US Medical Billing  ·  HIPAA-Compliant

Full-Cycle Revenue
Management
That Performs.

We manage every step of the US revenue cycle — from eligibility verification to final payment. You focus on patient care. We recover every dollar you've earned.

HIPAA Business AssociateBAA RequiredPerformance-BasedFull Cycle Coverage
5–8%
Fee Rate
of net collections only
<5%
Denial Rate Target
industry avg 8–10%
12
Cycle Steps
fully managed end-to-end
BAA
On Every Engagement
required before any PHI access

Providers Are Losing RevenueThey've Already Earned.

US medical billing is document-heavy, code-dependent, and managed by payers whose default position is denial. Without a dedicated team, revenue loss is silent and compounding.

15–30%of collectible revenue lost in practices without specialized billing management
30%
denied on first submission

Claim Denials

Insurance companies deny aggressively. Without a team working denial queues daily, a significant share is never appealed — and never collected.

90d–1yr
filing windows enforced

Timely Filing Losses

Miss the window and the revenue is permanently unrecoverable. No appeal exists. Most practices don't track this until it's already gone.

±15%
avg revenue impact

Coding Errors

Undercoding leaves legitimate revenue on the table. Overcoding is federal fraud. There is no safe margin for error in either direction.

45+ days
average days in A/R

A/R Aging

Claims sitting past 90 days become increasingly uncollectable. Most practices lack the staff and systems to work aging buckets consistently.

Our Answer

We close every one of these gaps. Systematically.

12 Steps.Zero Revenue Left Behind.

From the moment a patient registers to the moment payment clears — we own every step, not just claim submission.

Performance-based — we earn only when you collect
1

Phase 1

Securing the Claim

Patient Registration

Capturing accurate demographics, insurance details, and contact information at intake. Errors here cascade through every downstream step.

Insurance Eligibility Verification

Confirming active coverage, deductible status, co-pay amounts, and out-of-pocket limits before the appointment. Prevents submission rejections.

Prior Authorization

Obtaining payer approval before services are rendered. Missing authorization creates costly denials — expensive and time-consuming to reverse.

Medical Coding

Translating documentation into ICD-10-CM and CPT codes. Accuracy determines reimbursement. Undercoding loses revenue. Overcoding is fraud.

Charge Capture

Compiling all billable services into a charge sheet. Missed charges mean missed revenue — the silent leak most practices never quantify.

Claim Scrubbing & Validation

Pre-submission checks for errors, modifier issues, bundling conflicts, and payer-specific requirements. A clean claim is a paid claim.

Claim Submitted
2

Phase 2

Maximizing Collections

Electronic Claim Submission

Submitting claims via clearinghouse within payer filing windows. Missed filing deadlines mean permanent, unrecoverable revenue — no exceptions.

Payment Posting & Reconciliation

Recording insurance and patient payments against claims. Identifying underpayments and contractual adjustments. Drives A/R accuracy.

Accounts Receivable Management

Working outstanding balances, managing aging buckets, applying payer-specific follow-up protocols. Undisciplined A/R is where the most revenue is lost.

Denial Management & Appeals

Analyzing denied claims, identifying root causes, and filing timely appeals. Benchmark target: denial rate under 5%. Every denial left unworked is lost money.

Patient Billing & Collections

Billing patients for deductibles, co-pays, and self-pay balances. Statements, payment plans, collections escalation where necessary.

Reporting, Analytics & Compliance

Monthly performance reports — collection rate, denial rate, days in A/R, reimbursement trends. HIPAA audit readiness maintained continuously.

Built AroundYour Collections.

Four structural reasons why practices that move to Halcyon stop leaving revenue on the table.

Aligned Incentives

We earn a percentage of what we collect. No collections, no fee. That's our primary model — and it means every decision we make is oriented toward maximizing your revenue.

5–8%of what we collect

HIPAA-Native Infrastructure

Compliance is built into every layer — not added after the fact. Encrypted storage, role-based access, audit logging. A signed BAA in place before any PHI is accessed.

BAAon every engagement

Transparent Reporting

Every client receives a monthly performance report — collection rate, denial rate, days in A/R, reimbursement trends by payer. Real numbers, no dashboards hiding poor performance.

Monthlyper-client reporting

Full Cycle, Not Just Claims

We don't just submit claims. We own all 12 steps — eligibility, authorization, coding, submission, posting, A/R, denials, patient collections. Every step, every client, every month.

