Medical Billing & Credentialing Services | Prohealthcare Advisors
- 410 Peachtree Pkwy, Suite 4245 Cumming, GA 30041
- Email: info@prohealthcareadvisors.com
- Services
Medical Billing and Practice Management
Creative Collection Solution
MD Audit Shield – RAC
Physician Credentialing
EMR/EHR Software
Electronic Fund Transfer (EFT)
CodeMAXX Services
Hippa
Medical Billing and Practice Management Services
Georgia and nationwide medical billing and practice management for healthcare practices — 98.5% clean claim rate, HIPAA-compliant billing, and fewer denials.
Medical Billing and Practice Management That Covers Your Full Revenue Cycle
Medical billing and practice management services manage the complete financial lifecycle of your healthcare practice — from insurance verification and prior authorization through ICD-10 medical coding, clean claim submission, payment posting, claim denial management, and accounts receivable recovery.
When your revenue cycle runs correctly, your team spends time on patients — not paperwork. Pro Health Care Advisors handles every step so your practice gets paid faster, with fewer denials and zero billing gaps. According to CMS electronic billing standards, clean claim submission is the single biggest factor in faster reimbursements.
💰 Complete Revenue Cycle Management
End-to-end management of every dollar your practice earns — from patient registration through final payment and AR recovery.
🔒 HIPAA-Compliant Medical Billing
AES-256 encrypted workflows, BAA management, and No Surprises Act alignment — built into every billing process. Learn about HIPAA compliance →
Why Healthcare Practices Lose Revenue in 2026
Rising claim denials cost practices real money — most of it is recoverable with proper claim denial management. Read our guide on how to reduce medical billing denials in 2026.
Administrative Overload & Coding Errors
Incorrect ICD-10 / CPT coding and incomplete submissions reduce revenue and overwhelm front-office teams. See the top medical billing mistakes costing practices revenue in 2026.
Delayed Reimbursements & Aging AR
Slow insurance follow-up and manual AR tracking result in aging receivables. Our Creative Collection Solutions recover revenue you may think is permanently lost. Learn about how to reduce claim denials step by step.
Credentialing Gaps & Prior Auth Delays
Missing physician credentialing blocks claim reimbursements. See how prior authorization rules changed in 2026 and what every provider must know.
Complete Medical Billing and Practice Management Services
Every service your healthcare practice needs to maximize collections, reduce claim denials, and keep your revenue cycle running at peak efficiency.
Medical Billing & Practice Management
Accurate medical billing and complete practice management — insurance verification, clean claim submission, payment posting, and denial management across all major payers.
- Insurance verification before every visit
- Electronic clean claim submission
- Payment posting & reconciliation
- Accounts receivable follow-up
- Claim denial management & appeals
Insurance Eligibility & Prior Authorization
Fast eligibility verification and prior authorization services that eliminate claim delays before they happen. CMS requires real-time eligibility checks for faster processing.
- Real-time eligibility verification
- Prior authorization request & follow-up
- Payer-specific policy tracking
- Reduced pre-submission denials
Smart AR Recovery & Collection Solutions
Professional accounts receivable recovery and claim denial follow-up that restores cash flow. All recovered payments go directly to your practice — not to us.
- Aging AR identification & recovery
- Denied claim appeals & resubmission
- Proactive payer follow-up
- Collection rate improvement tracking
Physician Credentialing & Payer Enrollment
Complete physician credentialing and payer enrollment — CAQH profile management, application submission, and full follow-up for all specialties. Read the 2026 credentialing timeline guide.
- CAQH profile setup & maintenance
- Payer enrollment applications
- Re-credentialing & renewals
- Timeline tracking & status updates
EMR/EHR Software Integration & Support
Setup, training, and ongoing support for all major EMR and EHR platforms — ensuring clinical and billing teams always work from clean, accurate, HIPAA-compliant data.
- All major EHR platforms supported
- Staff training & onboarding
- Workflow optimization & support
- HIPAA-compliant data management
CodeMAXX — ICD-10, CPT & HCPCS Medical Coding
CPC-certified medical coding services with expertise in ICD-10, CPT, and HCPCS — reducing coding errors that cause claim rejections and revenue loss.
- ICD-10 & CPT coding accuracy
- HCPCS Level II coding support
- CPC-certified coder team
- Specialty-specific coding review
- Coding audit & compliance check
Our 4-Step Medical Billing & Practice Management Process
A transparent revenue cycle management workflow that integrates with your practice — no disruption, just measurable results from day one.
Free Practice Assessment & Revenue Audit
We review your current medical billing setup, claim denial history, aging AR, and workflow gaps — identifying exactly where revenue is being lost before we change anything. Learn the top billing mistakes costing practices revenue in 2026.
Seamless EHR/EMR Integration
Our billing specialists connect directly with your existing EHR and practice management system — no manual hand-offs, no duplicate data entry, no disruption to your workflow or patient care.
