remittance data under a signed BAA. We will show you where revenue is being lost and which service fixes it. Pricing starts at 2.29% of monthly collections, with no setup fee and no long-term contract.