Medical Billing & Coding
Clean Claims. Faster Payments. Zero Revenue Left Behind.
Your billing isn’t just data entry. It is financial diagnosis. True Care Billing turns coding accuracy and payer intelligence into cash flow certainty.
The Problem With Typical Billing
Most billing providers submit claims. Few understand why they fail.
Industry-wide:
- 1 in 5 claims contains coding errors
- 30–45% of denials are preventable at intake
- Most practices never see denial trends until damage is done
What We Actually Do (Not Just Data Entry)
Our Medical Billing & Coding System Includes:
- Real-time coding audits
- Pre-submission denial prediction
- Payer-specific coding rules & modifier logic
- Clean claim enforcement
- E/M, CPT, ICD-10 specificity audits
- Documentation validation before billing
- Specialty-aligned coding teams
No generic coders. No guesswork. No “resubmit and hope.”
What This Means For Your Practice
Before
- 18% denials
- 45–60 day reimbursements
- Constant coding adjustments
- Reactive appeals
- Confusing reports
After
- Under 5% denial rate
- 15–25 day payment cycles
- Clean claims on first submission
- Proactive pre-denial prevention
- Real transparency
Our Coding Differentiators
You won’t find this at low-fee, %-billing providers:
1. Specialty-Smart Coders
We assign coders by:
- Pain Management
- Mental Health
- Internal Medicine
- Dental / Oral Surgery
- Assisted Living
- PT / Chiropractic
- Neurology
- Cardiology
If they don’t know the codes, they can’t protect your revenue.
2. Payer Intelligence Engine
Every insurer, region, and specialty has unique traps.
We track and apply:
- frequency limits
- Modifier pairing restrictions
- time-based care rules
- payer medical necessity exceptions
- bundling/unbundling compliance
This is where free or cheap billers fail — and where denials begin.
3. First-Pass Resolution (FPR) Guarantee
We don’t wait for denial letters to “try again.”
Our model ensures:
- pre-submission error flagging
- coder-to-payer correction checks
- submission with compliance signatures
- photo & documentation traceability
Less chasing. More collecting.
How We Protect Revenue
Reduction in Denial Rates
75–85%
Increase in Collections
22–40%
1st Submission Success Rate
Up to 96%
Reduction in A/R Days
40–60%
Mini Case Highlight
Pain Management Practice
18% denial rate → 2%
$500K A/R recovery
3× faster reimbursements
How?
Coding overhaul + payer-specific modifier maps + denial forecasting.
What You Avoid With True Care Billing
- surprise denials
- payer take-backs
- partial reimbursements
- miscoded visits
- silent aging A/R
- compliance flags
- staff burnout