Clean claim rate
First-pass acceptance across managed practices.
US Medical Revenue Cycle Support
Stronger Collections. Less Back-Office Burden.
Claimstone Billing supports physician and dental practices across the United States with billing, coding, credentialing, and A/R recovery — so your team can stay focused on patients instead of payer phone trees.
HIPAA-compliant workflowsAAPC / AHIMA-certified codersPractices in 20+ states
8 AM – 6 PM EST · Mon–FriUS-based team · Austin, TX
We work in your EHR / PM system
What we do
Eight Services, One Revenue Cycle
01 · AFTER THE VISIT
Medical Billing Services
Charge entry, claim scrubbing, submission, and payment posting with payer-specific follow-up.
Learn more → 02 · BEFORE THE VISITCredentialing and Enrollment Services
Payer enrollment, CAQH upkeep, and re-credentialing so providers can bill from day one.
Learn more → 03 · IMPROVINGMedical Billing Audit and Customized Reporting Services
Coding and claims audits that find lost revenue, plus KPI reports built around how you run the practice.
Learn more → 04 · BEFORE THE VISITInsurance Eligibility and Verification
Coverage, benefits, and prior authorization checks completed before the patient arrives.
Learn more → 05 · AFTER THE VISITMedical Coding Services
ICD-10, CPT, and HCPCS coding with modifier and documentation review.
Learn more → 06 · GETTING PAIDDenial Management & A/R Recovery
Root-cause denial analysis, appeals, and follow-up on aged claims until they are paid or resolved.
Learn more → 07 · GETTING PAIDPatient Billing and Statement Services
Clear statements, payment plans, and responsive support for patient balance questions.
Learn more → 08 · IMPROVINGPractice Management Consulting Services
Workflow, fee schedule, and front-desk reviews that tighten operations across the practice.
Learn more →Why practices move their billing to us
Average days in A/R
Measured across a rolling 90-day window.
Denial recovery rate
Worked denials overturned and paid.
Charge-to-submission time
From documentation received to claim out the door.
Reporting
See your revenue cycle without opening your EHR
We work inside the system you already use, then surface the numbers that matter in one RCM health view - aging, denials, collections, and payer performance, refreshed daily.
- Live aging buckets by payer, provider, and location
- Denial reasons ranked by dollars at risk, not volume
- Monthly board-ready export, formatted for your leadership
rcm.claimstonebilling.com
RCM Health - SeptemberUPDATED 6:00 AM
COLLECTED$412,860+ 9.4% MoM
DAYS IN A/R26.4- 4.1 days
CLEAN CLAIM98.1%target 97%
Collections trend6 MONTHS
Denials at riskBY DOLLARS
How it works
Four steps from kickoff to cash
Discovery call
We review your payer mix, software, volume, and where revenue is leaking today.
Onboarding & access
Signed BAA, system access in your existing EHR/PM, and a documented workflow handoff.
Claims out the door
Eligibility, charge review, scrubbing, submission, posting, and denial follow-up.
Reporting you can share
Recurring dashboards for leadership, with documented actions behind every number.
Onboarding
Your first 30 days, mapped out before you sign
Transitions are where practices lose money. We run onboarding in parallel with your current process, so claims keep going out while we take over.
Paperwork & access
Signed BAA and service agreement, then read-write access in your existing EHR/PM under named user accounts.
Baseline audit
We pull your aging, denial history, fee schedule, and payer roster, and document where revenue is currently leaking.
Parallel run
We work live claims alongside your team, confirm coding conventions, and agree on escalation rules in writing.
Full handoff
We own the queue, your first monthly report lands, and you get a named account lead with direct contact details.
What we need from youSystem access, fee schedule, payer list, and one point of contact.
No software to buyWe work inside the system you already use. No migration required.
No claim gapsSubmission continues throughout the parallel run - nothing pauses.
Exit is cleanDocumented workflows and 30-day notice, so you are never locked in.
About Claimstone
Billing Expertise That Fits How Your Practice Actually Runs
Claimstone Billing was built for practice owners and administrators who need billing support that keeps pace with real-world operations - not generic call-center scripts. We learn your payer mix, your documentation habits, and your internal workflows before we touch a claim.
From single-location family medicine to multi-site specialty groups and dental practices, we scale our involvement to match your volume - whether you need a full billing partner or targeted help in one part of the revenue cycle.
More about our team and compliance ->Specialties we serve
Coding rules differ by specialty. So does our work.
Behavioral & Mental HealthTime-based codes, auth tracking
Primary & Family MedicineHigh volume, wellness visits
CardiologyDiagnostics, modifier accuracy
OrthopedicsGlobal periods, surgical bundling
DermatologyCosmetic vs. medical necessity
DenialCDT coding, insurance aging
Urgent Care & ClinicsWalk-in volume, POS coding
TelehealthPlace-of-service, payer parity
Compliance & security
Every action on your account is documented
PHI handling is the part of outsourcing that keeps owners up at night. Our controls are written down, auditable, and reviewed with you at onboarding.
HIPAASIGNED BAAAAPC / AHIMAUS-BASED STAFF
Named-user access only
No shared logins. Access is granted per staff member and revoked the day someone rolls off your account.
Minimum necessary rule
Staff see only the records their role requires. PHI never moves to personal devices or unencrypted email.
Annual training & attestation
Every specialist completes HIPAA training yearly, with records available for your own compliance file.
Audit trail on request
Claim-level notes show who touched what and when - the same log we use for denial appeals.
What practice managers tell us
“They cleared a backlog we had written off, and now our aging report actually fits on one screen.”Practice Manager - 4-provider family medicine - Texas
“Credentialing used to stall every new hire. Now onboarding and enrollment run on the same timeline.”Owner - Behavioral health group - Multi-state
“Our front desk stopped fielding insurance calls. That alone paid for the engagement.”Office Administrator - Dental practice - Arizona
Results
Three engagements, three numbers
+31%Collections lift in six monthsOrthopedic group, 7 providers - charge capture and denial workflow rebuild.Read the case study ->-41 daysCut from average A/RBehavioral health practice - eligibility checks moved upstream of the visit.Read the case study ->$184KRecovered from aged claimsMulti-site clinic - dedicated A/R recovery on balances past 120 days.Read the case study ->
Billing & compliance notes
GuideThe five denial codes that cost small practices the most
What each code usually means, and the documentation fix for it.
6 min read ComplianceCredentialing timelines: what to expect from each payer typeCommercial, Medicare, and Medicaid enrollment windows compared.
4 min read FAQIn-house vs. outsourced billing: the real cost comparisonSalary, software, and coverage gaps, side by side.
7 min readFree consultation
Tell us where revenue is getting stuck.
A 30-minute call with a billing specialist - no obligation. We will review your payer mix, aging, and current workflow, then tell you plainly whether we can help.