Medical Billing Companies & Consultants in Frisco, TX

BillingFreedom is a medical billing and revenue cycle management firm based in Frisco, Texas, serving physician practices, provider groups and other healthcare organizations across the United States. It pairs certified billers and coders with automation tools, so it suits practices that want to hand off most of their back-office reimbursement work while keeping clear visibility into their finances. The company says more than 100 practices use its services.

Core billing and revenue cycle services

The firm handles the claim lifecycle from start to finish. Before a visit, its staff check patient eligibility, confirm benefits and secure prior authorizations. Afterward, coders review provider progress notes and recommend ICD-10 and CPT codes. Claims are scrubbed and checked before they go out, and the company reports a first-pass submission rate of about 98 percent. Its offerings include:

• Medical billing, charge entry and claim submission
• End-to-end revenue cycle management
• Payment posting, both manual and automated
• Denied claim management and appeals
• Accounts receivable follow-up and recovery of aged balances
• Eligibility and benefits verification, including primary and secondary coverage
• Provider credentialing and payer enrollment
• Virtual medical assistants, including staff trained for OB/GYN offices
• Analytics, monthly reporting and practice growth marketing

For accounts receivable, BillingFreedom works as an outside extension of a practice's own office. Its team sorts outstanding balances into aging buckets that run from 0-30 days to more than 120 days, then follows up with payers on denied, unpaid and underpaid claims. The firm reports that clients see roughly a one-third drop in AR days. Its credentialing work covers Type I and Type II NPI registration, Medicare and Medicaid enrollment, CAQH setup and upkeep, revalidation and state licensing.

Technology and proprietary tools

Automation is a central part of the company's pitch. It builds robotic process automation bots, branded as a Microbot assistant, that plug into a practice's existing EMR to take over repetitive work such as data entry, follow-ups, payment processing and denial tracking. It also offers an AR Analyzer platform for hard-to-collect balances and a DenialFix AI tool for denied claims.

Its billers are trained on specific EMR systems, and it describes its processes as HIPAA compliant, with business associate agreements available.

Specialties and background

BillingFreedom builds its workflows around particular specialties, with an especially strong focus on OB/GYN. For that specialty it offers a free billing audit and dedicated virtual assistants. Other specialties it serves include psychiatry, behavioral health, primary care, pediatrics, pain management, gastroenterology, rheumatology, wound care, dermatology and orthopedics.

Prospective clients can ask for a free 13-KPI audit, which reviews 90 days of billing data and returns findings within five business days. The company cites ten years in business, a 98 percent claim success rate and more than $100 million in processed claims. It also publishes billing guides, case studies and infographics for practices.

Overview

Blitz Medical Billing, LLC, often shortened to BMB, is a revenue cycle firm headquartered in Frisco, Texas. It handles billing, credentialing and reimbursement work for physician groups and other healthcare providers. Its office is in North Texas, but the company reports having enrolled and billed for providers in over 20 states, so practices outside Texas can also consider it. The firm says it emphasizes accuracy, openness about the numbers and individualized attention rather than a one-size-fits-all approach.

Background and specialties

The firm got its start as the dedicated specialty biller for a rapidly expanding group of freestanding emergency rooms and urgent care clinics in Texas. It was created to help emergency physicians turn around shrinking collections and cope with payer obstacles. Emergency medicine is still the core of its client base. Over time it has added other specialties, which makes it a candidate for multi-specialty groups as well as ER operators. The specialties it lists include:

• Emergency medicine, including freestanding ERs
• Urgent care
• Anesthesia
• Chiropractic
• Orthopedics
• Physical therapy
• Surgery

Services

BMB organizes its offering around five service lines that clients can use together or separately:

• Revenue cycle management: full handling of claims from submission through payer follow-up and collections. Emergency department claims are coded within three business days and resubmitted when needed.
• Revenue analysis and AR projects: reviews of payer mix, payment trends and market benchmarks to find recoverable money, plus Texas Department of Insurance (TDI) and No Surprises Act submissions. Clients who engage the firm only for AR projects can do so on a flat-fee basis.
• Payor enrollment: credentialing new providers before launch and keeping enrollments, updates and renewals current.
• Managed care contracting: reviewing and negotiating payer agreements and checking paid claims against contracted rates.
• Automated MIPS reporting: capturing quality data from submitted charts so providers avoid manual entry and can pursue favorable payment adjustments.

How the firm works with clients

Transparency is a recurring theme in how BMB describes its work. Clients receive reconciliation reports every day showing what was submitted, what was paid and when payment arrived. Online dashboards break down financial results by site, by clinician or by insurer.

The company stresses that practice data remains the client's property and can be exported to whatever system the practice prefers. Staff also meet with clients to explain the figures, respond to questions and adjust the approach to each practice. According to the company, inquiries submitted through its website are answered within one business day.

No Surprises Act experience

For out-of-network providers, a notable differentiator is the firm's work under the federal No Surprises Act. When the law began applying in January 2022, BMB put procedures in place to flag eligible claims and send them for NSA review. The company says many billers were not ready for this step. It now collaborates with several independent dispute resolution (IDR) specialists who pursue qualifying claims through arbitration. That may appeal to emergency groups that frequently treat patients outside their contracted networks.

