Faster Claims, Fuller Collections

Billing That Keeps Your Practice Paid

Specialty-trained coders, claims out inside one business day, and denials traced back to whatever caused them. Built for independent practices that want the billing handled and the numbers explained.

  • No setup fee
  • Month to month
  • HIPAA & HITECH compliant
  • Signed BAA before access

Claims filed daily with

MedicareMedicaidBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaTricareOscar Health

Less Admin. More Revenue.

Automation where it genuinely helps, and a named person wherever it does not. Less time on claim admin, fewer things falling through, and a monthly review you can actually follow.

Schedule a demo

How it works

See Exactly What We Do

Pick a service and see exactly what we do, from day one. No demo required to find this out.

Claims out in one business day, then chased until they pay.

Charge entry, payer-specific scrubbing, submission and follow-through. The failure we see most is not a rejected claim — it is a correctly submitted one nobody looked at again.

  • 1Charges entered and scrubbed within one business day
  • 2Payer-specific edit rules maintained per contract
  • 3Clearinghouse rejections corrected the same day
  • 4Every claim carries an expected response date
  • 5Primary, secondary and tertiary submission
  • 6Underpayments flagged at posting, not at year end

Why Zero Denial

Why Zero Denial Billing

Six things that shape how your account actually gets worked day to day.

Root cause

Every denial is tagged with the stage that produced it, not just the payer's code. If a category is not shrinking, we have not done the job.

Named team

One account manager who knows your payer mix and answers within four business hours. The same coders on your charts every month.

Open books

Live dashboard from day one at no extra charge. Charges, collections, A/R aging, denial categories, payer performance.

Both directions

We flag undercoding as hard as overcoding. Most audits look one way, which is why conservative coding costs practices five figures a year.

Published pricing

Our rates are on the website. That means we cannot quote you whatever we think you will pay, and cannot discount out of a performance problem.

No lock-in

Month to month, thirty days' notice, no exit penalty. Complete data export within ten business days or your final month is refunded.

End-to-end RCM

Eight Stages. We Own Every One.

From pre-authorization to the final patient balance. Select any stage to see what we do there and how long it takes.

Before the visit Eligibility & pre-auth

Stage 1 of 8

Eligibility & pre-auth

Eligibility & pre-auth

    Typical turnaround: Before the visit
    Eligibility & pre-auth

    A third of denials are decided before the patient walks in. We verify coverage 48 to 72 hours ahead and secure authorization against the CPT codes you actually intend to bill.

    • Real-time and batch eligibility checks against every active payer
    • Authorization requirements determined at scheduling, not at check-in
    • Patient responsibility estimate delivered to your front desk
    Typical turnaround: Before the visit
    Patient registration

    A misspelled name or a stale insurance card becomes a denial six weeks later, usually close to the timely filing edge. Registration is where the cheapest fixes live.

    • Demographic and subscriber data validated at intake
    • Coordination of benefits resolved before charges post
    • Registration-origin denials fed back to your front desk monthly
    Typical turnaround: Day of visit
    Charge capture

    Work performed but never entered is revenue that never existed on paper. We reconcile the day's schedule against posted charges and chase the gap while people still remember the visit.

    • Daily reconciliation of encounters against captured charges
    • Missing charge alerts routed to the rendering provider
    • Modifier and bundling review before anything reaches a coder
    Typical turnaround: Same day
    Medical coding

    Certified coders assigned by specialty, reviewing in both directions. Everyone audits for overcoding. Almost nobody audits for the levels you left on the table.

    • CPT, ICD-10-CM and HCPCS applied to current guidelines
    • E/M levels validated against documentation, up and down
    • Specific documentation queries, not generic form letters
    Typical turnaround: 24 hours
    Claim scrubbing & submission

    Claims are scrubbed against payer-specific edits before they leave. Clearinghouse rejections get corrected the same business day instead of aging quietly in a queue.

    • Payer-specific edit rules maintained per contract
    • Primary, secondary and tertiary submission handled end to end
    • Same-day correction and resubmission on clearinghouse rejects
    Typical turnaround: Same day
    Payment posting

    Auto-posting without a variance check is how an underpayment becomes permanent. Every remittance is reconciled line by line against your contracted rate.

    • ERA and EOB posting with line-level reconciliation
    • Contractual variance flagged and pursued as underpayment
    • Credit balances and refunds tracked through to resolution
    Typical turnaround: On receipt
    Denial management & appeals

    A denial is a symptom. We tag every one with the stage of the cycle that produced it, then push the fix upstream so the category shrinks instead of repeating next month.

