Every claim starts with accurate coding. Our certified coders review each encounter and assign the correct CPT, ICD-10-CM and HCPCS codes and modifiers, following payer rules and the latest coding updates.
Charges are entered and scrubbed before submission, so errors are caught before the payer sees them. Clean claims go out electronically every day and are tracked until they are accepted.
What's included
01CPT, ICD-10 and HCPCS coding
02Charge entry and claim scrubbing
03Electronic claim submission
04Coding audits and compliance checks
What you get
Higher first-pass acceptance
Fewer coding-related denials
Faster, more predictable payments
Audit-ready documentation
Who it's for
Solo providers, groups, facilities and dental practices that want accurate claims and faster payments without managing a billing team.
How we do it
1Onboarding: we sign a BAA, get access to your systems and review your current A/R.
2Daily billing: eligibility, coding, charge entry and clean claim submission.
3Payments: posting, denials, appeals and A/R follow-up until each claim is resolved.
4Reporting: a monthly report and review call on collections, A/R and denials.
Frequently asked questions
How much does outsourced medical billing cost?
Most practices pay a percentage of collections, and we also offer flat monthly plans. New practices and startups get their first two months of billing free. See our Pricing page or ask for a quote.
Will I lose control of my billing?
No. We work in your own system, and you can see every claim, note and report at any time.
How long does it take to switch to Agile Nexus Solutions?
Most practices are set up within a few days to two weeks, depending on system access and credentialing needs.