5 Star Billing Services combines deep revenue cycle expertise with AI-powered Veradigm billing technology to deliver measurable financial outcomes for healthcare practices. Our team goes beyond software implementation by actively optimizing claims accuracy, denial prevention, payer follow-ups, and compliance workflows—ensuring faster reimbursements and predictable cash flow. With specialty-specific billing knowledge, real-time performance insights, and hands-on RCM management, we help practices reduce administrative burden, lower days in AR, and maximize revenue without compromising regulatory compliance. The result is a scalable, transparent, and results-driven billing partnership that allows providers to focus on patient care while we protect and grow their revenue.
Powered by AI-driven rules engines and intelligent workflows to reduce manual billing tasks, prevent errors, and accelerate clean claim submissions.
Flexible, practice-specific billing and revenue workflows designed to align with your specialty, payer mix, and operational requirements.
Actionable financial and performance insights delivered through real-time dashboards to support faster decisions and continuous revenue optimization.
Veradigm is a leading healthcare technology and data analytics company built to support the evolving needs of providers, payers, and life sciences organizations. Designed with interoperability at its core, Veradigm delivers connected solutions that unify clinical, financial, and operational data into actionable insights. Its platforms leverage advanced analytics, automation, and AI-driven intelligence to improve billing accuracy, reduce revenue leakage, enhance compliance, and support data-driven decision-making across the healthcare ecosystem. Trusted by healthcare organizations nationwide, Veradigm enables practices to operate more efficiently, adapt to regulatory change, and achieve sustainable financial performance while maintaining a strong focus on quality patient care.
5 Star Billing Services delivers specialized, end-to-end revenue cycle management built on the power of Veradigm Billing Services, combining advanced technology with hands-on billing expertise. Our team actively manages claims, denials, payer follow-ups, and compliance workflows while leveraging Veradigm’s intelligent automation, configurable billing rules, and real-time reporting to improve accuracy and accelerate reimbursements. With deep specialty knowledge, transparent performance tracking, and a compliance-first approach, we help healthcare practices reduce administrative burden, lower days in AR, and achieve consistent, scalable revenue growth—allowing providers to focus on patient care while we safeguard and optimize their financial performance.
5 Star Billing Services aligns Veradigm billing technology with disciplined processes and expert management to improve efficiency, visibility, and cash flow control.
Accurate, real-time verification for patient coverage, deductible status, prior authorizations, and benefits.
Certified coders ensure documentation accuracy, compliant coding, and reduced denial rates across all specialties.
Every claim is thoroughly reviewed, scrubbed, and optimized before submission to avoid costly errors.
Veradigm rules engine + our billing expertise = faster approvals and fewer rejected claims.
Accurate payment posting to keep your financial reports clean, transparent, and audit-ready.
We identify the root cause of denials, correct them quickly, and submit appeals with strong supporting documentation.
Dedicated teams work your aging claims daily to recover missed revenue and maintain a healthy AR cycle.
Friendly patient statements, payment reminders, and support to ensure steady incoming payments.
Credentialing with Medicare, Medicaid, and all commercial payers to ensure you stay compliant and active.
Monthly and weekly reports on collections, denials, claims status, and KPIs to help you make better decisions.
Our proven workflows align technology, compliance, and revenue performance in one streamlined process.
We securely integrate your Veradigm EHR with our billing workflows.
No claims move forward until all clinical documentation is verified.
We use Athena's rules engine + our custom checks to eliminate errors before submission.
More clean claims = faster payments and fewer delays.
Every payment is accurately posted and analyzed for underpayments.
Daily follow-ups + weekly performance reviews for all pending claims.
Regular financial analytics, denial insights, and efficiency recommendations.
Purpose-built workflows that protect compliance and maximize reimbursement outcomes.
High-quality claims = faster reimbursements.
Our denial management process reduces your denial rate to industry-best levels.
Most practices see improvement within the first 30–60 days.
Your team can focus on patient care instead of billing tasks.
No need to hire or train an in-house billing team.
We maintain strict standards of security and confidentiality.
One point of contact for reporting, updates, and assistance.
Transparent performance dashboards & reports.
Our certified coders specialize in medical billing coding services that support diverse healthcare specialties. From complex surgical coding to behavioral health documentation, we tailor our medical coding service for every provider type.
Discover why providers rely on our expertise to manage Veradigm billing and RCM with confidence.
Our clean claim submission process minimizes rejections and accelerates reimbursements — helping you get paid faster with fewer follow-ups.
We follow strict data security measures — encrypted communications, limited access, and full HIPAA adherence.
Through continuous claim tracking, automated reminders, and payer-specific workflows, we ensure quicker payment cycles and improved cash flow.
By identifying missed charges, underpayments, and coding errors, our audit-backed billing process boosts your overall collections.
We ensure claims are processed within 1–2 business days after receiving the patient encounter data — reducing delays and denials.
We work with major systems like AdvancedMD, Athenahealth, Epic, Tebra, and DrChrono — no need to switch platforms.
Our team follows the latest CPT, ICD-10, and HCPCS updates to maintain coding accuracy and compliance with payer rules.
From cardiology and allergy to behavioral health and urgent care — we understand each specialty’s coding and billing nuances.
Every client gets a single point of contact to ensure personalized support, clear communication, and faster issue resolution.
From patient eligibility verification to AR follow-up, denial management, and payment posting — we handle the entire revenue cycle.
We conduct periodic internal audits and follow CMS, OIG, and payer compliance guidelines to minimize regulatory risks.
Flexible engagement — scale up or pause anytime. We earn your trust through results, not lengthy commitments.
Double-verification at every stage ensures precise data entry, claim validation, and payment posting accuracy.
We understand payer variations across all 50 U.S. states — including Medicaid, Medicare, and commercial insurance carriers.
Monthly or weekly performance reviews keep you informed about KPIs like collection rates, denial ratios, and revenue growth.
Real-world success from healthcare organizations across the U.S.
Holmes Chiropractic
Medical Director
Medical Director, Pulmonary & Sleep Associates of Marin
Ensuring interoperability, security, and compliance across your practice technology stack.
Your data is protected, confidential, and handled with the highest compliance standards.
Discover how much revenue you could be capturing. No obligation,
completely confidential.