#1 Medical Billing in MA

Custom Billing Solutions – Built for U.S. Medical Practices

At DelonHealth, we understand that medical billing is more than submitting claims—it is about ensuring a steady cash flow, minimizing claim denials, and optimizing revenue cycle management for solo and small practices. Whether you are a dietitian, pedorthist, mental health professional, radiologist, or pain specialist, our specialized medical billing solutions guarantee faster reimbursements, HIPAA-compliant processes, and seamless practice management across all 50 states.

Faster Claims Processing – Minimize Claim Denials & Accelerate Reimbursements

Delayed claims and frequent denials are major challenges for independent practices. Insurance companies have complex submit-by deadlines and documentation rules, and simple coding errors can lead to denied payments. Our team ensures that claims are submitted correctly, on time, and in full compliance with payer regulations.

How We Speed Up Claims Processing:

• Automated Claims Submission – We use advanced billing software to submit claims electronically, reducing paperwork and manual errors.
• Real-Time Claim Tracking – Our team monitors claim status 24/7 to ensure quick resolution of pending or rejected claims.
• Denial Management & Appeals – If a claim is denied, our specialists quickly investigate, correct, and resubmit it to recover lost revenue.
• Payer-Specific Compliance – We stay updated with Medicare, Medicaid, and private insurer policies, ensuring all claims meet payer-specific requirements.

Example: A solo dietitian in Massachusetts faced persistent denials from private insurance companies due to documentation errors. DelonHealth implemented correct coding procedures, optimized claim submission workflows, and ensured timely resubmission of denied claims, resulting in a 40% increase in successful reimbursements.

Specialized Billing for Niche Medical Practices

Medical billing is not a one-size-fits-all process—different specialties have unique coding, payer policies, and billing regulations. That’s why DelonHealth offers specialized billing solutions tailored for niche medical practices, ensuring higher reimbursement rates, fewer claim denials, and improved financial stability.

Who We Serve:

• Dietitians & Nutritionists – Billing for Medical Nutrition Therapy (MNT), weight management, and chronic disease nutrition counseling.
• Pedorthists & Orthotic Specialists – Optimizing DME billing, HCPCS coding for orthotic devices, and insurance claims for therapeutic footwear.
• Mental Health Professionals – Managing telehealth billing, therapy session reimbursements, and out-of-network claims.
• Radiologists & Imaging Centers – Handling diagnostic imaging claim submissions, PACS integration, and medical necessity documentation.
• Pain Specialists & Physical Therapists – Ensuring accurate coding for pain management procedures, injections, and therapy sessions.

Example: A pedorthist in California was about to begin business and we helped with credentialing, billing setup and actual billing

100% HIPAA-Compliant Services – Ensuring Data Security & Regulatory Compliance

Medical billing requires the handling of sensitive patient data, making HIPAA compliance a top priority. At DelonHealth, we use secure, encrypted systems and strict compliance protocols to ensure confidentiality, data integrity, and legal compliance with all U.S. healthcare regulations.

How We Ensure HIPAA Compliance:

• Secure Electronic Billing Systems – All claims, patient data, and communications are processed through encrypted, HIPAA-certified platforms.
• Access Control & Authentication – Only authorized personnel have access to sensitive data, ensuring no unauthorized breaches.
• Regular Security Audits – We conduct ongoing security assessments to ensure compliance with HIPAA, HITECH, and payer regulations.
• Data Backup & Disaster Recovery – We store patient billing data securely and implement real-time backup systems to prevent data loss.

Example: A small mental health clinic in Texas faced compliance issues with patient data security, leading to delays in claims processing. DelonHealth implemented a secure billing system with encrypted access controls, ensuring HIPAA compliance and seamless claim submissions.

End-to-End Revenue Cycle Management – From Patient Eligibility to Payment Posting

Medical billing goes beyond just submitting claims—it involves a full cycle of revenue management to ensure consistent cash flow and financial stability. Our Revenue Cycle Management (RCM) services cover everything from patient eligibility verification to claim follow-ups.

