Most billing vendors sell you effort.We sell you accountability.
Every billing company will tell you they submit claims and follow up on denials. The difference is whether anyone is named, measured, and answerable when the number moves the wrong way. This page is how MBS is structured, what we commit to in writing, and how you can check that we are doing it.
Scale, performance, and controls
825+
Healthcare providers billed for
across the book of business
98.2%
First-pass clean claim rate
trailing 12 months, all clients
60+
EHR / PM integrations
we work inside the system you already use
SOC 2
Type 2 audited, HIPAA compliant
report available under NDA
Performance figures are trailing twelve months. Results vary by specialty, payer mix, and starting condition.
Six places a billing relationship usually goes wrong
None of these are exotic failures. They are the ordinary ones, and they are the reason practices switch vendors every two or three years. Here is what typically happens and what we do instead.
Where it breaks
Typical vendor
MBS
Who actually works your account
A shared pool. Whoever is free touches your claims, and nobody owns the outcome.
A named account lead plus a named biller and coder. You know their names and they know your payers.
How denials are handled
Rework the claim, resubmit, move on. The same denial reason returns next month.
Every denial is coded to a root cause, and the top three causes get a documented fix at the front end.
What reporting looks like
A PDF of totals you cannot reconcile against your PM system.
A monthly pack that ties to your ledger, plus a live view of aging, denials, and worked accounts.
Aged A/R
Quietly written off once it passes 120 days, because new claims pay faster.
Aging buckets are worked on a schedule with a stated recovery target and a stop-work rule you approve.
Credentialing and enrollment
Treated as paperwork, discovered as a problem when claims start denying.
Tracked to a payer decision, with revalidation dates owned before they expire.
What happens when something breaks
A ticket queue and a general inbox.
A named escalation path with a response window in writing, in the agreement.
Five things we put in the agreement
If a promise cannot be measured, it is marketing. Each of these is written into the engagement and reviewed with you at month end.
01
You get named people, not a queue
One account lead owns your revenue cycle, supported by a biller and a certified coder assigned to your specialty. Coverage is documented so vacations and turnover do not become your problem.
02
Denials get fixed at the cause, not the claim
Reworking a denial recovers one payment. Fixing the reason it denied recovers every future one. We report the top denial causes each month with the specific change made at intake, eligibility, or coding.
03
Our numbers are auditable against yours
Every figure we publish can be traced to a claim, a payer, and a date in your practice management system. If our report and your ledger disagree, that is our problem to reconcile, not yours.
04
Service levels are written down before you sign
Claim submission windows, payment posting turnaround, denial touch time, and escalation response are stated in the agreement — not described on a sales call and forgotten at go-live.
05
You keep your systems and your data
We work inside your PM and EHR — 60+ systems supported. Our own automation runs on our side of the fence, so there is nothing for your staff to migrate into and no exit fee to get your data back if you ever leave.
How we are measured
These are the service levels we hold ourselves to and the artifact you can check each one against. Ask any vendor for the third column — the answer tells you whether the first two are real.
Commitment
Target
Verified against
Clean claims submitted within
24 business hours of charge entry
Daily submission log
Payments posted within
1 business day of remittance
Posting date vs. ERA date
First denial touch within
72 hours of receipt
Denial worklist timestamps
Appeal filed within
10 business days
Appeal register
Escalation acknowledged within
4 business hours
Escalation log
Month-end reporting delivered by
the 5th business day
Delivery receipt
Handling PHI is the baseline, not the pitch
Billing means continuous access to patient data inside your systems. These are the controls that access runs under, and we will walk your compliance officer through each one during diligence.
HIPAA program
Annual workforce training, documented risk assessment, and executed BAAs before any PHI moves.
Access control
Role-based access to your systems, unique named logins per staff member, and access revoked same-day on role change.
SOC 2 Type 2
Independently audited security controls, with the report available under NDA during diligence.
Scale behind the account
- 1,600+
- Professionals delivering quality
- 35+
- States served
- 25+
- Years of industry experience
- 75
- Net Promoter Score
What practices ask before they switch
How is MBS priced?
Ongoing RCM and billing are a percentage of net collections, so we are paid when you are paid. Credentialing and one-off A/R cleanup projects are quoted flat or per provider. The percentage moves with specialty, payer mix, claim volume, and how much of the cycle we own.
Do we have to change our practice management system?
No. We work inside the system you already use. If you are mid-migration we will run in both until the cutover is clean.
What does onboarding actually involve?
A baseline review of your current aging, denial reasons, and fee schedule; system access and BAA; a documented workflow for charge capture and eligibility; then a parallel period before we take full ownership. You get the baseline numbers in writing so improvement is measurable against a real starting point.
Who works on our account, and where are they located?
A named account lead owns the relationship and reporting. Production billing, coding, and A/R follow-up are staffed across our teams under the same access controls and audit trail. We will tell you exactly who touches your data before you sign.
Can you take just one piece instead of the whole cycle?
Yes. Denial management, A/R recovery, coding, or credentialing can each be engaged on their own. Many practices start with an aged A/R cleanup because it is measurable and low commitment.
What if it does not work out?
Agreements are terminable with notice, your data stays yours, and we will hand off open worklists and payer correspondence in a documented transition. There is no exit fee.
Keep reading
Revenue Cycle Management
The full engagement — eligibility through zero balance with one accountable partner.
OpenCredentialing & Enrollment
Payer enrollment and revalidation tracked to a decision, not to a submission date.
OpenA/R & Denial Benchmark
Enter six numbers and see where your practice sits against published industry bands.
OpenAsk us to review your current numbers first
Before any proposal, we look at your aging, denial reasons, and payer mix and tell you what we would change and what we would leave alone. If the answer is that your current setup is working, we will say that.
How does your A/R and denial rate compare?
Free benchmark tool — enter six numbers, see your bands against published industry sources, and download a branded PDF.