Medical billing is a different problem from clinical documentation, even though the two are closely related and often need to share data. Billing software has its own domain: coding accuracy, claim submission, payer-specific rules, and denial management, and it is worth engineering as its own system rather than an afterthought bolted onto an EHR.
We build billing and revenue-cycle systems with ICD-10 and CPT coding, claim management and payer integration, either alongside a clinical system we are also building or integrated with an EHR the provider already runs.
What We Offer
Coding and claim generation
ICD-10 and CPT coding support built into the claim generation workflow, reducing the manual coding errors that cause the majority of claim denials.
Payer integration
Claim submission and eligibility verification integrated with the specific payers a provider works with, since payer rules and formats vary and a generic integration handles none of them well.
Denial management
Tracking and workflow for denied claims, since recovering revenue from a denial requires a process, not just a resubmission button.
Reporting for revenue-cycle visibility
Reporting scoped to what a billing team and practice management actually need to act on: days in accounts receivable, denial rates by payer, and collection performance.
How We Help
The recurring pattern behind billing software problems is claim denials from coding errors or payer-rule mismatches that could have been caught before submission. Building coding validation and payer-specific rule checks into the claim generation step, rather than discovering the error after a denial, is most of the value here.
We also design for the reality that a provider often needs billing to integrate with an EHR built by a different vendor, sometimes years earlier. That integration work is usually the actual scope, not the billing logic itself.
Our Approach
Claim validation happens before submission, checking coding accuracy and payer-specific rules, so denials are prevented rather than managed after the fact.
Where billing needs to integrate with an existing EHR, we build against that system’s actual data export capability rather than assuming an ideal integration surface.
Technologies We Use
Industries We Support
Related case studies
- HIPAA EHR Platform Rolled Out Across a Hospital Network: An EHR platform where the PHI access log was built in the first sprint and FHIR interoperability was designed as a translation layer over a clinical model.