California medical billing that gets you paid faster
California based medical billing and revenue cycle management for healthcare providers across the United States. From eligibility checks and charge capture to claim submission, payment posting, denial follow up, A/R recovery, coding, and payer enrollment — while your practice keeps its existing systems.
No long-term contract · Flexible service options · Nationwide provider support
Full revenue cycle
Claim creation through final payment
Keep your EHR
No system migration required
Your revenue cycle should not depend on how much time your staff has
Billing problems rarely begin with one unpaid claim.
A missing authorization can delay payment. An eligibility issue can create a patient balance. A coding mismatch can trigger a denial. An underpaid claim can remain buried inside a completed payment. Aging A/R can continue growing while staff spend their day handling new work.
California Billing brings these activities into one managed revenue cycle — identifying where claims are delayed, denied, underpaid, or unresolved, then working those issues through the appropriate payer and billing processes.
Medical billing built for different specialties
Procedure volume, coding rules, payer contracts, documentation, authorization requirements, and reimbursement patterns all affect how claims should be handled.
Cardiology
Cardiology billing requires careful handling of E/M services, diagnostic testing, procedures, modifiers, medical necessity, and payer specific requirements.
Learn moreOrthopedics
We support orthopedic practices with procedure coding, surgical claims, injections, imaging, therapy related billing, authorization follow up, and denial resolution.
Learn moreBehavioral Health
Behavioral health billing often involves detailed documentation requirements, authorization rules, recurring services, and payer specific billing policies.
Learn moreFamily Medicine
From routine office visits to preventive services and chronic care management, we help primary care practices manage coding, claims, payments, and outstanding balances.
Learn moreDermatology
We support dermatology billing for office visits, biopsies, excisions, pathology related services, procedures, and diagnosis specific claims.
Learn morePhysical Therapy
Physical therapy billing requires attention to units, timed services, modifiers, authorization limits, and payer requirements. Our team reviews these details throughout the billing cycle.
Learn moreOB/GYN
We support professional billing for obstetric and gynecologic services, including prenatal care, deliveries, procedures, preventive services, and related follow up.
Learn moreUrgent Care
Urgent care practices deal with high encounter volume and varied diagnoses. Our billing process is designed to keep claims moving while identifying recurring denial patterns.
Learn moreInternal Medicine
We handle the billing requirements associated with evaluation and management services, preventive care, chronic conditions, and common internal medicine procedures.
Learn morePediatrics
Pediatric billing can involve preventive visits, immunizations, developmental services, sick visits, and multiple payer requirements.
Learn moreGastroenterology
We support GI practices with office visits, diagnostic procedures, endoscopy related billing, pathology coordination, authorization follow up, and denial management.
Learn moreRadiology
Radiology billing requires attention to procedure details, professional services, diagnosis coding, modifiers, and payer specific requirements.
Learn more
California based. Nationwide coverage.
California Billing is headquartered in California, but our services are designed for providers throughout the United States.
You get a billing partner with direct experience in the California healthcare environment while gaining access to a team that can support providers working with Medicare, Medicaid, commercial insurers, managed care organizations, and other payer arrangements across the country.
For California providers, that includes experience with payer and program requirements surrounding Medi Cal and managed care. For providers outside California, our billing processes are adapted to the payer rules and requirements applicable to their market.
More about our teamOne revenue cycle team from claim creation to payment
Take one service or the whole cycle — every engagement gets the same accountability.
Medical Billing Services
We manage the core billing process from charge review and claim preparation through submission, payment posting, and outstanding balance follow up.
Learn moreRevenue Cycle Management
We look at what happens before the claim, after submission, and after payment so recurring problems can be identified instead of repeatedly corrected.
Learn moreMedical Coding & Audits
ICD 10 CM diagnosis coding, CPT coding, HCPCS coding, E/M coding, modifier review, procedure coding, coding audits, documentation review, and pre billing coding checks.
Learn moreDenial Management & Appeals
We review the reason for denial, determine whether correction or appeal is appropriate, prepare the necessary response, and follow the claim through resolution.
Learn moreProvider Credentialing & Enrollment
Provider applications, CAQH profile support, Medicare and Medicaid enrollment, commercial payer enrollment, recredentialing, payer follow up, and status tracking.
Learn moreEligibility & Prior Authorization
We verify eligibility and benefits, review authorization requirements, obtain required authorization information, document payer responses, and monitor authorization status.
