Performance
<5%
denial rate target
5+ Yrs
RCM experience
6
core specialties
100%
HIPAA compliant & US-based
Dedicated Practice Partner
Pulse Medical Billing operates as a seamless extension of your clinical team. We handle charge capture, CPT coding review, clearinghouse submissions, and denial resolution so your staff focuses on patient care.
Our certified coders understand distinct payer rules, modifier requirements, and compliance benchmarks for outpatient practices, ensuring rapid reimbursement without long-term contract lock-in.
Full-Cycle RCM Services
From initial charge capture to secondary payment posting, our structured billing workflows ensure clean claim submissions and aging AR recovery.
Clean Claim Submission
Targeted Denial Resolution
Aging AR Prioritization
Accurate CPT and ICD-10 coding verification, real-time clearinghouse scrubbing, and automated electronic submission for immediate first-pass acceptance.
Root-cause analysis on every rejection. We resolve coding gaps, coordinate medical necessity documentation, and submit formal appeals instantly.
Systematic follow-up on outstanding balances prioritized by timely filing risks and dollar value to capture uncollected practice cash flow.
Therapy & Chiropractic Precision
Expert navigation of Medicare 8-minute rules, KX and AT modifier compliance, functional limitation reporting, and therapy cap exception tracking for clean claims.
Complex Procedure Billing
Specialized prior authorization tracking for spinal procedures, state fee schedule compliance for Worker's Compensation, and formal WC Board appeal processing.