Stay payer-compliant, prevent costly billing errors, and achieve a 99% first-pass clean claim rate with Medaura, as we offer automated medical billing services technology with human expertise backed by AAPC certification.
Medaura, a full-service RCM medical billing company based in New Jersey, is built for practices that want consistency, visibility, and control over their revenue. We serve providers nationwide; we manage the whole revenue cycle with precision and accountability, so you can focus on what matters most: your patients.
Read MoreOur end-to-end medical billing services ensure eligibility is confirmed before care is delivered, documentation supports coding accuracy, claims are scrubbed against payer rules, and denials are aggressively appealed.
We confirm all coverages before services are billed, reducing avoidable eligibility and patient-responsibility issues later in the cycle.
Our team tracks authorization requirements before treatment so missing approvals do not turn into preventable denials after care is delivered.
AAPC-certified expertise supports accurate code assignment from documentation while keeping payer policies and coding edits in view.
Every claim is checked before submission so coding, demographic, payer, and documentation issues are caught before they create rework.
Clean claims are submitted through the correct electronic workflow and monitored until the payer confirms acceptance or requires action.
We do more than post payments. Each payer response is reconciled so adjustments, patient responsibility, and potential underpayments remain visible.
Medaura experts read the reason behind each denial, correct what can be fixed, and escalate accounts that require a formal appeal.
Outstanding accounts are prioritized by age, payer, balance, denial cause, and recovery potential instead of being worked in one generic queue.
Billing data is turned into measurable performance signals so practices can see where revenue is improving and where intervention is still needed.
Outsourcing medical billing services is no longer just about convenience. For many practices, it has become a strategic move to protect revenue, reduce risk, and keep operations running smoothly while the staff looks after patients with more dedication. When you partner with a professional medical billing company in USA like Medaura, the benefits extend far beyond claim submission.
Every claim moves through coding, payer rule, and clearinghouse checks before submission to catch preventable errors earlier.
We trace denials across eligibility, authorization, coding, documentation, and payer processing instead of repeatedly correcting the same symptom.
Our billing workflows support ANSI X12 837-P and 837-I submissions for professional and institutional claims through connected clearinghouses.
We reconcile 835 ERA, EFT, contractual adjustments, and patient responsibility so paid claims, underpayments, and remaining balances stay visible.
Our credentialing workflows work across CAQH ProView, PECOS, and NPPES for enrollment, provider data maintenance, and revalidation.
We track clean claim rate, FPRR, denial rate, days in A/R, A/R over 90 days, net collection rate, charge lag, and cost to collect to show where revenue performance is changing.
Credentialing errors can stop revenue before the first claim is ever submitted. Medaura manages the full credentialing and enrollment process to ensure providers remain billable without interruption.
We handle Medicare, Medicaid, and commercial payer enrollments; new provider credentialing and re-credentialing; CAQH setup and monitoring; NPI validation; and payer contract coordination. Proper credentialing prevents payment holds, retroactive denials, and costly resubmissions.
Every medical specialty comes with its own billing rules, coding nuances, and payer challenges. At Medaura Medical Billing, we do not force generic billing workflows onto specialized practices. As a seasoned medical billing company in New Jersey serving providers nationwide, we tailor our processes to the clinical and financial realities of each specialty.
We understand that what works for a primary care clinic may fail for a specialty practice. Different procedures, documentation standards, modifiers, and reimbursement models require specialty-focused billing expertise. That is precisely what we bring to the table.
Our team works closely with physicians to align coding, claims submission, and payer follow-up with specialty-specific requirements. This approach helps reduce denials, improve reimbursement accuracy, and protect long-term revenue.
Medaura follows a structured, payer-aligned billing workflow built to reduce denials and accelerate reimbursements.
In just a few guided checks, uncover denial trends, A/R slowdowns, underpayments, and workflow risks before they drain more revenue.
What Our Medical Billing Auditing Company Reviews
Audit Score
Core billing controls are working, with opportunities to sharpen recovery and visibility.
Several workflows need closer attention before they create larger revenue gaps.
Multiple billing risks may already be affecting payments, denials, and collections.
Your audit findings turn into a clear action plan.
Denial Root Cause
Eligibility issues are driving a large share of denials.