12steps, no exceptions
$5,200/mo
Per physician client
At 6.5% of $80K billing
30 Days
To first performance report
Every new client
$0
Setup fee
Results earn the relationship

Transparent.
Performance-Based.

Three engagement models. Most clients choose the percentage structure — it ensures our success is inseparable from yours.

Most Popular

Percentage of Collections

5–8%of net collections

Our primary model. We earn a percentage of what we collect on your behalf. If you don't get paid, we don't get paid.

Includes

  • Full 12-step cycle management
  • Denial management & appeals
  • Monthly performance reports
  • Dedicated account management
  • HIPAA-compliant operations
  • Signed BAA included
Best For:Most practices — creates perfect alignment of incentives

Flat Fee Per Claim

$3–$7per claim submitted

A predictable, fixed charge per claim submitted regardless of payout. Suitable for high-volume, low-complexity practices.

Includes

  • Claim preparation & submission
  • Basic denial management
  • Monthly volume reporting
  • HIPAA-compliant operations
  • Signed BAA included
Best For:High-volume practices with straightforward claim types

Monthly Retainer

$500–$2,500per month, fixed

A fixed monthly fee covering all billing services. Predictable cost for practices with stable, forecastable billing volume.

Includes

  • Full billing cycle coverage
  • A/R management
  • Monthly reporting
  • HIPAA-compliant operations
  • Signed BAA included
Best For:Small practices with predictable monthly claim volume

Revenue illustration: A single physician billing $80,000 per month at 6.5% generates $5,200 in monthly revenue. Five comparable clients produce $26,000 per month. Fee structures are negotiated per engagement and formalized in your signed services agreement.

Every Engagement.
Every Safeguard.

US medical billing is governed by HIPAA — the Health Insurance Portability and Accountability Act. Every system that touches patient data must comply with 45 C.F.R. Parts 160 and 164. We built compliance in from the first architectural decision.

Business Associate Agreement Required

A signed BAA is a US federal legal requirement. We execute one with every client before any protected health information is accessed. No client goes live without it. No exceptions.

Compliance Coverage

Governing Regulation45 C.F.R. Parts 160 & 164
Our RoleHIPAA Business Associate
Client RoleCovered Entity
BAA StatusRequired — no exceptions
Data EncryptionAt rest & in transit
Audit LoggingAll PHI access events
Access ControlRole-based, logged
Google WorkspaceBAA executed at setup

Technical Safeguards

Encryption at Rest & In Transit

All PHI stored on HIPAA-controlled NAS Pool 1 is encrypted at rest. All data in transit is protected via TLS across every service. No unencrypted PHI path exists.

Role-Based Access Control

Access to patient data is restricted by role. Billing staff see only what their job function requires. Access is provisioned, monitored, and revoked when no longer needed.

Audit Logging

Every access event against PHI is logged with timestamp, user identity, and action. Audit logs are retained and available for review. This is a HIPAA technical safeguard requirement.

Business Associate Agreements

We execute a BAA with every client before any PHI is accessed. We also maintain BAAs with every subcontractor and cloud provider that touches PHI — including our clearinghouse and Google.

Virtualized Environment Isolation

Each billing staff member operates inside a dedicated virtual machine. If one environment is compromised, isolation at the hypervisor level prevents lateral movement to other environments or PHI stores.

Data Segregation

Operational PHI storage (NAS Pool 1) is physically and logically separated from development and general-use storage (NAS Pool 2). The two pools share no access, credentials, or network path.

Regulatory Notice:Halcyon Medical Billing operates as a HIPAA Business Associate as defined under 45 C.F.R. § 160.103. All engagements include a Business Associate Agreement compliant with 45 C.F.R. § 164.504(e). We maintain administrative, physical, and technical safeguards as required under the HIPAA Security Rule (45 C.F.R. §§ 164.308–164.318) and Privacy Rule (45 C.F.R. §§ 164.500–164.534). Breach notification obligations are governed by 45 C.F.R. §§ 164.400–164.414.

Ready to Recover
Your Revenue?

Schedule a consultation with our team. We'll review your current billing setup, identify where revenue is leaking, and walk you through exactly how we'd manage your revenue cycle.

Email

hello@halcyonmedicalbilling.com

Response Time

Within 24 business hours

Compliance

All communications are confidential. NDA available upon request.

Privacy Notice: Contact form submissions do not constitute PHI. A HIPAA Business Associate Agreement will be executed before any protected health information is shared or accessed. Your inquiry details are handled confidentially.

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