Get Paid More & Faster

Every Day, We Help Practices Get Paid

Technology-enabled billing and revenue cycle management built to maximize your revenue and minimize errors. Specialty-specific workflows, certified coders, and a team that answers the phone.

  • No setup fee
  • Month to month
  • HIPAA & HITECH compliant
  • AAPC-certified coders

Claims filed daily with

MedicareMedicaidBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaTricareOscar Health

Billing Made Simple.

Supercharge your practice with modern, tech-enabled workflows that cut manual work and get claims out the door the day they are ready.

Schedule a demo

Get started with ease

Get Started with Ease

Pick a service and see exactly what we do, from day one. No demo required to find this out.

Claims out in one business day, then chased until they pay.

Charge entry, payer-specific scrubbing, submission and follow-through. The failure we see most is not a rejected claim — it is a correctly submitted one nobody looked at again.

  • 1Charges entered and scrubbed within one business day
  • 2Payer-specific edit rules maintained per contract
  • 3Clearinghouse rejections corrected the same day
  • 4Every claim carries an expected response date
  • 5Primary, secondary and tertiary submission
  • 6Underpayments flagged at posting, not at year end

Our success in numbers

Our Success in Numbers

Measured across our own book over the last twelve months. Each figure says what it counts.

0Years in operationFounded 2022, based in Frisco, Texas.
0Practices we bill forDeliberately small. We take a limited number at a time.
0Denial rate across our bookOur own current figure, not an industry average.
0Days from charge to submissionCommitted to one business day, with a fee credit if we miss.

Why Zero Denial

Why Zero Denial Billing

Everything your practice needs to run a stronger revenue cycle, under one accountable team.

Root cause

Every denial is tagged with the stage that produced it, not just the payer's code. If a category is not shrinking, we have not done the job.

Named team

One account manager who knows your payer mix and answers within four business hours. The same coders on your charts every month.

Open books

Live dashboard from day one at no extra charge. Charges, collections, A/R aging, denial categories, payer performance.

Both directions

We flag undercoding as hard as overcoding. Most audits look one way, which is why conservative coding costs practices five figures a year.

Published pricing

Our rates are on the website. That means we cannot quote you whatever we think you will pay, and cannot discount out of a performance problem.

No lock-in

Month to month, thirty days' notice, no exit penalty. Complete data export within ten business days or your final month is refunded.

End-to-end RCM

Eight Stages. We Own Every One.

Unified workflows across the full revenue cycle, from pre-authorization to the final patient balance. Select a stage to see what we do there.

Before the visit Eligibility & pre-auth

Stage 1 of 8

Eligibility & pre-auth

Eligibility & pre-auth

    Typical turnaround: Before the visit
    Eligibility & pre-auth

    A third of denials are decided before the patient walks in. We verify coverage 48 to 72 hours ahead and secure authorization against the CPT codes you actually intend to bill.

    • Real-time and batch eligibility checks against every active payer
    • Authorization requirements determined at scheduling, not at check-in
    • Patient responsibility estimate delivered to your front desk
    Typical turnaround: Before the visit
    Patient registration

    A misspelled name or a stale insurance card becomes a denial six weeks later, usually close to the timely filing edge. Registration is where the cheapest fixes live.

    • Demographic and subscriber data validated at intake
    • Coordination of benefits resolved before charges post
    • Registration-origin denials fed back to your front desk monthly
    Typical turnaround: Day of visit
    Charge capture

    Work performed but never entered is revenue that never existed on paper. We reconcile the day's schedule against posted charges and chase the gap while people still remember the visit.

    • Daily reconciliation of encounters against captured charges
    • Missing charge alerts routed to the rendering provider
    • Modifier and bundling review before anything reaches a coder
    Typical turnaround: Same day
    Medical coding

    Certified coders assigned by specialty, reviewing in both directions. Everyone audits for overcoding. Almost nobody audits for the levels you left on the table.

    • CPT, ICD-10-CM and HCPCS applied to current guidelines
    • E/M levels validated against documentation, up and down
    • Specific documentation queries, not generic form letters
    Typical turnaround: 24 hours
    Claim scrubbing & submission

    Claims are scrubbed against payer-specific edits before they leave. Clearinghouse rejections get corrected the same business day instead of aging quietly in a queue.

    • Payer-specific edit rules maintained per contract
    • Primary, secondary and tertiary submission handled end to end
    • Same-day correction and resubmission on clearinghouse rejects
    Typical turnaround: Same day
    Payment posting

    Auto-posting without a variance check is how an underpayment becomes permanent. Every remittance is reconciled line by line against your contracted rate.

    • ERA and EOB posting with line-level reconciliation
    • Contractual variance flagged and pursued as underpayment
    • Credit balances and refunds tracked through to resolution
    Typical turnaround: On receipt
    Denial management & appeals

    A denial is a symptom. We tag every one with the stage of the cycle that produced it, then push the fix upstream so the category shrinks instead of repeating next month.