    • Triage within two business days, appeal within ten
    • Root-cause tagging by origin, not just by CARC code
    • Denial trends reported by payer, provider and origin
    Typical turnaround: Within 72 hours
    A/R follow-up & patient billing

    Working A/R oldest-first is how claims die at timely filing. We sequence by deadline and recoverable value, and we show you the write-offs rather than burying them.

    • A/R prioritised by filing deadline and expected recovery
    • Aged and legacy A/R worked as a dedicated recovery project
    • Patient statements, payment plans and a staffed support line
    Typical turnaround: Ongoing
    eClinicalWorksAdvancedMDathenahealthEpicPractice FusionTebra / KareoNextGenDrChronoSimplePracticeTherapyNotesCareCloudWebPTOffice Ally
    • Read-only access to start. Nothing changes in your system while we run the audit.
    • Parallel running through transition. Your current process keeps going, so no claim falls between two systems.
    • Your data stays yours. Written into the agreement, with a full export within ten business days if you leave.

    Workflows Built Around How You Get Paid.

    Every practice bills differently, so the workflow is built around your payer mix and your specialty rather than a template. Here is what that commits us to.

    • Claims submitted within one business day of complete charges, backed by a fee credit if we miss it.
    • Denials triaged within two business days and tagged by the stage that produced them.
    • A/R worked by filing deadline and recoverable value, not oldest-first.
    • Coding reviewed in both directions, so undercoding is flagged as hard as overcoding.
    Contact us

    Denial cost calculator

    Put a rough number on what denials are costing you.

    Three inputs, no email required. The defaults are set for a small independent practice, and the recovery assumption is conservative on purpose. Round numbers here are worth less than one afternoon with your actual claims.

    320 / mo
    $135
    10.0%

    Recoverable in year one

    $0
    0Claims denied per year today
    0Denied at a 6% benchmark rate
    $0Annual billed volume
    $0Recovered per month
    Put a real number on it

    Estimate only, and deliberately conservative. Assumes a 55% recovery factor on the gap between your denial rate and a 6% benchmark. It does not account for payer mix, specialty, contracted rates or how well your current process performs. The audit is where you get a real figure from your own data.

    FAQ

    Frequently Asked Questions

    If yours is not here, call and ask. If we do not know, we will say that instead of guessing.

    (217) 408-4418
    What is your pricing model?

    A percentage of what we collect, published on our pricing page rather than quoted case by case. Billing only is 4.5%, full revenue cycle management is 5.5%, and full RCM with coding is 6.5%. Credentialing is a flat fee per provider per payer, and aged A/R recovery is 12% of what we actually recover. There are no setup fees, per-claim fees, statement fees or clearinghouse markups.

    Do I have to change my EHR or practice management software?

    No. We log into whatever you already use. If you happen to be switching platforms for unrelated reasons, we can help with the billing side of that transition, but nothing about working with us requires it.

    What happens to claims already in flight when we switch?

    They keep moving. We run parallel with your existing process during onboarding rather than taking a hard handoff on a fixed date, which is where claims usually get dropped. Anything already submitted stays tracked until it pays or is appealed.

    How is our patient data secured?

    A business associate agreement is signed before anyone gets access. Data is encrypted in transit and at rest, access is role-based and logged, and staff complete annual HIPAA training. Every billing company says this, so ask us to walk you through the specifics — that is the part that separates the claim from the practice.

    We are a two-provider practice. Are we too small to outsource?

    No, and small practices often gain the most, because a single biller out sick is a two-week gap in submissions. The relevant comparison is not our rate against zero, it is our rate against a salary plus benefits plus software plus turnover.

    How long before we see results?

    Clean-claim and submission timing improve in the first month because that is a process change. Denial rate and days in A/R move over one to two quarters, because they depend on fixing the stages upstream of billing. Aged A/R recovery is slower still and depends entirely on what is left that is collectible.

    Get started

    Start With Your Own Numbers

    Send us your details and a certified biller will come back within one business day — with questions about your practice, not a script.

    • Your real net collection rate, calculated from your data
    • Denial breakdown by root cause, not just by payer
    • Recoverable dollars sitting in aged A/R
    • Coding accuracy on a sample of charts, in both directions
    See a sample report first
    (217) 408-4418 info@zerodenialbilling.com Monday to Friday, 8:00 AM – 7:00 PM CST

    We reply within one business day. Please do not include patient information in this form.

    Request received

    We will be in touch within one business day. If it is urgent, call (217) 408-4418.