Our ModMed Billing Services combine advanced AI-powered platform capabilities with hands-on revenue cycle expertise to deliver accurate, compliant, and results-focused billing outcomes. By working directly within the ModMed ecosystem, our certified billing specialists streamline coding, claims submission, denial management, and payment posting—reducing errors, accelerating reimbursements, and improving overall cash flow. From intelligent code recommendations to real-time performance insights, we optimize every stage of your revenue cycle, enabling your practice to operate efficiently, stay audit-ready, and capture the full value of every patient encounter.
Powered by specialty-specific AI that converts clinical documentation into accurate coding, cleaner claims, and reduced denials.
Purpose-built by doctors to match real specialty workflows, ensuring higher adoption, better efficiency, and fewer documentation gaps.
A unified system that connects EHR, billing, scheduling, and reporting—eliminating silos and improving end-to-end revenue visibility.
ModMed (Modernizing Medicine®) is a leading, cloud-based healthcare technology platform purpose-built by physicians to support specialty medical practices with greater accuracy, efficiency, and financial control. Designed around real clinical workflows, ModMed combines specialty-specific EHR, practice management, and revenue cycle tools with AI-driven features such as intelligent documentation, suggested coding, and workflow automation. This integrated approach reduces administrative friction, improves coding and claims accuracy, and enables providers to make data-backed decisions with confidence. Trusted by thousands of practices nationwide, ModMed stands out for its focus on clinical relevance, regulatory compliance, and measurable operational performance—making it a reliable foundation for modern, revenue-focused healthcare delivery.
5 Star Billing Services delivers a results-driven ModMed billing solution by combining deep platform expertise with proven, AI-enhanced revenue cycle strategies. Our dedicated billing specialists work directly within the ModMed system to ensure precise coding, clean and compliant claim submission, proactive denial prevention, and faster reimbursement turnaround. By aligning ModMed’s intelligent features with real-world RCM best practices, we identify revenue gaps, reduce administrative friction, and improve cash flow—giving your practice full financial visibility, stronger compliance, and the confidence to scale without billing becoming a bottleneck.
We manage your complete ModMed revenue cycle with precision workflows, experienced billing specialists, and data-driven insights that maximize collections and minimize risk.
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.
ModMed 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.
We align ModMed’s intelligent workflows with expert RCM execution to reduce errors and accelerate reimbursements.
We securely integrate your ModMed 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.
Outsourcing your ModMed billing helps eliminate inefficiencies while improving collections.
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.
What makes 5 Star Billing Services a trusted ModMed RCM partner?
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.
Feedback from providers who rely on our RCM and billing expertise.
Holmes Chiropractic
Medical Director
Medical Director, Pulmonary & Sleep Associates of Marin
Supporting ModMed workflows with secure integrations and compliance-first processes.
Your data is protected, confidential, and handled with the highest compliance standards.
Discover how much revenue you could be capturing. No obligation,
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