    • Triage within two business days, appeal within ten
    • Root-cause tagging by origin, not just by CARC code
    • Denial trends reported by payer, provider and origin
    Typical turnaround: Within 72 hours
    A/R follow-up & patient billing

    Working A/R oldest-first is how claims die at timely filing. We sequence by deadline and recoverable value, and we show you the write-offs rather than burying them.

    • A/R prioritised by filing deadline and expected recovery
    • Aged and legacy A/R worked as a dedicated recovery project
    • Patient statements, payment plans and a staffed support line
    Typical turnaround: Ongoing
    eClinicalWorksAdvancedMDathenahealthEpicPractice FusionTebra / KareoNextGenDrChronoSimplePracticeTherapyNotesCareCloudWebPTOffice Ally
    • Read-only access to start. Nothing changes in your system while we run the audit.
    • Parallel running through transition. Your current process keeps going, so no claim falls between two systems.
    • Your data stays yours. Written into the agreement, with a full export within ten business days if you leave.

    Intelligent Workflows. Built to Maximize Your Revenue.

    We help you hit revenue goals and drive efficiency with processes tailored to your specialty. Automated where automation helps, and a named human wherever it does not.

    • 93.6% of claims accepted on first submission across our book.
    • 6.4% denial rate against an industry average nearer 10%.
    • 1.2 days from charge received to claim submitted.
    • Under 30 days average time in A/R for practices past onboarding.
    Contact us

    Denial cost calculator

    Put a rough number on what denials are costing you.

    Three inputs, no email required. The defaults are set for a small independent practice, and the recovery assumption is conservative on purpose. Round numbers here are worth less than one afternoon with your actual claims.

    320 / mo
    $135
    10.0%

    Recoverable in year one

    $0
    0Claims denied per year today
    0Denied at our 6.4% book rate
    $0Annual billed volume
    $0Recovered per month
    Put a real number on it

    Estimate only, and deliberately conservative. Assumes a 55% recovery factor on the gap between your denial rate and the 6.4% we currently run across our own book. It does not account for payer mix, specialty, contracted rates or how well your current process performs. The audit is where you get a real figure from your own data.

    Testimonials

    What Our Clients Say

    “Their audit found $8,400 my previous biller had let pass timely filing. That was an unpleasant thing to learn and I am glad somebody finally told me.”

    Dr. Hina Malik, MDDr. Hina Malik, MD
    Solo internal medicine · Houston, TX

    “I run a two-provider clinic and cannot justify a full-time biller. What I wanted was somebody who picks up the phone, and that is what this is.”

    Dr. Samuel Reyes, MDDr. Samuel Reyes, MD
    Two providers · Sacramento, CA

    “They flagged that we had been undercoding established patient visits for two years. Nobody had ever mentioned it. That one fix covered the fee.”

    Amara Okafor, LCSWAmara Okafor, LCSW
    Behavioral health, three clinicians · Atlanta, GA

    FAQ

    Frequently Asked Questions

    If yours is not here, call and ask. If we do not know, we will say that instead of guessing.

    (469) 555-0142
    What is your pricing model?

    A percentage of what we collect, published on our pricing page rather than quoted case by case. Billing only is 4.5%, full revenue cycle management is 5.5%, and full RCM with coding is 6.5%. Credentialing is a flat fee per provider per payer, and aged A/R recovery is 12% of what we actually recover. There are no setup fees, per-claim fees, statement fees or clearinghouse markups.

    Do I have to change my EHR or practice management software?

    No. We log into whatever you already use. If you happen to be switching platforms for unrelated reasons, we can help with the billing side of that transition, but nothing about working with us requires it.

    What happens to claims already in flight when we switch?

    They keep moving. We run parallel with your existing process during onboarding rather than taking a hard handoff on a fixed date, which is where claims usually get dropped. Anything already submitted stays tracked until it pays or is appealed.

    How is our patient data secured?

    A business associate agreement is signed before anyone gets access. Data is encrypted in transit and at rest, access is role-based and logged, and staff complete annual HIPAA training. Every billing company says this, so ask us to walk you through the specifics — that is the part that separates the claim from the practice.

    We are a two-provider practice. Are we too small to outsource?

    No, and small practices often gain the most, because a single biller out sick is a two-week gap in submissions. The relevant comparison is not our rate against zero, it is our rate against a salary plus benefits plus software plus turnover.

    How long before we see results?

    Clean-claim and submission timing improve in the first month because that is a process change. Denial rate and days in A/R move over one to two quarters, because they depend on fixing the stages upstream of billing. Aged A/R recovery is slower still and depends entirely on what is left that is collectible.

    Get started

    Level Up Your Practice Today

    See how Zero Denial Billing can help your practice grow. Send us your details and one of our certified billers will reach out within one business day.

    • Your real net collection rate, calculated from your data
    • Denial breakdown by root cause, not just by payer
    • Recoverable dollars sitting in aged A/R
    • Coding accuracy on a sample of charts, in both directions
    See a sample report first
    (469) 555-0142 info@zerodenialbilling.com Monday to Friday, 8:00 AM – 7:00 PM CST

    We reply within one business day. Please do not include patient information in this form.

    Request received

    We will be in touch within one business day. If it is urgent, call (469) 555-0142.