Learn moreWhat practices gain from outsourcing billing
Lower internal billing overhead
Outsourcing can reduce the need to build a large internal billing operation with separate staff for claim submission, payment posting, A/R, denial follow up, and reporting.
More consistent claim follow up
Unworked claims become harder to recover as they age. A structured follow up process keeps unresolved claims visible and gives staff defined work queues.
Better visibility into A/R
A single total A/R number does not explain where money is stuck. We organize reporting around aging, payer, denial category, outstanding claims, and payments.
Fewer repeated billing problems
When the same denial appears repeatedly, correcting individual claims is not enough. We look for patterns in coding, documentation, eligibility, authorization, and submission data.
Support without building another department
Practices can expand billing capacity without adding a separate internal team for every revenue cycle function.
Specialty specific billing knowledge
Our team works with specialty specific coding, documentation, authorization, and payer requirements rather than treating every claim the same way.
Reporting your team can actually use
Reports should answer practical questions.
- What remains unpaid?
- Which claims are denied?
- Which payer is responsible?
- How old is the outstanding A/R?
- What has been appealed?
- What needs attention next?
Keep the system your team already uses
Changing your practice management system is not a requirement for outsourcing your billing. We work with the systems your practice already uses and build our billing process around the available workflows, permissions, queues, and reporting capabilities.
- No unnecessary system migration
- Controlled user access
- Defined billing workflows
- Claim and A/R work queues
- Payment and adjustment tracking
- Reporting based on available billing data
- Documentation of billing activity
HIPAA conscious billing operations
Medical billing involves protected health information and electronic administrative transactions.
CMS explains that HIPAA Administrative Simplification establishes standards for electronic healthcare transactions, including claims and payment, and that covered entities using these transactions must follow applicable standards. CMS also identifies written business associate arrangements as part of the relationship between covered entities and business associates.
California Billing can work under a documented business associate relationship where applicable and uses controlled access to the systems and information required to perform contracted billing services.
- HIPAA compliant operations
- BAA available where applicable
- Controlled system access
Working inside the platforms you already use
System availability and access depend on the practice's current configuration and permissions.
The numbers that tell you what is happening
A billing company should not measure performance using one number.
Days in A/R
Shows how long outstanding receivables remain unpaid.
A/R over 90 days
Helps identify older balances that may require different recovery strategies.
Denial rate
Shows how frequently submitted claims are being denied and helps identify recurring payer or process problems.
First pass acceptance
Shows how many claims move through initial payer processing without requiring correction or rework.
Net collection rate
Helps compare collectible revenue with the amount actually collected.
Payment posting accuracy
Shows whether payments, adjustments, and patient responsibility amounts are being recorded correctly.
Authorization related denials
Helps identify revenue lost or delayed because authorization requirements were missed or incorrectly handled.
Eligibility related denials
Shows how often coverage information creates downstream claim problems.
The right metrics depend on specialty, payer mix, billing model, and the services your practice provides.
Who California Billing supports
We work with healthcare organizations at different stages of growth.
Independent physicians
Get professional billing support without building a large internal revenue cycle department.
Group practices
Coordinate billing across multiple providers, locations, specialties, and payer relationships.
Specialty practices
Receive billing and coding support designed around the services and documentation requirements of the specialty.
Clinics and ambulatory practices
Manage high claim volume, eligibility, authorization, payment posting, denials, and A/R through a structured billing process.
Hospitals and healthcare facilities
Support broader revenue cycle requirements with specialized billing, coding, denial, enrollment, and A/R services.
Behavioral health organizations
Address recurring billing requirements involving authorization, documentation, recurring services, coding, and payer rules.
Nationwide medical billing from a California based team
California Billing supports healthcare providers across the United States.
We also support providers in markets outside California, with billing processes adapted to the applicable payer mix, state requirements, and practice structure.
Why California Billing
You should not have to guess what your billing company is doing. We are built around visibility, accountability, and practical revenue cycle management.
One team across multiple billing functions
Instead of coordinating separate vendors for coding, billing, denials, credentialing, and A/R, practices can consolidate related revenue cycle work.
Reporting with context
We connect billing activity with claim status, payer behavior, denials, aging, and unresolved balances.
Flexible engagements
Choose the services your practice actually needs — complete RCM management, or help with coding, A/R recovery, credentialing, or denial management.
California roots
Our California base gives us a strong understanding of the state's healthcare environment while our service model supports providers nationally.