ERA / Payment Variance
12% of payments under expected reimbursement
What the Audit Uncovers
Audit Performance Snapshot
Trust Strip
Security and privacy at every step.
Billing and coding review backed by certified expertise.
Revenue-cycle expertise for practices across the U.S.
Card 1 — Claims Accuracy
Card 2 — Denials
Card 3 — A/R Follow-Up
Card 4 — Payment Accuracy
Card 5 — Revenue Visibility
Result Screen
11–15 — Strong Revenue Control
Your core billing workflows are functioning well. The audit highlights smaller opportunities to improve visibility, recovery, and payer performance.
Your Next Step
Your score is only the starting point. Our medical billing audit company reviews the areas behind the result and turns them into a prioritized billing improvement plan.
Talk to an Audit SpecialistCoding is not just data entry at Medaura; it is a key revenue-integrity checkpoint before a claim reaches the payer. Our expertise covers ICD-10-CM, CPT, HCPCS Level II, E/M guidelines, POS codes, modifiers, and NCCI PTP/MUE edits. Our experts and automated workflows validate documentation against coding, medical necessity, and payer rules to catch issues such as incorrect modifiers before they lead to underpayments, denials, or audit risk.
View Our Coding Expertise
A clean claim must meet the rules of the payer receiving it. Medaura medical billing services company tracks Medicare, Medicaid, Medicare Advantage, and commercial payer requirements, including eligibility, authorizations, filing limits, LCD/NCD rules, fee schedules, claim edits, and appeals. We also use 835 ERA data, CARC/RARC codes, payment variances, and payer patterns to catch denials, underpayments, and reimbursement issues before they become recurring revenue loss.
See How We Manage PayersCredentialing protects revenue before the first claim is submitted. Medaura manages CAQH ProView, PECOS, NPPES, payer enrollment, taxonomy codes, revalidation, primary source verification, and contracting workflows to prevent payment holds caused by expired enrollments, mismatched data, or outdated payer records. By tracking applications, effective dates, revalidations, and payer responses, we help keep providers active, billable, and ready to submit claims without unnecessary delays.
Strengthen Your Credentialing
Medaura Medical Billing works directly within your existing EHR and practice management systems. Our team adapts to your technology instead of forcing costly software changes. This ensures billing stays aligned with clinical documentation and reduces workflow disruptions for your staff.
Medaura works within your existing EHR, practice management, and clearinghouse workflows without forcing disruptive software changes. Claims, ERA posting, payments, and reporting stay connected through one aligned billing process.
This reduces operational friction, improves revenue visibility, and speeds up implementation. Whether you use one platform or a multi-system environment, we adapt our workflows to fit how your practice already operates.
Built to fit your workflow, not replace it.
Medaura Integration Hub
One Connected Platform. Better Outcomes.
Medaura keeps pricing clear so you know what your billing support costs and what is included. Depending on your practice size, claim volume, specialty, and service scope, we can structure pricing through a percentage-based or flat-fee model.
Instead of adding charges for every billing task, we define the scope upfront, from claims and payment posting to denial follow-up, A/R recovery, and reporting. This gives you better control over your cost to collect and makes monthly billing expenses easier to forecast as your practice grows.
Get a Custom Pricing Plan
We Serve Near You
Medaura delivers expert medical billing support in all 50 states of USA, built around your state-specific workflows, payer rules, and compliance requirements.
We kept seeing the same authorization denials. Medaura traced the denial patterns, checked our authorization workflow, and fixed the issue at the source. Our team now spends far less time correcting the same claims.
Our older A/R was becoming difficult to control. Medaura grouped accounts by payer, age, balance, and filing risk, then worked the highest-priority claims first. We finally had a clear recovery process instead of untouched balances.
We were getting paid but had little visibility into underpayments. Medaura compared expected reimbursement with actual payments, flagged payment variances, and followed affected claims with payers. That helped us catch revenue we were previously missing.
Stay payer-compliant, prevent costly billing errors, and achieve a 99% first-pass clean claim rate with Medaura. We combine automated medical billing services technology with human expertise backed by AAPC certification—so your practice collects more, faster with fewer denials.
Real-time AAPC-certified staff
