Why us

The billing partner that earns your business every month.

Independent practices deserve billing expertise that is accurate, transparent, and accountable. Here is exactly what sets us apart — and why our clients stay.

A medical billing specialist reviewing claims at a professional workstation

What sets us apart

Five reasons practices stay

These are not features on a checklist. They are the specific ways we operate that produce better outcomes than the alternatives.

Certified coders on every account

Every claim that leaves our office has been reviewed by a CPC or CCS-certified coder. No offshore shortcuts, no uncredentialed staff touching your revenue. Certification is not a marketing claim — it is a condition of employment.

97%+first-pass clean claim rate

Denial management that actually closes

Most billing companies track denials. We resolve them. Every denied claim is assigned, worked, and followed to payment or final determination. Our average denial resolution rate is 94% — because we do not close a denial until the payer does.

94%denial resolution rate

One account manager, not a call center

You will have a named account manager who knows your practice, your payer mix, and your physicians by name. When you call, you reach a person who already knows the context. No ticket numbers, no queues.

1dedicated contact per practice

Transparent reporting, every month

Monthly dashboards show collections, denial rates, days in A/R, and payer performance — broken down by provider and payer. You see exactly what we see. No summaries, no spin.

<30average days in A/R

No long-term contracts

We do not lock you in because we do not need to. Our 98% client retention rate is the result of performance, not paperwork. If we are not delivering, you should be free to leave — and we are confident you will not want to.

98%client retention rate

Client outcomes

Numbers that speak for themselves

These are aggregate figures across our active client base — not cherry-picked from our best accounts. We stand behind every number.

97%+

First-pass clean claim rate across all clients

94%

Denial resolution rate — appeals that close in our favor

<30

Average days in accounts receivable

98%

Client retention rate year over year

200+

Active payer relationships maintained by our credentialing team

"We stopped leaving money on the table the month we switched."
Internal medicine practice, 3 providers

Compliance & accuracy

Certified, compliant, audit-ready.

Compliance is not a checkbox we complete once a year. It is how we operate every day — because your practice's reputation and revenue depend on it.

Medical billing errors are not just revenue problems — they are compliance risks. Upcoding, unbundling, and incorrect modifier use can trigger payer audits, recoupment demands, and in serious cases, OIG scrutiny.

Our coders are trained to code what is documented — not to maximize reimbursement at the expense of accuracy. The right code is the one that reflects the care delivered.

Every client relationship begins with a signed Business Associate Agreement. Data is encrypted in transit and at rest. We conduct annual security reviews with a third-party auditor — not because we are required to, but because your patients' data deserves it.

Our commitment

"Code what is documented. Bill what is coded. Defend what is billed."

Physicians 1st Billing coding standard

HIPAA-compliant operations

Signed Business Associate Agreement with every client. Data encrypted in transit and at rest. Annual security reviews conducted by a third-party auditor.

CPC & CCS certified coders

All coders hold active certification from AAPC (CPC) or AHIMA (CCS). Certifications are maintained through continuing education — not grandfathered.

Payer-specific claim editing

Claims are scrubbed against payer-specific edits before submission. We maintain rule sets for 200+ payers, updated as payer policies change.

Audit-ready documentation

Every coding decision is documented and defensible. If a payer audits a claim, we provide the supporting rationale — at no additional charge.

Common questions

Questions we hear most often

If your question is not here, call us or request a consultation — we will walk through your specific situation.

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  • Most practices are fully transitioned within 30 days. We handle credentialing transfers, payer enrollment updates, and system setup. Your practice continues seeing patients without interruption — we manage the back-end transition.

  • We work with most major practice management systems including Athenahealth, eClinicalWorks, Kareo, DrChrono, and others. If you use a system we have not integrated with before, we will assess compatibility before signing — no surprises.

  • Primary care, internal medicine, cardiology, orthopedics, mental health, physical therapy, and more. Our coders are specialty-matched — a cardiology practice is not coded by a generalist.

  • We charge a percentage of collections — typically 4–8% depending on practice size and specialty. You pay nothing on claims that do not collect. No setup fees, no monthly minimums.

  • Every denial is assigned to a specialist within 24 hours of receipt. We appeal, resubmit, or escalate based on the denial reason. You receive a monthly denial report showing status on every open item.

  • Yes. Our credentialing team manages initial enrollment, re-credentialing, and payer updates for new and existing providers. We maintain relationships with 200+ payers and track enrollment status proactively.

More questions? We are happy to walk through your specific billing situation — no obligation.

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Ready to see what accurate billing looks like?

Schedule a free 30-minute consultation. We will review your current billing process, identify gaps, and show you exactly what we would do differently — no obligation.

What you get

Everything you need. Nothing you do not.

  • Certified coders matched to your specialty.
  • Dedicated account manager — one contact, always.
  • Monthly reporting with full transparency.
  • HIPAA-compliant with signed BAA.
  • No long-term contracts — month to month.

Free consultation

30-minute review of your billing process — no obligation.

Schedule a consultation
Physicians 1st Billing LLC

Expert medical billing, coding, and revenue cycle management for independent physician practices.

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HIPAA-compliant · Secure data handling