FREQUENTLY ASKED QUESTIONS

Summit Billing Solutions is a successful American business that uses excellent analysis and communication to help clients. We care about our clients and work with you as partners to give you the best service for your needs. We do more than just medical billing – our experienced team helps providers manage their practices efficiently.

Most full-service medical billing companies charge a percentage of monthly collections, generally between 3% and 9%, and Summit Billing Solutions prices within that range. Where your practice lands depends on your specialty, payer mix, monthly claim volume, denial rate and how much of the revenue cycle you hand over.

Because every practice is different, we give you an exact figure after a free analysis of your account. Get in touch and we will review where your revenue is being delayed, underpaid or left uncollected.

We are proudly serving hospitals and physicians of all specialties nationwide.

We cover the full revenue cycle: coverage and benefit validation, pre-service authorizations and approvals, provider enrollment and credentialing, tracking and claims management, billing for all payer types, denial management, appeals, managing insurance collections, aging A/R support, and handling patient billing inquiries.

If you are not sure which of those your practice actually needs, the free account review is the place to start. We will show you where revenue is being delayed, underpaid or left uncollected before you commit to anything.

We submit claims within 24 hours. Speed at this stage matters more than most practices expect, because the payer clock does not start until the claim is filed. Alongside that, we run a 2% average claim rejection rate and 28 average days in accounts receivable.

Denial management is a core part of the service, not an add-on. We work denials and rejections rather than simply resubmitting them: identify the root cause, whether that is coding, eligibility, authorization or a payer edit, correct it, appeal where appropriate, then feed the fix back into the front end so the same denial stops recurring.

Yes. Aging A/R support is one of our core services. Old balances are worked alongside current claims, so recent revenue keeps moving while we chase what has been sitting. The 90 day and older bucket is usually where the most recoverable money is hiding, because it is the work that gets postponed when a billing team is already stretched.

Yes. We work inside the systems practices already use, including Kareo, Tebra, AdvancedMD, athenahealth, eClinicalWorks, NextGen, DrChrono, Practice Fusion, CureMD, Azalea Health, