• HIPAA-Compliant Medical Billing Services Across the USA

Medical Billing Services Built For Faster Reimbursements

Specialty-focused medical billing solutions designed to reduce denials, improve collections, and streamline your revenue cycle.

✓ HIPAA-Compliant Processes
✓ 98% Clean Claim Rate
✓ Faster Reimbursements

Billing Platforms We Work With

ModMed
chirotouch
Epic
Connect360
eClinicalWorks
Z•zocdoc
practicesuite
AdvancedMD
inovalon
dr.chrono
AllScripts
carecloud
SunshineBilling
officeally
Availity
simplepractice
Tebra
TriZetto
Access Home Care
How It Works

Our HIPAA-Compliant Onboarding Pipeline

We streamline transition workflows to connect your practice management system with our billing engine in four simple steps.

1

Practice Intake

Securely link your EHR/PMS platform and share contract templates.

2

Real-Time Audit

We scrub historical claims to identify coding leaks and denial patterns.

3

Daily RCM Operations

Our billing experts manage daily coding, submissions, and posting.

4

Denial Management

Certified auditors resolve rejections within 48 hours to secure collections.

Our Impact on Practice Revenue

Clean Claim Rate
0 %
Reduction in Claim Denials
0 %
Revenue Recovered Annually
$ 0 M+
Yearly Claims Value Processed
$ 0 M+
RCM Services

End-to-End Medical Billing Solutions

We handle every step of the revenue cycle, ensuring total accuracy and rapid payments from all health carriers.

Demographics & Verification

Accurate capture of patient billing details and demographics during intake to eliminate basic registration rejections.

Eligibility Verification

Real-time benefits checks, deductibles, co-pays, and out-of-pocket maximum tracking before patient visits.

Pre-Authorization

Securing carrier approvals for specialized therapies, scans, and procedural treatments ahead of appointments.

Medical Coding

Certified coding reviews (ICD-10, CPT, HCPCS) to ensure modifier alignment and CCI compliance.

Charge Entry

Posting accurate diagnostic and procedural codes to the claims engine within 24 hours of care delivery.

Claim Submission

Clearinghouse scrubbing and daily electronic claim transmissions to commercial, state, and federal payers.

Payment Posting

Reconciling and posting Electronic Remittance Advices (ERAs) and manual check receipts directly into EHR systems.

AR Management & Follow Up

Systematic tracking and follow-up on claims aging past 30 days to accelerate outstanding cash flow.

Denial Management

Thorough investigation, correction, and prompt appeals filing for every rejected or underpaid code.

Patient Collections

Issuing clear, transparent patient billing statements and managing customer payment inquiries professionally.

Credentialing & Enrollment

Enrolling providers in carrier networks, updating NPI profiles, and managing CAQH registry updates systematically.

Specialties

Specialty-Focused Billing Solutions

We align coding workflows to match the exact rules and billing guidelines of your medical specialty.

CMT Auditing

Chiropractic

CMT codes (98940-98942) and modifier 59 audits to support active treatment examination collections.

Timed Units

Physical Therapy

Timed unit compliance, GP modifier rules, therapy limits, and timed treatment validations.

Prior Auth

Pain Management

Prior approvals for fluoroscopic C-Arm injections, spinal blocks, and diagnostic validation checkups.

Joint Billing

Orthopedic

Fracture care billing, surgical coding modifiers (50, 51, 59), and global surgery window tracking.

Well-Child

Pediatric

Well-child exam codes, developmental screening modifier rules, and immunization administration billing.

Care Plans

Home Care

Home care service code matching, caregiver visit tracking, and non-medical support authorizations.

Debridement

Wound Care

Active debridement surface area calculation, skin substitute billing, and compression therapy billing.

Holistic Billing

Integrative Medicine

Custom multi-specialty coding hierarchies for clinics blending holistic care and mainstream therapies.

E/M Levels

Family Practice

Routine physicals, chronic disease billing documentation, and complex E/M code levels validations.

Timed Sessions

Behavioral Health

Psychotherapy session timed unit guidelines, family counseling approvals, and mental health checks.

DMEPOS Codes

Durable Medical Equipment

HCPCS Level II modifiers, CMN form validations, rental-to-purchase billing, and Medicare compliance.

Vision Codes

Optometry

Refraction screening exclusions, medical eye exams vs. vision plan billing, and diagnostic procedure codes.

PC/TC Modifiers

Radiology

Technical and professional component modifiers (26/TC), contrast material billing, and MIPS coding rules.

Time Units

Anesthesiology

Base unit calculations, physical status modifiers (P1-P6), concurrency rules, and line placement codes.

Origin/Dest

Ambulance Transportation

Point-of-origin modifiers, mileage tracking compliance, necessity letter audits, and emergency transport codes.

OASIS Billing

Home Healthcare

OASIS documentation validation, episode-based RAP claims, and HHRG billing calculations.

NPI Modifier

Nurse Practitioner

Independent billing configurations, credentialing compliance, and non-physician provider modifiers.

Payer Credentialing

Secure Your Payer Enrollment & Maximize Provider Revenue

Out-of-network claims, delayed applications, and expired provider enrollments directly result in claim rejections and severe revenue leakage. Our specialized payer credentialing and enrollment services ensure your practice remains continuously in-network, compliant, and positioned for immediate reimbursement.

Credentialing delays account for over 18% of all startup cash-flow interruptions.

Eliminate Out-of-Network Leakage

Keep claims eligible for full in-network payouts and prevent patients from leaving due to out-of-network costs.

Accelerate Turnaround Cycles

Our proactive tracking cuts typical enrollment timelines down from 180 days to 60-90 days, enabling faster billing.

Ensure Registry Alignment

Continuous CAQH profile updates and NPI/PECOS alignments completely prevent credentialing-related rejections.

Insurance Networks We Work With

Blue Cross Blue Shield
aetna
Cigna
UnitedHealthcare
Humana
MEDICARE
Medicaid
TRICARE
Kaiser Permanente
WellCare
Molina Healthcare
Centene
Amerigroup
EmblemHealth
PriorityHealth
Beacon
MultiPlan
Optum
Malakos AI Platform

Automated RCM Intelligence For Your Practice

Our proprietary AI platform works alongside our billing experts, automating manual checks, generating instant appeals, and predicting rejections to keep your revenue flowing.

AI Denial Appeal Generator

Generate custom, high-probability appeal letters matching specific insurance carrier rules in 30 seconds.

Try Generator

Automated Eligibility Agent

Verify patient coverage, deductibles, and co-pays automatically before check-in to avoid registration denials.

Explore Coverage Agent

Revenue Recovery Calculator

Estimate missed billing revenues and calculate the financial return of upgrading to an AI-enhanced RCM model.

Run Calculator

Claim Status Automation

Smart bots query insurance portal claims daily to capture real-time adjudication statuses without phone delays.

See Status Workflow
Enterprise Suite

Discover the Malakos AI Business Platform

Explore our separate corporate AI intelligence site at www.malakos-ai.com to learn about our enterprise healthcare automation systems, custom LLMs trained on payer policies, and workflow optimization solutions. Existing clients can access their dashboard directly at the Client Portal Login.

Cost Optimization

Compare In-House Labor vs. Outsourced RCM

Adjust the slider to estimate how much your clinic will save by outsourcing billing functions to Malakos.

Your Monthly Practice Collections $250,000
Calculation Factors

Internal Staff Overhead: Assumes 1 full-time billing employee per $125K in monthly collections, budgeted at $3,500/mo (salary, benefits, workplace license keys).

Malakos Outsourced Fee: Ranges from 4.5% to 2.5% of actual monthly collections depending on the size and volume of the medical practice.

Staff Count Required In-house 2 Employees
Typical In-House Billing Cost $7,000/mo
Malakos Outsourced RCM Fee $8,750/mo (at 3.5%)
Estimated Monthly Savings $0/mo
Estimated Annual Return $0/yr
Client Reviews

What U.S. Healthcare Providers Say

Read about how we streamline coding, collections, and AR processing for medical clinics across the country.

"Malakos Healthcare Solutions helped improve our reimbursement turnaround and significantly reduced billing inefficiencies. Their AR follow-up process has been extremely valuable for our practice."

PS

Paula L. Scott

Recreational Therapist

"The team is responsive, detail-oriented, and highly professional. We noticed better billing accuracy and improved collections within the first few months."

DR

Dorinda S Rogers

Home Care

"Excellent communication and reliable revenue cycle support. Their billing workflow helped us maintain a more stable cash flow and improve operational efficiency."

KC

KC Murphy

Kinesiotherapist

"Their credentialing support helped streamline payer enrollment and reduce onboarding delays significantly. The process was organized and stress-free."

JM

Jessica Moore

Family Practice

"Malakos Healthcare Solutions provided consistent follow-up on aged claims and improved our collections process substantially over time."

RB

Robert Bennett

Physical Therapy Clinic

"Professional billing support, transparent communication, and dependable reporting. Their team became an important extension of our operations."

AL

Amanda Lewis

Behavioral Health

CONTACT US

Ready for a Free Billing Assessment?

Let our U.S. based revenue cycle analysts evaluate your practice's historical billing data to identify compliance gaps, coding leakages, and underpaid claims.

Corporate Office

Malakos Healthcare Solutions, Wyoming, USA

Sales & Inquiries

support@malakoshcs.com

Talk to an Expert

+1 (307) 441-3431

Audit Request Submitted!

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