Our Comprehensive RCM Services:

• Patient Insurance Verification & Eligibility Checks – Ensuring patients have active coverage before appointments.
• Claims Submission & Follow-Up – Submitting claims to Medicare, Medicaid, and private insurers while tracking them until payment.
• Denial Management & Appeals – Resolving denied claims, identifying common rejection patterns, and preventing future losses
• Payment Posting & Account Reconciliation – Ensuring all payments are accurately recorded and matched to patient accounts.

Why Nationwide Coverage Matters:

• State-Specific Insurance Regulations – We ensure billing compliance for Medicaid, Blue Cross Blue Shield, Aetna, and other state-specific payers.
• Multi-State Medical Practices Support – If your practice operates in multiple states, we handle payer differences, telehealth billing, and cross-state reimbursements.
• Optimized Telehealth Billing for Remote Consultations – Compliant billing for virtual consultations under Medicare and private insurers.
• Payer-Specific Billing Expertise – Each state has different reimbursement rules, and we ensure compliance for accurate payments.

Example: A podiatrist operating in New York and Florida faced claim processing issues due to payer policy variations between states. DelonHealth implemented payer-specific billing protocols, ensuring compliance in both states and increasing reimbursements by 35%.

Complete Revenue Cycle Management (RCM)

A seamless revenue cycle is crucial for sustaining financial health in any medical practice. We manage the entire billing workflow, ensuring faster reimbursements, fewer denials, and accurate financial reporting.

• Insurance Verification & Eligibility Checks – Reduce claim rejections with real-time patient eligibility verification.
• Accurate Medical Coding – CPT, ICD-10, and HCPCS coding to ensure compliance and prevent denials.
• Claims Submission & Follow-Ups – Electronic claims filing with proactive denial management and resubmissions.
• Payment Posting & Reconciliation – Ensuring correct payments and handling discrepancies.
• AR Recovery & Insurance Appeals – Aggressive follow-ups on denied and underpaid claims.

Example: A solo pedorthist in Texas was experiencing frequent claim rejections due to documentation issues. Our team identified and corrected the errors, ensuring 99% of claims were approved on the first submission.

Specialized Medical Billing for Dietitians, Pedorthists, Mental Health, Radiology & Pain Specialists

Unlike generic billing companies, DelonHealth specializes in niche medical practices, ensuring precise coding, correct modifiers, and streamlined reimbursement processes.

• Dietitian & Nutritionist Billing – Medical Nutrition Therapy (MNT) and preventive care reimbursement optimization.
• Pedorthist Billing – Orthotics and prosthetics billing with customized claim management.
• Mental Health Billing – Therapy session reimbursements, psychiatric coding (CPT & ICD-10), and out-of-network claims.
• Radiology Billing – Image-based claim processing, diagnostic procedure coding, and insurance approvals.
• Pain Specialist Billing – Interventional pain management coding, Medicare & private payer compliance.

Example: A radiologist in Florida had issues with underpaid claims from insurance providers. We audited their billing records, identified incorrect coding, and helped recover over $50,000 in lost revenue

HIPAA-Compliant & Secure Billing Solutions

We ensure full compliance with U.S. healthcare regulations, protecting patient data and preventing billing fraud or security breaches.

• HIPAA & HITECH Compliance – Secure handling of patient health information (PHI).
• CMS & Medicare Guidelines Adherence – Avoid billing violations and penalties.
• Electronic Health Records (EHR) Integration – Works seamlessly with your existing practice management software.

Example: A pain specialist clinic in Illinois faced a HIPAA compliance risk due to unsecure patient billing records. DelonHealth transitioned them to a fully encrypted digital billing system, ensuring 100% compliance and security.

Transparent Reporting & Performance Analytics

With real-time dashboards, billing reports, and financial tracking, we provide complete transparency on your practice’s financial health.

• Monthly Financial Reports – Detailed billing performance insights.
• Claim Tracking & Denial Reports – Identify recurring billing issues and fix errors proactively.
• Custom KPIs & Performance Metrics – See how your practice is performing financially.

Example: A small mental health practice in Colorado struggled with revenue forecasting. We provided customized billing analytics, allowing them to track claims and payments efficiently.