Streamline Your Medical Billing with Expert RCM Solutions

Standard onboarding is completed within 7 to 14 business days with zero downtime to your daily appointments, patient care, or ongoing cash flow. During transition, we establish secure EDI/ERA clearinghouse connections, audit your active fee schedules, configure automated claim-scrubbing rules, and train your assigned U.S.-based account manager on your practice workflows. Your billing continues uninterrupted.

Unlike traditional billing services that write off difficult claims after 60 days, WestBridge RCM operates a specialized Denial & Appeals unit. Every denial is scrubbed and assigned within 24 to 48 hours of Electronic Remittance Advice (ERA) posting. We identify root CARC/RARC codes, correct coding or modifier discrepancies, attach required clinical documentation, and file Level-1 and Level-2 appeals. We also systematically work aging AR past 60, 90, and 120+ days until every rightful dollar is recovered.

We maintain strict administrative, physical, and technical safeguards in full compliance with HIPAA, HITECH, and Omnibus rules. We execute a comprehensive Business Associate Agreement (BAA) with every provider before receiving any data. All transmissions utilize end-to-end TLS 1.3 encryption, databases use AES-256 at-rest encryption, access is strictly role-based with mandatory Multi-Factor Authentication (MFA), and our systems undergo independent annual SOC 2 Type II and HIPAA security audits.

In-house billing carries heavy fixed overhead: certified biller salaries ($55k–$75k each), 25% FICA/benefits, clearinghouse and billing software subscriptions ($800–$2,000/month), continuing education, and frequent turnover disruptions. Outsourcing replaces unpredictable fixed overhead with a predictable variable fee, eliminates staffing headaches, and typically increases net practice collections by 5% to 15% through superior first-pass acceptance rates (>99%) and accelerated AR turnaround (<35 days).

Yes. All coders on your WestBridge account maintain active certifications from the AAPC (such as CPC, COC, CIC, CPMA) or AHIMA (CCS). We support over 25 medical and surgical specialties—including Primary Care, Internal Medicine, Cardiology, Orthopedics, Pediatrics, Behavioral / Mental Health, Physical Therapy, Urgent Care, Neurology, Gastroenterology, Dermatology, and Multi-Specialty groups.

We deliver a compassionate, transparent patient billing experience. We generate easy-to-read electronic and mailed patient statements with clear itemized explanations of benefits (EOB) and online payment portal links. Our dedicated patient customer support desk operates Monday through Friday, 8:00 AM – 6:00 PM EST, answering patient questions respectfully and resolving balance disputes without burdening your front-desk staff.

No. We believe in earning your business every single month through proven revenue metrics, not restrictive legal lock-ins. Our Master Services Agreements feature a flexible 30-day or 60-day written notice provision without punitive early termination penalties. If our performance does not exceed your expectations, you are free to transition at any time with complete data export support.

You maintain 100% visibility into your revenue cycle 24/7. Practice owners and administrators receive daily cash posting notifications, weekly AR aging analyses (broken down into 0-30, 31-60, 61-90, and 91+ days), and a comprehensive monthly Executive KPI Scorecard detailing net collection rates, first-pass clean claim yields, denial frequencies by payer, and fee schedule realization. Furthermore, you will hold regular scheduled strategy reviews with your assigned Account Manager.