ModMed Integration

Medical Billing Services for ModMed Users

We work inside ModMed, EMA, gGastro, and Practice Management, for dermatology, ophthalmology, orthopedics, GI, urology, and other specialty practices. No migration. Your specialty-configured EHR stays as it is.

0EHR Migrations
10-14Days to Go-Live
99%Clean Claim Rate

Specialty-Aware Billing Inside ModMed

ModMed is built around specialty-specific clinical content. Our team respects that specialization and bills with the nuance each specialty requires.

No Migration Required

We log into your ModMed instance with named user accounts. Your EMA or gGastro templates, fee schedule, and PM configuration stay identical.

ModMed-Experienced Billers

Our team knows ModMed's Practice Management module, EMA charge capture, claim submission, denial queues, and patient billing workflow.

Specialty-Specific Coding Depth

Dermatology excisions, ophthalmology injections, orthopedic procedures, GI endoscopy, each specialty has unique coding patterns our coders know cold.

Seamless Claim Submission

Claims continue flowing through ModMed's integrated clearinghouse. We work the edit and rejection queues that feed clean submission.

ModMed Billing Challenges We Solve

EMA-to-PM Charge Capture Gaps

Clinical charges captured in EMA sometimes don't flow cleanly into Practice Management. We reconcile encounters against appointments to catch missed revenue.

Specialty Coding Complexity

Dermatology Mohs, ophthalmology injections, GI endoscopy with multiple add-ons, we ensure every billable component is captured with proper modifiers.

Claim Rejection Queues

Clearinghouse rejections age fast without daily attention. We work rejection reports daily and resolve each one before it affects cash.

Denial Management & Appeals

Denials are categorized by CARC/RARC and worked daily. Correctable denials are resolved within 24 hours; clinical denials are appealed with documentation.

ERA Posting Exceptions

Auto-posting works for most ERAs. We handle exceptions, reconcile against expected allowables, and flag underpayments for recovery.

Patient Billing Cycle

We run statements, payment plans, portal payments, and pre-collections inside ModMed's patient billing workflow.

How We Plug Into ModMed

Step 1: User Provisioning

You provision named users for our team in ModMed with billing-appropriate access. Your existing security model stays in place.

Step 2: Queue Ownership

We take ownership of claim edit, rejection, denial, and AR queues with documented daily clearance SLAs.

Step 3: Daily Execution

Our team works every queue daily, corrections, resubmissions, postings, appeals, and account documentation, inside ModMed.

Step 4: Reporting & Reviews

Weekly ops reports and monthly business reviews on days in AR, net collection rate, denial trends, and specialty-specific KPIs.

99%
Clean Claim Rate
24 Days
Average Days in AR
97%+
Net Collection Rate
$500M+
Revenue Recovered

Related Services

Billing & AR Medical Coding Denial Management

Other EHR Integrations

AdvancedMD athenahealth DrChrono Kareo / Tebra

Common ModMed Billing Questions

We support EMA (used across dermatology, ophthalmology, orthopedics, urology, plastic surgery, and more) and gGastro for gastroenterology. Our billers know the specialty-specific workflows in each.
No. We log into your ModMed instance with named user accounts. Your EMA or gGastro templates, fee schedule, and Practice Management configuration stay identical.
Yes. Our billers have direct experience with ModMed's Practice Management module, EMA charge capture, claim submission, denials, ERA posting, and patient billing.
Yes. ModMed's value is specialty-configured clinical content, dermatology, ophthalmology, orthopedics, and GI each have unique CPT/ICD-10 patterns. Our coders adapt to your specialty and clinical templates.
Claims route through ModMed's integrated clearinghouse (Change Healthcare or direct payer connections). We work the claim edit and rejection queues to keep submissions clean.
Yes. We categorize denials by CARC/RARC, resolve correctable denials within 24 hours, and file appeals with documentation inside ModMed's Practice Management module.
Yes. We run the patient billing cycle through ModMed's statement workflow and patient portal, including payment plans and self-pay follow-up.
Typical go-live is 10-14 days. User provisioning, specialty-workflow review, and queue assignments happen in parallel so billing never pauses.