End-to-end revenue cycle management services, from eligibility and coding to denial management, payment posting, and MIPS consulting.
What We Offer
MI MedCare covers the full revenue cycle, from verifying patient eligibility before the first appointment to recovering underpaid claims years after service. Our 1,100+ certified billers and coders work inside your existing EMR so there is no platform change and no learning curve for your clinical staff.
Each service is backed by purpose-built AI agents that scrub claims, detect denial patterns, and flag underpayments automatically, so your team spends time on exceptions, not routine tasks. Whether you operate a solo practice or a multi-location group, we scale billing capacity to match your patient volume with no staff overhead on your end.
98%
Clean Claim Rate
First-pass acceptance across all specialties
< 30
Average AR Days
From date of service to payment
40%
Denial Reduction
Average drop in denials after onboarding
$420K+
Revenue Recovered
Recovered for a single client in one audit
Revenue Operations
The core financial engine of your practice, from accurate coding to final payment collection.
End-to-end medical billing services that improve claim acceptance and accelerate reimbursements.
Complete RCM solutions covering patient intake, billing, payments, and financial reporting.
Certified coders ensure accurate ICD-10, CPT, and HCPCS coding for compliant claims.
Accurate posting of insurance and patient payments with reconciliation.
Claim & Denial Management
Prevent denials before submission and recover revenue when payers push back.
Insurance eligibility and benefits verification before services are delivered.
Identify denial causes, correct errors, and recover lost revenue efficiently.
Aggressive AR follow-up with payers to reduce outstanding claims and improve cash flow.
Compliance & Optimization
Stay credentialed, audit-ready, and positioned for maximum quality-reporting performance.
Provider credentialing and payer enrollment to get your practice contracted faster.
Detailed audits to identify revenue leakage, compliance issues, and workflow improvements.
Specialized billing for diagnostic labs with complex coding and payer rules.
Documentation and compliance consulting to maximize MIPS performance scores.
How It All Connects
MI MedCare services are not isolated products, each one hands off cleanly to the next. The result is a billing chain with no gaps, no dropped claims, and full visibility at every stage.
Step 01
Eligibility Verification confirms active coverage and benefits before care is delivered, preventing the most common claim rejections.
Eligibility VerificationStep 02
Certified coders assign the correct ICD-10, CPT, and HCPCS codes, supported by AI that reads clinical documentation to maximise accuracy.
Medical CodingStep 03
Every claim is scrubbed against payer-specific rules before electronic submission, targeting a 98% first-pass acceptance rate.
Medical BillingStep 04
Insurance and patient payments are posted and auto-reconciled against EOB amounts within 24 hours of receipt.
Payment PostingStep 05
Denied claims are categorised by root cause and appealed within 48 hours. Our AI denial agent auto-generates appeal letters for common rejection types.
Denial ManagementStep 06
Outstanding balances are worked by payer, age, and dollar priority, keeping average AR days under 30 across all specialties.
Accounts ReceivableStep 07
Regular billing audits surface revenue leakage, underpayments, and compliance gaps before they compound. MIPS tracking keeps quality scores on track.
Billing AuditThe Numbers
Most practices underestimate the hidden cost of in-house billing: staff turnover, compliance updates, technology gaps, and the revenue left uncollected because nobody has time to chase every denial. Here is how the comparison typically plays out.
Proven Results
Real outcomes from U.S. healthcare practices that moved their billing to MI MedCare. Results typically begin appearing within the first 30 to 90 days of onboarding.
A multi-provider cardiology group improved claim follow-up and denial workflows, reducing aging AR and accelerating monthly collections.
By tightening eligibility checks and coding QA, the practice lowered preventable denials and improved net reimbursement performance.
Targeted payer-rule setup and cleaner intake documentation helped this clinic reduce rework and speed up payment cycles.
A focused underpayment review and appeal strategy uncovered missed reimbursements and recovered substantial lost revenue.
Why Choose Us
Each account is staffed by billers and coders who specialise in your exact specialty. Cardiology billing has different payer rules than psychiatry or orthopedics, and our teams know those differences and apply them every day.
Our in-house AI agents (CLAIR, DEXA, ELIXA, and CODIN) handle pre-submission scrubbing, denial categorisation, eligibility checks, and coding support. Every recommendation is reviewed and actioned by a certified specialist before it touches a claim.
You have 24/7 access to a HIPAA-compliant dashboard showing clean claim rates, AR aging, denial trends, payer mix, and payment timelines. No waiting for monthly reports: your data is live and drill-able at any time.
We work inside your existing EMR or practice management software. There is no platform migration, no staff retraining, and no interruption to daily workflows. Integration typically completes within one to two weeks.
When patient volume rises, we scale billing capacity immediately, no need to recruit, hire, or train additional billing staff. When volumes drop, you are not paying for idle headcount.
Every client engagement begins with a signed BAA. Our systems, processes, and staff are trained and audited to HIPAA standards, so your practice always remains compliant and audit-ready.
Common Questions
These answer the service-level questions we hear most from practice managers and billing administrators before they switch to MI MedCare.
Most practices begin with Medical Billing and Eligibility Verification because these two services directly drive clean claim rates and prevent the most common denial causes. Multi-specialty groups often start with Revenue Cycle Management for single-point accountability across all billing functions.
Yes. Our service model is fully modular. You can start with one or two services and expand as needed, for example activating MIPS Consulting at the start of a new quality-reporting period, or engaging our AR Management team to target a specific aging backlog.
We analyse 90 to 180 days of your claims data, identify under-coded encounters, payer underpayments, and pattern-based denial root causes. You receive a written report with quantified revenue opportunity and a prioritised remediation plan. Most audits complete within 10 business days.
Lab claims require specific ABN protocols, NPI Type 2 credentialing for reference labs, and precise modifier use for reflex testing and panels. Many payers apply lab-specific fee schedules that differ from physician fee schedules. Our laboratory billing team maintains payer-specific rule sets to minimise rejections and maximise collections per accession.
A single payer enrollment gap means 30 to 90 days of unbillable services for a new provider. Our credentialing team tracks application status daily, follows up with payers proactively, and flags issues before they create revenue gaps. Average credentialing completion time with MI MedCare is 30 days.
A second-level denial triggers an escalation workflow. Our DEXA denial agent re-analyses the payer response, flags whether a peer-to-peer review is required, and routes the case to a senior appeals specialist. For claims above a threshold dollar amount, we pursue external review or file state insurance board complaints when the denial appears contrary to policy.
Schedule a free billing audit. We will review your claims data, identify revenue leakage, and show you exactly what our services will improve, with no commitment required to get started.
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