Solo Practice Specialists

Medical Billing for Solo Practitioners

Capture every billable dollar with AI-driven RCM. Our experts deliver excellent clean claim accuracy and 24-hour transmission to maximise your practice’s total annual financial yield.

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The Solo Advantage

Bridging the Solo Practice Regulatory Gap

The cost of a full-time in-house biller for a small practice has risen significantly, often consuming up to 60% of net collections. Most solo practitioners lose an additional 15% of potential revenue simply by missing high-value 2026 incentives.

G2211 & APCM Mastery

We ensure your G2211 complexity add-on captures the $16.05 per-visit boost by strictly documenting the longitudinal relationship for your primary care or chronic condition visits.

V28 HCC Precision

We mitigate the risk of the CMS-HCC V28 model’s aggressive diagnostic code reductions. Our coders focus on clinical specificity to ensure your Medicare Advantage RAF scores accurately reflect patient severity and prevent reimbursement drops.

Locum Tenens Billing (Q6 Modifier)

Solo doctors frequently use locum tenens for coverage. We manage the Q6 modifier and the strict 60-day substitute billing rules to ensure your revenue continues uninterrupted while you are away.

Core Services

Billing & Compliance Solutions

We handle the technical complexities of solo doctor billing services so you can focus on patient care.

No Surprises Act & OON Compliance

We manage Good Faith Estimates (GFE) for uninsured patients and handle the Independent Dispute Resolution (IDR) process for out-of-network claims, protecting you from federal penalties under the No Surprises Act.

RPM & RTM Billing Services

Implement Remote Patient and Therapeutic Monitoring to create a recurring revenue stream. We manage the new flexible 2026 supply and time codes (99445/99470) to ensure full reimbursement.

AAPC-Certified Coding & Audit Protection

Our team provides rigorous LCD/NCD scrubbing. We stay ahead of 2026 regulatory updates, ensuring every claim is mapped for maximum reimbursement.

Credentialing & CAQH Management

We manage your entire enrollment cycle, handling 120-day re-attestations within CAQH ProView to ensure you stay in-network with all major insurance plans.

Getting Started

Your 1-Week to 15-Day Path to Independence (Onboarding)

Transitioning your solo practice billing should not disrupt patient care or stall your cash flow. We execute a chronologically flawless onboarding sequence designed specifically for independent providers without dedicated IT staff.

Revenue & MIPS Audit (Days 1–4)

We identify your current clean claim rate, highlight uncaptured G-code/RPM opportunities, and verify your exact MIPS eligibility status to prevent surprise Medicare penalties.

Secure EHR Expertise (Days 5–8)

Guided by our Certified HIPAA Professionals, we establish secure, encrypted data pipelines directly into your existing EHR (eClinicalWorks, AdvancedMD, Athenahealth, DrChrono, etc.). We operate within your system—meaning zero software migration and zero interruption to your patient schedule.

Configuration & Credentialing Check (Days 9–12)

We verify your Individual Type 1 NPI and CAQH ProView status across all active payers, ensuring no claims will be rejected for lapsed credentialing. We also build custom scrubbing rules to catch longitudinal care codes (G2211) before claims batch.

Revenue Recovery & Go-Live (Days 13–15)

Full-cycle billing officially transitions to Revix MD. Simultaneously, our A/R recovery team begins aggressive follow-up on your aging 90+ day claims, appeals medical necessity denials, and recovers previously abandoned funds.

Client Results

What Independent Physicians Say

"

Revix MD cut my billing overhead by 50%. As a solo doctor, having an expert team handle my RCM allowed me to replace administrative stress with higher-quality patient care.

Dr Anita S. — Solo Internal Medicine Practitioner

"

My net revenue increased by 18% in three months. Their solo practice RCM approach captured G-codes and RPM revenue I didn’t even know I was missing.

Dr Ahmed V. — Solo Family Practice

"

I was ready to sell my practice to a hospital system before finding Revix MD. They made solo practice billing affordable and efficient, allowing me to stay truly independent.

Dr. Vincent J. — Solo Paediatrician

Protect Your Independence

Calculate Your Potential ROI

You didn’t go into medicine to become a biller. See what Revix MD can do for your practice’s bottom line.

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Current Overhead

15%

Revix MD Overhead

Average Revenue Increase

+18%

Frequently Asked Questions

Is it cheaper for a solo doctor to outsource billing?

Yes. Outsourcing typically costs 4–7% of collections, whereas in-house staffing and software often exceed 15%. We focus on overhead reduction to increase your take-home pay. For the full cost formulas, break-even math and a workload comparison, see when outsourcing makes sense for a solo practice.

How do you manage billing during locum coverage?

We utilise the Q6 modifier to bill under your NPI for substitute physicians, managing the 60-day window and documentation requirements to ensure zero revenue gaps during your absence.

Can you handle No Surprises Act compliance for out-of-network billing?

Yes. We generate required Good Faith Estimates and navigate the IDR portal for disputes, ensuring your solo practice remains compliant with federal “Surprise Billing” laws.

Do you handle billing for cash-pay and hybrid practices?

Absolutely. We support hybrid models, managing both traditional insurance claims and patient-direct billing for concierge or DPC services.

What happens to my AR if I decide to close my practice?

We offer specialised “Run-out” billing services to ensure all outstanding AR is collected and reconciled, even after your clinical operations have ceased.

How does the V28 HCC model affect my reimbursement?

The V28 model reduces the number of valid diagnostic codes. Our coders ensure your documentation meets the new, higher standard for clinical specificity to prevent RAF score drops.