Healthcare Simplified, LLC, which operates under the Revenue Simplified brand, is a consulting firm devoted to chargemaster (Charge Description Master, or CDM) management for hospitals. Instead of processing claims for physician practices, the firm works on the pricing and code data that sits underneath hospital billing, helping facilities make sure what they charge lines up with current coding rules and Medicare payment levels. Its work has centered on smaller hospitals since 2014.

Who They Serve

The company's main clients are rural hospitals, community hospitals and Critical Access Hospitals, along with other small facilities that often lack staff dedicated to maintaining the CDM. It works with hospital executives, business office personnel, revenue cycle and coding teams, department heads and IT staff. The site says its client hospitals are spread across Texas, Oklahoma, Arkansas, Colorado and other states.

Services Offered

• Full chargemaster reviews that measure current charges against Medicare allowables and a pricing benchmark chosen by the hospital
• Pricing and reimbursement analysis that flags charges priced under Medicare or under the benchmark, plus inconsistent pricing
• CPT and HCPCS coding review, including deleted codes and the codes that replace them
• Checks of revenue-code mapping, duplicate line items, and pricing differences between clinic and hospital charges
• Yearly Medicare updates and continuing CDM maintenance
• Help implementing changes the hospital has approved
• Preparing chargemaster data for price-transparency tools and outside vendors

How Engagements Work

To start, a hospital typically sends an Excel export of its chargemaster and roughly a year of usage data. The firm then reviews charges, codes, revenue codes and reimbursement figures, sorting what it finds into groups such as items below Medicare, items below benchmark, retired codes, and lines with no usage.

Recommendations are ranked so that high-volume, high-impact lines are dealt with first and smaller items are scheduled for later stages. The hospital decides which changes to accept. Revenue Simplified can then help organize those updates and, where system access permits, carry them out.

Pricing methods are agreed with each facility rather than applied uniformly, and a multiple of Medicare is one common reference point. New clients can request a limited sample review at no charge to see real examples before they commit. Clients also get access to an online login portal.

What Sets Them Apart

Buyers comparing billing and revenue cycle vendors will find that Revenue Simplified focuses narrowly on chargemaster integrity rather than full-service claims management. It stresses direct access: clients deal with the person actually analyzing their files, not a chain of account managers.

The firm aims to keep demands on hospital staff low and to explain why each finding matters, so teams are not handed a large spreadsheet they cannot act on.

Continuing maintenance and year-round availability for questions are presented as central to the relationship, which may appeal to lean rural hospital teams that need ongoing CDM support without hiring a large consultancy.

Protouch Medical Billing is a revenue cycle management firm based in Frisco, Texas. It handles the financial and administrative side of care delivery for healthcare organizations. Its work covers the whole path from patient to payment. Before a visit, it handles scheduling and insurance checks. After the visit, it handles coding, claim filing, payment reconciliation and follow-up on unpaid balances.

The company presents itself as a single outsourcing partner, so practices don't have to manage separate vendors for different parts of billing.

Services

Its services cover the front, middle and back end of the billing cycle:

• Provider credentialing and payer contracting
• Prior authorizations and checks of insurance eligibility and benefits
• Patient scheduling and registration
• Clinical documentation improvement (CDI)
• Medical coding with ICD-10 and CPT code sets
• Charge entry and claim filing
• Payment posting from ERAs, EOBs and patient payments
• Denial management and appeals
• Follow-up on accounts receivable
• Patient statements and collections, analytics, and compliance support, including internal audits

For receivables, Protouch sorts unpaid claims by age and by insurer. It chases unpaid and underpaid items with payers and patients, starting with older balances. Clients get regular reports on collection rates, aging buckets and days in AR. Payments are posted by hand or with automated tools.

When the posting team finds a denial, it records the denial, corrects the claim and sends it again. Denial work includes root cause analysis so that recurring problems can be fixed earlier in the process. The firm also offers automation to remove repetitive manual steps from the cycle.

Industries and Specialties

Protouch works with many types of care settings:

• Independent clinics and physician groups
• Hospitals and federally qualified health centers
• Diagnostic and imaging centers
• Laboratories, including CGX and PGX testing labs
• Ambulatory surgery centers and emergency medicine
• Mental health clinics, rehabilitation centers and physical therapy practices
• Skilled nursing, long-term care, hospice and home health providers
• Dental clinics

It says it has experience in specialties such as cardiology and dermatology. For imaging centers, it codes MRI, CT, X-ray and ultrasound studies and arranges pre-authorizations before scans. It says it submits those claims within a single business day.

Engagement Models and Background

Clients can choose from three pricing models: a percentage of collections, a full-time-equivalent staffing arrangement, or a flat rate. This gives small practices and larger facilities different ways to budget for outsourced billing. The company reports more than five years of experience in healthcare. It describes its operations as HIPAA compliant and says certified coders assign codes.

It also publishes figures on the revenue, patient interactions and covered lives it manages each year. Its office is on Legacy Drive in Frisco.

For buyers comparing billing vendors, Protouch's main differences are how many facility types it covers, how many revenue cycle functions it offers, and its focus on regular reporting so clients can follow collections and denial trends.