Large health networks managing complex billing across multiple departments and facilities trust Medbridge RCM to optimize every aspect of their revenue cycle — from charge capture to final collection.

Independent and multi-specialty physician practices rely on us to reduce administrative burdens, increase collections, and ensure timely reimbursement so providers can focus on patient care.

Community hospitals, urgent care centers, ambulatory surgery centers, and outpatient clinics leverage our expertise to streamline billing workflows, reduce denial rates, and improve patient financial experience.

Interventional pain is one of the least forgiving specialties to bill. Modifier-heavy procedures, strict LCD coverage rules, bundling edits, and prior authorization on nearly every injection. Our certified coders handle epidural and transforaminal injections, facet joint and medial branch blocks, radiofrequency ablation, SI joint procedures, spinal cord stimulator trials and implants, and definitive drug testing with the documentation discipline payers demand.

Anesthesia runs on base units, time units, and physical status modifiers, and one missing start or stop time can sink an entire claim. We manage ASA crosswalks, QZ, QX, QY and AD medical direction and supervision logic, concurrency tracking, obstetric anesthesia and labor epidurals, chronic pain add-ons, and out-of-network and No Surprises Act workflows for hospital-based and independent anesthesia groups.

Internal medicine lives on evaluation and management accuracy and chronic disease documentation. We code to current E/M guidelines using medical decision making or total time, capture annual wellness visits, transitional care and chronic care management, remote patient monitoring, and in-office diagnostics, and keep your HCC risk adjustment and quality reporting defensible when an auditor comes looking.

Urgent care is high volume, thin margin, and payer-mix heavy. We handle global S9083 and S9088 contracts versus fee-for-service, place of service 20 rules, occupational medicine and employer accounts, self-pay and time-of-service collections, on-site labs, X-ray and procedures, and real-time eligibility so your front desk collects before the patient walks out.

PM&R and therapy revenue is lost in the details. We bill timed and untimed codes to the eight-minute rule, track therapy thresholds and KX modifier requirements, manage plan-of-care certification and recertification dates, apply the correct therapy modifiers, and keep functional documentation clean so utilization review never becomes a reason to delay payment.

Global periods, staged and unrelated procedures, assistant-at-surgery rules, casting and DME supplies, and in-office imaging all create quiet revenue leakage. We reconcile operative notes to submitted claims, apply multiple-procedure and modifier logic correctly, and chase implant and hardware reimbursement that most billing teams write off.

Preventive versus problem-oriented visits, immunization administration, screening bundles, in-office labs, and value-based incentive programs decide whether a primary care practice is profitable. We help independent and small group practices protect margin, close quality gaps, and get paid for the care coordination work they already do.

Psychiatry, outpatient therapy, and integrated behavioral health carry authorization limits, session caps, carve-out payers, and parity disputes that general billers rarely understand. We manage benefit verification, telehealth place-of-service and modifier rules, time-based psychotherapy coding, collaborative care management, and appeals when medical necessity is challenged.

Surgical revenue depends on getting professional and facility billing to agree. We handle ASC grouper and payer-specific fee schedules, implant and high-cost supply carve-outs, multiple-procedure reductions, bilateral and co-surgeon rules, anesthesia coordination, and out-of-network negotiation so the case you performed is the case you get paid for.