Clean Claim Submission & Proactive Insurance Follow-Up
Claims are coded by CPC-certified coders from our CodeMAXX medical coding team, scrubbed for errors, and submitted electronically — with proactive payer follow-up on every claim until fully resolved. Per CMS standards, electronic claims process significantly faster than paper submissions.
Real-Time Reporting & Continuous Revenue Optimization
You receive real-time revenue cycle reports so you always know where your money stands. For outstanding AR, our Creative Collection Solutions ensure no revenue is left behind.
Healthcare Practices We Support Across Georgia & the US
From solo physicians in Cumming, GA to large multi-specialty groups nationwide — medical billing and practice management across 30+ specialties.
Mental Health & Behavioral Health Billing
Unique modifier requirements, session-based coding, and payer-specific behavioral health policies — handled by certified medical billers with specialty expertise in mental health claims.
Specialty Clinic Billing — 30+ Specialties
Cardiology, Oncology, Wound Care, Urology, and more. Our CodeMAXX ICD-10/CPT coders are trained for your specific specialty, aligned with CMS coding guidelines.
Group & Solo Practice Management
Solo physician in Georgia or growing multi-provider group nationwide — our practice management solutions scale to your exact size and patient volume.
Why Outsource Medical Billing and Practice Management in 2026?
The cost of billing errors has never been higher. AMA research shows administrative burden costs physicians time every week. Read our guide: how to reduce medical billing denials in 2026.
Reduced Administrative Workload
Complete medical billing and payer follow-up handled by our team — your staff focuses on patient care, not paperwork.
Improved Claim Acceptance Rates
Accurate claim submission with CMS-compliant billing workflows. See how to reduce claim denials with a step-by-step approach.
Faster Insurance Reimbursements
Electronic claim processing and proactive prior authorization management accelerate reimbursements into your practice.
Full HIPAA-Compliant Billing
AES-256 encryption, BAA agreements, and protected patient data handling built into every workflow. Learn about our HIPAA compliance →
Fewer ICD-10 & CPT Coding Errors
Specialty-focused ICD-10, CPT, and HCPCS coding from CPC-certified coders. See CodeMAXX Services →
Real-Time Revenue Visibility
Live revenue cycle reporting and AR tracking. Read our guide on what is revenue cycle management in 2026.
Real Results from Real Healthcare Practices
Measurable, sustainable revenue growth delivered to healthcare practices across Georgia and the United States through our medical billing and practice management services.
Multi-specialty clinic improved collections within 5 months through our medical billing and practice management services
Claim rejection rate reduced through optimized ICD-10/CPT coding and HIPAA-compliant billing workflows
Faster insurance reimbursements through electronic claim processing and proactive AR recovery management
Medical Billing Insights & Resources for 2026
Expert articles from Pro Health Care Advisors to help your practice recover more revenue, reduce denials, and stay compliant.
Top Medical Billing Mistakes Costing Your Practice Revenue in 2026
Every week practices submit thousands of claims — and a big chunk come back denied or underpaid. Find out which billing mistakes are draining your revenue most.
Read Article →How to Reduce Claim Denials — Step-by-Step Guide for Practices in 2026
Your providers see patients, your billers submit claims, and then denials flood back. This guide shows exactly how to stop the denial cycle.
Read Article →What Is Revenue Cycle Management? A Complete 2026 Guide
Most practices leave money on the table every month — not because of bad care, but broken billing processes. Learn how RCM fixes this permanently.
Read Article →Prior Authorization Rules Changed in 2026 — What Every Provider Must Know
January 2026 brought major changes to prior authorization rules. Is your practice keeping up? Find out what changed and how to protect your revenue.
Read Article →AI Medical Billing 2026 — Stop Claim Denials & Boost Revenue
How AI and automation are changing medical billing in 2026 — and what it means for small and mid-size healthcare practices.
Read Article →Physician Credentialing Timeline 2026 — How Long It Really Takes
Credentialing delays are costing practices a fortune. Find out the real timeline and how to avoid the most expensive credentialing mistakes.
Read Article →Ready to Maximize Your Practice Revenue?
Stop losing money on clean claim denials and delayed payments. Most practices are losing revenue they don't even know about — in denied claims never appealed, under-coded services, and aging AR. Our free medical billing audit finds exactly where money is being left on the table.
- 98.5% clean claim rate with AAPC-certified medical billing
- Real-time AR reports — track claims & collections instantly
- ICD-10 and CPT coding specialists for 30+ specialties
- HIPAA-compliant workflows across every billing touchpoint
- No long-term contract required to get started
Our Creative Collection Solutions & revenue cycle management services are exclusively available to US-based healthcare providers. Ready to recover your unpaid claims and reduce collection costs?
Get a Free Consultation →