End-to-End Medical Billing Company Built to Deliver Results
AlphaCare Revenue Solutions helps 500+ healthcare providers improve collections, reduce denials, and take control of the full revenue cycle with AI-driven billing intelligence and dedicated RCM support.
PRO Medical Billing Solutions Medical Billing Revenue Loss Calculator
See where revenue is leaking in your practice, either it's claim refusals, underpayments, slow adjudication cycles, and missed reimbursement adjustments.
Hear from 500+ Healthcare Practices
Our team works across leading EHR, EMR, clearinghouse, and revenue cycle platforms used by modern healthcare practices.
Make your practice more clinical with medical billing company
When your clinical staff is bogged down by prior authorizations, claim scrubbing, and phone calls to insurance payers, patient care suffers. AlphaCare provides an elite team of AAPC-certified coders and billing managers who operate as an extension of your practice.
- Comprehensive claim scrubbing that slashes denials to under 2%
- Fast 24-hour claim submission cycle for accelerated cash flow
- Relentless follow-up on unpaid claims aging past 60, 90, and 120 days
- Transparent 2.49% performance rate with zero upfront setup fees
Revenue Cycle Process
From patient intake to final payment reconciliation, explore how our structured workflow delivers 98%+ clean claims.
24-48 hours prior to service, verifying co-pays, deductibles, and pre-existing condition exclusions with automated clearinghouse lookups.
Securing required pre-authorizations for procedures and diagnostic testing to prevent front-end denials.
Ensuring complete and accurate provider, facility, and patient demographics in your EHR system.
Dual-level certified AAPC coders review CPT, ICD-10, and HCPCS modifiers against CCI edits and payer medical necessity policies.
Direct electronic clearinghouse EDI 837 batching to commercial, Medicare, and Medicaid payers.
Real-time correction of EDI 277 rejections before claims reach the payer adjudication engine.
Electronic Remittance Advice matching and reconciliation with line-item contractual adjustments.
Immediate CARC/RARC root-cause analysis, medical record packaging, and resubmission of rejected claims.
Dedicated telephone follow-up with payer adjudicators to release trapped clinical revenue.
Full Revenue Cycle Management Solutions
Select any service below to explore our certified workflows, standard operating procedures, and guaranteed outcomes.
Medical Billing
Dual-level claim scrubbing and electronic transmission within 24 hours. We verify patient demographic data, link ICD-10 to CPT with appropriate medical necessity modifiers, and eliminate billing errors before submission.
- Multi-tier claim scrubbing preventing CCI edit rejections
- Electronic claims submission with 98%+ first-pass rate
- Fee schedule analysis to capture underpayments
Why Practices Choose AlphaCare Over In-House Billing
In-House Administrative Overhead vs. The AlphaCare Precision Standard. Compare the high overhead and clinical distraction of in-house staff against an elite, performance-based revenue engine.
Designed for Maximum Reimbursement & Zero Claim Denials
We manage your entire revenue workflow from front-desk insurance verification to final payer remittance.
Medical Billing & Coding
Dual-level code scrubbing by AAPC-certified coders. Precise ICD-10, CPT, and HCPCS modifier allocation that cuts denials at the root.
- ✓ Comprehensive claim scrubbing
- ✓ Daily electronic submission
- ✓ Underpayment recovery audits
Revenue Cycle Management (RCM)
End-to-end management spanning patient encounter, charge capture, clearinghouse transmission, and ERA payment reconciliation.
- ✓ Fast 24-hr claim turnaround
- ✓ Electronic Remittance Advice (ERA)
- ✓ Real-time financial analytics
Denial Management & Appeals
Aggressive appeal strategy with under 48-hour turnaround on rejected claims. We analyze CARC/RARC codes to eliminate recurring denials.
- ✓ 48-hour denial appeals
- ✓ CARC & RARC root-cause fixes
- ✓ Free appeals on all denied claims
Accounts Receivable (A/R) Recovery
Targeted aging recovery on claims lingering past 60, 90, and 120+ days to accelerate clinical cash flow.
- ✓ Aged claim liquidation
- ✓ Payer phone follow-ups
- ✓ Zero expired filing deadlines
Provider Credentialing & Enrollment
Fast CAQH profile maintenance, commercial payer paneling, and Medicare revalidation so you can bill immediately.
- ✓ Payer paneling across 50 states
- ✓ CAQH re-attestation tracking
- ✓ Hospital privileging support
Prior Authorization & Eligibility
Real-time insurance verification and pre-service authorization to eliminate front-end denials.
- ✓ 24-48 hr benefit verification
- ✓ Pre-auth clinical documentation
- ✓ Zero front-end eligibility denials
Pay Only When You Get Paid — Starting as Low as 2.49%
Our success is tied directly to yours. If you don't get paid, we don't get paid. No upfront setup fees, no software licensing costs, and no lock-in contracts.
Essential Claims
Solo & Emerging Practices
Front-end scrubbing, daily electronic EDI submission, and automated ERA payment reconciliation with zero overhead.
- ✓ Multi-tier electronic claim scrubbing
- ✓ 24-hour clearinghouse EDI 837 batching
- ✓ Automated ERA payment posting & balancing
- ✓ Real-time monthly collection reports
- ✓ Standard email & phone support
Comprehensive RCM
Growing Practices & Clinics
Complete end-to-end revenue cycle management with aggressive 48-hour denial appeals and aged A/R recovery.
- ✓ Everything in Essential Claims
- ✓ Full 48-hour denial investigation & appeals
- ✓ Full A/R aging recovery (>60, >90, >120 days)
- ✓ Dedicated assigned pod of AAPC-certified coders
- ✓ Two-way EHR sync (Epic, Cerner, Athena, etc.)
- ✓ Monthly executive revenue strategy review
Enterprise & Multi-Specialty
Health Systems & Surgical Centers
Enterprise-scale revenue infrastructure with dedicated account directors, prior auth, and custom API integrations.
- ✓ Everything in Comprehensive RCM
- ✓ Full-service provider credentialing & CAQH
- ✓ Pre-service prior authorization management
- ✓ Custom HL7/FHIR API workflow engineering
- ✓ Direct Austin, TX account director access
- ✓ Multi-facility consolidated reporting
Interactive Practice Revenue Acceleration Calculator
Calculate Your Practice's Recoverable Revenue. See how much lost revenue AlphaCare can restore to your clinical bottom line.
Seamless Zero-Disruption Integration with 50+ Leading EHR Systems
Direct HL7 & FHIR API bridges with Epic, Cerner, Athenahealth, Kareo, and 50+ others. No software changes or clinical disruption. Works with 50+ EHR Platforms.
Client Testimonials & Physician Reviews
Real experiences from practices that transformed their revenue cycle with AlphaCare.
"AlphaCare reduced our average A/R days from 48 down to 19 days within four months. Our monthly collections jumped by over 24%. Working with Mairaj Sultan's team has been an absolute game-changer."
"Their 2.49% performance model gave us zero risk to switch. Within 60 days they recovered over $120,000 in aged claims that our prior billing company had completely written off as uncollectible."
"The two-way integration with our AthenaHealth EHR was seamless. We didn't have to change our clinical workflow at all. AlphaCare handles everything silently and accurately."
Measurable Results for Growing Practices
Our certified billing methodology delivers industry-leading collection rates and eliminates administrative drag.
Request Your Free Practice Revenue Audit
Discover trapped A/R, un-appealed denials, and payer underpayments. 100% confidential and protected under mutual healthcare NDA. Guaranteed 4-Hour Response SLA.
Frequently Asked Questions
Everything healthcare providers and practice managers need to know about partnering with AlphaCare.