MEDICAL BILLING & CODING SERVICES

Accurate Billing. Stronger Claims. Better Revenue Performance.

Medical billing and coding are at the center of a healthy revenue cycle. Even small errors in coding, documentation, modifiers, patient information, or claim submission can lead to denials, delayed payments, and unnecessary administrative work.

Maverick provides comprehensive medical billing and coding support designed to help healthcare organizations improve claim accuracy, streamline billing workflows, and manage the path from charge capture to reimbursement with greater confidence.

INTRODUCTION

Every Claim Matters

Medical billing is not simply about submitting claims. It requires accuracy, consistency, timely follow-up, and a clear understanding of payer requirements.

Our team works across the billing process to help healthcare organizations manage charges, coding, claim preparation, submission, payer responses, payment posting, and follow-up.

By combining experienced professionals with structured workflows and technology-enabled processes, Maverick helps practices reduce unnecessary billing complexity and maintain greater visibility into their claims and reimbursement activity.

MEDICAL BILLING SERVICES

Comprehensive Support Across the Billing Process

Charge Capture Support

We help ensure that billable services are captured and prepared for the billing workflow based on available documentation and practice processes.

Claim Creation and Review

Claims are prepared and reviewed for required information, potential errors, and issues that may affect processing.

Claim Scrubbing

Pre-submission review helps identify missing information, formatting issues, and other potential claim errors before submission.

Electronic Claim Submission

Claims are submitted electronically through established billing workflows to the appropriate payers.

Rejection Management

Rejected claims are reviewed, corrected where appropriate, and resubmitted to reduce unnecessary delays.

Payment Posting

Insurance and patient payments are posted accurately to maintain updated account balances and financial records.

Payer Follow-Up

Our team monitors outstanding claims and follows up with payers based on claim status and required action.

Underpayment Identification

Payment activity can be reviewed to identify potential discrepancies that may require further investigation.

Patient Billing Support

Support can be provided for patient balances and billing-related follow-up as part of the agreed service scope.
MEDICAL CODING SERVICES

Accurate Coding Starts With the Right Process

Medical coding plays a critical role in claim accuracy and reimbursement. Our coding support is designed around structured workflows and attention to documentation, coding requirements, and applicable payer guidelines.
1

CPT Coding

Support for assigning appropriate Current Procedural Terminology codes based on available documentation and services provided.
2

ICD-10 Coding

Support for diagnosis coding using applicable ICD-10 requirements and documentation.
3

HCPCS Coding

Assistance with applicable Healthcare Common Procedure Coding System codes.
4

Modifier Management

Review and support for the appropriate use of modifiers where applicable.
5

Specialty Coding

Coding workflows adapted to the documentation and billing requirements of different medical specialties.
6

Charge Review

Review of charges and coding-related information to identify potential gaps or inconsistencies before claim submission.
THE BILLING & CODING WORKFLOW

A Structured Path From Documentation to Reimbursement

Documentation Review

Available documentation and charge information are reviewed as part of the billing and coding workflow.

Charge Capture

Billable services are identified and prepared for processing.

Code Assignment

Applicable CPT, ICD-10, HCPCS, and modifier requirements are addressed based on the available documentation.

Claim Preparation

Claims are prepared with the required patient, provider, insurance, coding, and charge information.

Claim Review

Claims are reviewed to identify potential errors or missing information before submission.

Claim Submission

Claims are submitted electronically to the appropriate payer.

Claim Monitoring

Payer responses, claim status, and outstanding claims are monitored.

Payment Posting

Payments and adjustments are posted and reconciled.

Follow-Up and Resolution

Outstanding, rejected, or unpaid claims are reviewed and followed up based on the required next steps.
WHY ACCURACY MATTERS

Small Errors Can Create Major Revenue Delays

A missing modifier, incorrect diagnosis code, incomplete patient information, or documentation issue can affect whether a claim is processed correctly.

Billing and coding accuracy can help healthcare organizations:

1

Reduce Avoidable Claim Rejections

Identify potential errors before claims reach the payer.
2

Support Cleaner Claim Submission

Create more consistent workflows for preparing claims.
3

Reduce Administrative Rework

Minimize the time spent correcting preventable billing issues.
4

Improve Reimbursement Efficiency

Help claims move through the billing process with fewer unnecessary delays.
5

Gain Greater Visibility

Understand where recurring billing and coding issues may be affecting performance.
SPECIALTY-FOCUSED BILLING & CODING

Every Specialty Has Different Requirements

Healthcare billing is not the same across every practice. Different specialties may have unique procedure codes, modifiers, documentation requirements, payer rules, and reimbursement considerations. A workflow that works for a primary care practice may not be appropriate for an orthopedic, behavioral health, laboratory, or specialty practice.

Maverick adapts billing and coding workflows to the requirements of the healthcare organizations we support.

Specialties We Support Include:

  • Behavioral Health
  • Primary Care
  • Internal Medicine
  • Cardiology
  • Orthopedics
  • Pain Management
  • Gastroenterology
  • Neurology
  • Pediatrics
  • OB/GYN
  • Dermatology
  • Urology
  • Podiatry
  • Physical Therapy
  • Radiology
  • Laboratory
BILLING PERFORMANCE & VISIBILITY

Understand What Is Happening Beyond Claim Submission

A successful billing operation requires visibility into performance. Maverick helps healthcare organizations monitor key billing activities and trends, providing greater insight into the areas that may require attention.
1

Claims Activity

Track submitted, accepted, rejected, paid, and outstanding claims.
2

Rejection Trends

Identify recurring issues contributing to claim rejections.
3

Payment Activity

Monitor posted payments and reimbursement trends.
4

Outstanding Claims

Maintain visibility into claims requiring follow-up.
5

Coding Trends

Identify recurring coding-related issues and areas for review.
6

Payer Activity

Monitor payer responses and trends affecting claim processing.
WHY MAVERICK

A More Organized Approach to Medical Billing and Coding

1

Experienced Support

Work with professionals who understand the complexity of healthcare billing and coding workflows.
2

Structured Processes

Consistent workflows help improve accuracy and reduce unnecessary variation.
3

Specialty Knowledge

Our processes can be adapted to the requirements of different healthcare specialties.
4

Technology-Enabled Workflows

Use systems and tools that help improve visibility and operational efficiency.
5

Proactive Follow-Up

Outstanding claims and billing issues are monitored based on established workflows.
6

Clear Communication

Maintain greater visibility into billing activity, priorities, and areas requiring attention.
GET STARTED TODAY

Strengthen the Foundation of Your Revenue Cycle

Accurate billing and coding can have a significant impact on claim performance, reimbursement timelines, and overall revenue cycle efficiency.

Whether you need comprehensive billing support, coding assistance, claim management, or help improving existing workflows, Maverick can provide support aligned with your organization’s needs.

Let's find where your revenue cycle can perform better.