Frequently Asked Questions about Revenue Cycle Management

Our pricing is simple, transparent, and fully customizable based on your clinic size and service requirements — making it one of the most competitive rates in the industry.

• ✅ No setup fees — zero cost to get started
• ✅ No hidden charges — what you see is what you pay
• ✅ Patient billing and statement services included
• ✅ Pricing tailored to your clinic size and specific services

💡 You pay nothing if we don't collect. We're 100% performance-based — your success is our success.

Terms & conditions apply. Contact us for a custom quote tailored to your practice.

No long-term contracts required. We believe our results should speak for themselves. You're free to cancel with standard notice if we ever fail to meet expectations — though we're proud to say our retention rate is extremely high.

• Month-to-month arrangement after initial onboarding
• You retain full ownership of all your data at all times
• Smooth transition support if you ever decide to move

Our free audit analyzes your last 90 days of claims data at no cost or commitment. We deliver a written report including:

• Denial pattern analysis — top 5 denial reasons + actionable fixes
• Underpayment identification — payer-specific reimbursement gaps
• Revenue recovery estimate — exact dollar amount you're leaving on the table
• A/R aging review — claims sitting 90+ days that can be recovered

 📞 Book your free audit: Call (630) 806-9199 or use our online booking link. Takes 15 minutes to schedule, zero obligation. 

We provide end-to-end revenue cycle management — every step from patient registration to final payment:

• 📋 Provider credentialing & payer enrollment
• ✅ Insurance eligibility verification
• 🔐 Prior authorization management
• 💊 Medical coding (CPT, ICD-10, HCPCS)
• 📤 Claims submission & tracking
• 🔁 Denial management & appeals
• 💳 Payment posting (ERA/EFT)
• 📊 A/R follow-up & recovery
• 🤝 Virtual assistance & patient billing

We specialize in billing for 15+ medical specialties, with deep expertise in:

• 🧠 Behavioral Health & Mental Health — including therapy, psychiatry, and telehealth billing
• 💉 Pain Management — including interventional procedures and complex CPT coding
• 🩺 General Practice / Internal Medicine
• 🦴 Physical Therapy & Rehabilitation
• 👶 Pediatrics, Cardiology, Neurology, and more

Each specialty requires different coding expertise, payer rules, and authorization protocols — and our team is trained in all of them. 

Denials are handled by our dedicated denial management team — you don't need to do anything. Our process:

• Same-day denial identification via ERA monitoring
• Root cause analysis — we categorize every denial by reason code
• Corrected resubmission within 24–48 hours for most denial types
• Appeal filing for unjust denials with supporting documentation

We manage patient-facing billing with a patient-first approach that protects your relationships:

• Customizable patient statements (your practice branding)
• Multi-channel support: phone, email, and patient portal
• Clear, jargon-free billing communications
• Soft collections approach — we never use aggressive tactics
• Payment plan setup for patients who need it

Most practices are fully onboarded in 24–48 hours with zero downtime. Here's exactly what happens:

• Day 1: We assign your dedicated account manager and collect practice details
• Day 1–2: EHR/PM system integration and access setup
• Day 2: Transition of any pending claims and A/R review
• Week 1: First claims submitted under CMBS management

Your practice keeps billing without interruption throughout the entire transition. 

Most clients see measurable improvement within 30–60 days. Based on our track record:

Week 1-Denials identified & flagged
30 Days-Claim rate improvement visible
90 Days-Full A/R transformation

One of our Pain Clinic partners saw A/R drop from $3.18M to $49.9K (98.4% reduction) within the first engagement period. See our Case Studies for real results. 

Absolutely not. You gain more visibility, not less. You'll have:

• Real-time dashboards — track every claim, payment, and denial at any time
• Dedicated account manager — one person who knows your practice inside out
• Monthly performance reports — full transparency on collections, denials, and ROI
• Instant access to your data — you own everything, always

Most providers tell us they have more clarity into their revenue after partnering with us than they ever did managing billing in-house. 

HIPAA compliance is built into everything we do — it's not an afterthought:

• HIPAA-certified team — all staff complete mandatory HIPAA training
• Signed BAA (Business Associate Agreement) with every client
• Encrypted data transmission — all PHI is protected end-to-end
• Regular internal audits — quarterly compliance reviews
• CMS/payer update training — staff trained on every regulatory change

We have a dedicated HIPAA Compliance page with full details on our security practices and certifications. 

Patient data security is our top priority. Access to Protected Health Information (PHI) is:

• Role-based — only staff directly working on your account can access your data
• Logged and audited — every access event is recorded
• Never sold or shared — your data is used solely to process your claims
• Stored on HIPAA-compliant, encrypted cloud infrastructure

Yes, absolutely. You are never locked in. If you decide to bring billing back in-house:

• You receive a complete export of all your data in your preferred format
• We provide a transition summary of all open claims and pending A/R
• We can assist with training your in-house staff during the transition
• No exit fees, no penalties

We're confident in our results, so we never need to lock clients in contractually. 

Yes — we integrate with all major EHR and PM systems including:

• Epic, Cerner, Athenahealth, NextGen
• AdvancedMD, Kareo, DrChrono, eClinicalWorks
• Office Ally, Therapy Notes (for behavioral health)
• Any system with standard HL7/FHIR data export

If you're using a less common system, we'll assess compatibility during your free audit and recommend the most cost-effective path forward. 

Yes. Every client receives access to a real-time reporting dashboard showing:

• Claim submission status and tracking
• Payment receipts and ERA summaries
• Denial rates by payer, provider, and code
• A/R aging buckets (30/60/90+ days)
• Monthly collection rate vs. benchmark

Plus a monthly performance report delivered directly to you with key takeaways and action items. 

Payments come directly to your practice — we never hold your money. We support:

• ERA/EFT (Electronic Funds Transfer) — fastest, recommended option
• Check payments — posted same day received
• All ERA files are reconciled against your fee schedule to catch underpayments

Our payment posting team works same-day on all ERA receipts so your books are always up to date 

 There are hundreds of billing companies out there — here's what sets CMBS apart: 

• ✅ Performance-based fee — you only pay when we collect
• ✅ Free 7-day demo — test us risk-free before committing
• ✅ Specialty expertise — deep knowledge of mental health, pain, and GP billing
• ✅ Dedicated account manager — one person who knows your practice inside and out

💡 We don't just process claims — we maximize your revenue while you focus on patient care.

The 5% fee is just one part of the savings. Here's the full picture:

• Eliminate in-house billing staff costs — salary, benefits, training, turnover
• Recover underpayments — we typically find 12–15% revenue leakage in audits
• Reduce denial write-offs — our 3.8% denial rate vs. 10–15% industry average
• Save 200+ admin hours/month — your staff focuses on patient care
• Faster cash flow — 24hr submission means payments arrive weeks sooner

📊 Want to see your exact savings? Our free billing audit calculates the specific dollar amount your practice is currently losing — at no cost to you.