HIPAA-Compliant Medical Billing & RCM
Get paid faster.
Deny denials.
MedClaim Partners is the outsourced medical billing and revenue cycle management team that Fortune 500 healthcare groups and independent practices trust to boost collections, cut denials, and stay 100% compliant — so your providers can focus on patient care.
- HIPAA Compliant
- 98.6% Clean Claim Rate
- 24–48 hr Turnaround
- 99%
Clean Claims Rate
COMPLIANCE
HIPAA · HITECH ·
SOC 2
- +25%
Practice Revenue Uplift
TRUSTED BY 400+ PRACTICES · CERTIFIED & COMPLIANT
COLLECTIONS
$500M+
processed annually
ABOUT CRESTORA HEALTH
A modern medical billing company built for the way US practices actually run.
We combine certified medical coders, AI-assisted claims scrubbing, and specialty-specific RCM workflows to help physicians maximize reimbursements, minimize denials and stay compliant with Medicare, Medicaid and commercial payer requirements.
- US-based leadership with 20+ years healthcare RCM expertise
- HIPAA, HITECH & SOC 2 Type II compliant infrastructure
- Specialty billing across 30+ medical specialties
- AAPC & AHIMA certified medical coders (ICD-10, CPT, HCPCS)
- Transparent, real-time reporting on collections and AR
- Dedicated account manager for every practice
WHY CHOOSE US
Everything your practice needs
to get paid — nothing it doesn't.
From front-end insurance verification to back-end AR follow-up, Crestora Health handles
the complete revenue cycle so your team can focus on patient care.
Revenue lift, not just billing
Practices average +25% collections within 90 days of onboarding through denial reduction and AR recovery.
Compliance built-in
HIPAA, HITECH, SOC 2 Type II. Full audit trails, BAAs and encrypted workflows across every claim.
Provider-first partnership
Dedicated account manager, weekly reporting, and a team that speaks your specialty's language.
Fast implementation
Kick-off to first billed claim in under 14 days — no downtime, no lost revenue.
Certified medical coders
AAPC & AHIMA certified coders trained across ICD-10, CPT, HCPCS and payer-specific edits.
US-based support
Talk to real people. No offshore call trees. Response SLAs under 4 business hours.
OUR SERVICES
Complete medical billing & RCM
services under one roof.
Choose the full revenue cycle or pick the exact services your practice needs.
Every engagement includes a dedicated
account manager and transparent reporting.
Charge Entry
Accurate, timely charge capture with same-day entry SLA on all documented visits.
Payment Posting
Manual and electronic remittance posting with automated reconciliation and reporting.
Medical Coding
ICD-10, CPT, HCPCS coding by AAPC-certified specialists across every specialty.
Revenue Cycle Management
End-to-end RCM services from patient intake to final payment reconciliation.
Insurance Eligibility Verification
Real-time benefits verification and coverage confirmation before every appointment.
Prior Authorization
Fast-tracked prior auth submission and follow-up across commercial and government payers.
Claims Submission
Electronic claims processing with pre-submission scrubbing for 99% clean claim rate.
Denial Management
Root-cause analytics and appeals workflow to recover denied and underpaid claims.
Accounts Receivable Follow-up
Aggressive AR recovery on 30/60/90+ day buckets with payer-specific escalation.
Patient Billing
Transparent patient statements, online payment portals, and empathetic collections.
Credentialing & Enrollment
CAQH, PECOS and commercial payer credentialing with re-credentialing monitoring.
Provider Enrollment
Individual and group provider enrollment across Medicare, Medicaid and commercial plans.
Practice Management Support
Workflow consulting, scheduling optimization and financial performance analytics.
EHR / EMR Integration
Seamless integration with Epic, Cerner, athenahealth, eClinicalWorks and 30+ platforms.
Compliance & HIPAA Security
Continuous HIPAA, HITECH and SOC 2 auditing with encrypted, role-based access controls.
SPECIALITY BILLING
Specialty-specific expertise
across 30+ practices.
Every specialty has its own codes, modifiers and payer rules. Our teams are trained on the
nuances that matter for your practice.
Cardiology
Dermatology
Orthopedics
Radiology
Mental Health
Pediatrics
Internal Medicine
Gastroenterology
Ophthalmology
Pain Management
Family Practice
Urgent Care
PROOF IN NUMBERS
Metrics that move revenue — not just marketing.
Every engagement includes a monthly performance review with transparent KPIs. No black‑box reporting, ever.
$412M+
Revenue Recovered
for our clients since 2016
$412M+
Revenue Recovered
for our clients since 2016
$412M+
Revenue Recovered
for our clients since 2016
$412M+
Revenue Recovered
for our clients since 2016
BNEFITS
More than billing.
Measurable business outcomes.
Increase practice revenue
Recover under-billed procedures, reduce denials and improve payer contracting outcomes.
Improve cash flow
Cut average days-in-AR by 30-50% with aggressive daily submission and follow-up.
Stay 100% compliant
HIPAA-secure workflows, audit trails, and ongoing coder training on payer policy changes.
Focus on patient care
Offload billing so providers spend more time with patients — not with claim rejections.
WHAT CLIENTS SAY
Practices that finally stopped worrying about billing.
“Within the first 90 days, our denial rate dropped from 14% to under 3%. Our AR is finally under control and I actually sleep on Sundays now.”
Dr. Anita Reyes
Owner, Reyes Family Practice
Austin, TX
“The difference between MedClaim and our previous vendor is night and day. We have a real person to call, and every claim is accounted for.”
Marcus Whitfield
Practice Manager, Whitfield Cardiology
Charlotte, NC
“They caught coding errors our in‑house team had been making for years. The Medicare recovery alone paid for the engagement three times over.”
Dr. Priya Menon
Medical Director, Orion Behavioral Health
Seattle, WA
FREQUENTRY ASKED
Straight answers.
No sales fluff.
How long does it take to onboard a new practice?
Most practices are fully onboarded in 10–15 business days. We handle EHR integration, payer setup, credentialing verification, and staff training in parallel to keep your revenue flowing without disruption.
Do you work with all specialties?
Yes. We have specialty‑trained coders for primary care, cardiology, orthopedics, behavioral health, OB/GYN, dermatology, physical therapy, and more. Every account is matched with coders certified in your specialty.
How is your pricing structured?
We use a transparent percentage‑of‑collections model — you pay only on money we actually collect for you. No setup fees, no long‑term contracts, no hidden charges. Custom flat‑rate pricing is available for higher‑volume groups.
Are you HIPAA compliant?
Fully. We operate on HIPAA‑compliant, SOC 2 Type II audited infrastructure. All PHI is encrypted in transit and at rest, access is role‑based, and every action is logged for audit.
Do you handle Medicare and Medicaid specifically?
Absolutely. Medicare and Medicaid claims — including MIPS/MACRA reporting, LCD/NCD compliance, and appeals — are core to our practice. Our team stays current on CMS rule changes so your practice never falls behind.
Can I keep my existing EHR or practice management software?
Yes. We integrate with all major EHR and PM systems including Epic, Cerner, athenaOne, eClinicalWorks, Kareo, DrChrono, and Practice Fusion. No system change required.
GET STARTED
Ready to recover the revenue your practice is leaving on the table?
Book a free 30-minute revenue audit. We'll analyze your last 90 days of claims and show you exactly where the money is hiding.
CONTACT US
Let's talk about your practice revenue.
Book a free consultation with our RCM specialists. We'll review your current billing setup and show you concrete steps to lift collections within 90 days.