Your practice cares for patients. We make sure you get paid for it.
Vista Medical Billing is the back office for small and mid-sized practices: complete revenue cycle management, billing, coding, credentialing, and trained virtual assistants — working inside the EHR you already use.
Eligibility checked before every visit, so claims don't bounce
Denials worked and AR chased every week — not at month-end
10 steps
One managed revenue cycle — from credentialing and eligibility checks to the final posted payment.
8
Service lines under one roof — RCM, billing, coding, credentialing, eligibility, denials & AR, dental billing, virtual assistants
30+
Specialties served, from family practice and pediatrics to DME and home health
Any EHR
Epic, athenahealth, eClinicalWorks, Tebra, AdvancedMD and more — no migration, no downtime
HIPAA
Compliant workflows, signed BAAs, and role-based access to your patient data
What we do
Every part of your revenue cycle, handled
Take one service or hand us the whole cycle. Either way, you keep your EHR, your clearinghouse logins stay yours, and you see exactly what we did in weekly reports.
Complete Revenue Cycle Management
The full cycle under one accountable team — registration to final payment — with the reporting to prove it's working.
End-to-end claim lifecycle ownership
Weekly AR and denial reporting
Payer contract and fee-schedule checks
Medical Billing & Claims
Charge entry, claim scrubbing, and electronic submission done daily — so clean claims go out the door and money comes back faster.
Same-day charge entry
Scrubbed, first-pass clean claims
Payment posting & reconciliation
Medical Coding
Certified coders assign precise ICD-10, CPT, and HCPCS codes with the right modifiers — compliant coding that protects you in an audit and pays in full.
ICD-10, CPT & HCPCS accuracy
Modifier and LCD/NCD checks
Chart-to-code audits on request
Credentialing & Enrollment
We complete payer enrollment and credentialing for every provider on your roster — and track revalidations so nobody silently drops out of network.
CAQH, NPI & payer applications
Revalidation deadline tracking
New-provider onboarding
Eligibility & Benefits Verification
Verification of benefits before the visit — coverage, deductibles, and prior authorizations confirmed upfront, so rejections never start.
VOB 24–48 hours before appointments
Prior authorization handling
Patient cost estimates
Denial Management & AR Follow-Up
Denied and underpaid claims are corrected and appealed aggressively, and aging AR is worked bucket by bucket until old balances shrink.
Root-cause denial fixes, not resubmits
Appeals with payer documentation
30/60/90+ AR worked every week
Dental Billing Services
Dental claims run on different rules than medical — CDT codes, ADA claim forms, annual maximums, and frequency limits. Our dental team works inside Dentrix, Eaglesoft, and Open Dental to verify benefits before treatment, submit clean claims, and chase dental denials and AR until they're paid.
CDT coding & ADA claim submission
Benefits checks — maximums, frequencies, waiting periods
Pre-authorizations & pre-determinations
Narratives & attachments (X-rays, perio charts)
PPO fee-schedule & write-off checks
Dental denial appeals & AR follow-up
Medical Virtual Assistants
Trained healthcare VAs who work your front desk from inside your systems — phones answered, schedules filled, inboxes cleared — at a fraction of an in-house hire.
Most revenue leaks happen in the handoffs. We own the whole path a claim travels, so nothing is left sitting in a queue nobody watches.
01
Provider Enrollment & Credentialing
Payer enrollment and credentialing completed up front, so providers are approved and reimbursed without delays.
02
Registration & Insurance Verification
Eligibility, benefits, and authorizations verified before the visit to prevent rejections and payment surprises.
03
Accurate Medical Coding
Certified coders assign precise ICD-10, CPT, and HCPCS codes — compliant, and built to maximize legitimate reimbursement.
04
Charge Entry & Claim Scrubbing
Charges entered accurately and scrubbed against payer rules before submission, catching errors while they're free to fix.
05
Clean Claim Submission
Timely electronic submission to every payer, with confirmation tracked until each claim is accepted.
06
Payment Posting & Reconciliation
Payments, ERAs, and EOBs posted accurately, with underpayments and discrepancies flagged the same week.
07
Denial Management & Appeals
Denied claims corrected at the root cause and appealed with documentation — recovering revenue others write off.
08
Accounts Receivable Follow-Up
Dedicated AR specialists work every aging bucket consistently, shrinking days-in-AR and steadying cash flow.
09
Patient Billing & Support
Clear patient statements and a real person to call — better patient collections without burning goodwill.
10
Reporting & RCM Insight
Transparent weekly reporting on collections, denials, and AR — so you always know what your revenue cycle is doing.
Why practices switch
Built for small and mid-sized practices — not scaled-down enterprise software
Your systems stay yoursYou keep your EHR and clearinghouse. We log in, learn your workflows, and run the back office inside them — no migration project, no retraining your staff.
A named team, not a ticket queueThe same billers, coders, and AR specialists work your account every week. When you call, you reach someone who knows your payers and your problem claims by name.
Nothing ages in silenceDenials and 90+ day balances get worked every week, with a written status you can read in two minutes. If a claim is stuck, you'll know why — and what we're doing about it.
HIPAA discipline, in writingSigned BAA before we touch a single record, role-based access, and secure connections into your systems. Your patient data is handled like the liability it is.
Who we serve
Specialties we bill for every day
Billing rules change by specialty — modifier habits, payer quirks, authorization patterns. Our teams are organized around the specialties they know cold.
Family Practice
Internal Medicine
Pediatrics
Behavioral Health
Dental Practices
Dermatology
Chiropractic
Podiatry
Orthopedics
Urgent Care
Cardiology
Physical Therapy
Home Health
DME Suppliers
OB/GYN
Radiology
Don't see your specialty? We onboard new specialties regularly — if we can't bill it well, we'll tell you on the first call instead of learning on your claims.
Straight answers
Questions every practice asks us first
Billing and RCM are priced as a percentage of what we actually collect for you — if you don't get paid, neither do we. Credentialing and virtual assistants are flat-fee. Your exact rate comes out of the free audit, once we've seen your payer mix and claim volume; there are no setup fees and no per-claim surprises.
No. We work inside your existing systems — Epic, athenahealth, eClinicalWorks, Tebra, AdvancedMD, Dentrix and most others. Your staff keeps charting the way they chart today; we handle everything that happens after the encounter is closed.
Most practices are fully transitioned in 10–15 business days. We start with access and credential checks, run your claims in parallel with your current process for the first cycle, then cut over completely — no gap in submissions, no missed timely-filing deadlines.
We sign a Business Associate Agreement before any access, connect only through secure, audited channels, and limit every team member to the minimum access their role requires. Your data stays in your systems — we don't export patient records to ours.
We review your last 90 days of claims: denial rate and top denial reasons, days in AR, underpayment patterns, and credentialing gaps. You get a written report with the revenue we believe is recoverable — whether or not you hire us. It costs nothing and commits you to nothing.
Yes — small and mid-sized practices are exactly who we built Vista for. Solo providers and two-doctor offices feel a denied claim the same month it happens; you get the same named team, weekly reporting, and weekly AR follow-up as our larger clients.
Start here
Get your free billing audit
Tell us about your practice and we'll come back within one business day with next steps — and a straight read on what your last 90 days of claims say.
Talk to the team
Prefer email, or want to talk through a messy AR situation first? Reach out directly — you'll hear back from a person who works claims, not a sales script.