Claim submission and scrubbing
Every CMS-1500 and UB-04 is checked against payer-specific edits before it leaves. Charges entered from your notes, claims out inside one business day.
Medical billing & RCM
Your claims come back.
So does your revenue.
A denied claim is not lost money, it is unworked money. DyBilling submits clean, works every denial by reason code, and chases the aging you have stopped calling about.
Denial ledger
CO-97Modifier 25 appended, resubmitted$1,240Paid
CO-16Missing referring NPI added$2,115Paid
PR-204Rebilled to secondary payer$860Paid
CO-29Timely-filing proof submitted$1,475Paid
CO-11ICD-10 recoded from notes$940Paid
Recovered on these claims$6,630
Codes shown are standard CARC denial reasons. Figures are illustrative of client work, not a single account.
Industry benchmarks
18 minof provider staff time per claim status inquiry still handled by phone or portal instead of the electronic transactionCAQH Index Report, 2024
$20Bin annual administrative cost that could be avoided by moving manual transactions to electronic onesCAQH Index Report, 2024
What we handle
The whole cycle, or the part that is broken.
Most practices come to us for one thing — usually a denial rate that will not move or a pile of aged A/R — and hand over the rest once they can see the reporting.
Denial management and appeals
Denials get worked by reason code, not by whoever picks up the file. Root causes get fixed upstream so the same code stops coming back.
A/R follow-up and recovery
Aging worked oldest bucket first, with real payer calls behind it. If you have money sitting past 120 days, that is where we start.
Medical coding
Certified coders assign CPT, ICD-10-CM and HCPCS from your documentation, with modifier and E/M level review before billing.
Coding and E/M audits
A retrospective sample of charts read against what was billed, showing where documentation and codes diverge in both directions.
Eligibility and prior authorization
Benefits verified before the visit, authorizations tracked to approval. Fewer surprises at the front desk and fewer coverage denials later.
Where the money sits
Money ages badly.
A claim in the 90-plus bucket is worth a fraction of the same claim at thirty days, and past the filing limit it is worth nothing. We work the oldest bucket first because that is the money with a deadline on it.
Typical practice at handoff52 days in A/R
After six months with us26 days in A/R
0–30 days31–60 days61–90 days90+ days
Getting started
Four steps, no leap of faith.
You see our work on your own claims before you commit to anything. The parallel run exists so you can compare, not so we can sell.
Free A/R review
Send an aging summary and a sample of denials. You get a written read on what is recoverable and what is leaking, at no cost.
Agreement and BAA
Scope, rate and a signed Business Associate Agreement. Read-only access to your practice management system, scoped to billing.
Parallel run
We bill alongside your current process for two to four weeks so you can compare submissions and collections before switching.
Full handoff
We take the full cycle plus the old A/R backlog. Weekly reporting starts, with a named account manager on the account.
Specialties
We know your payer mix.
Billing rules are specialty-specific. Behavioral health does not deny like orthopedics, and a PT cap is not a DME authorization.
Internal medicineFamily practiceCardiologyBehavioral healthPhysical therapyChiropracticPodiatryDermatologyOB/GYNPediatricsUrgent carePain managementOrthopedicsRadiology
Next step
Start with the free A/R review.
Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.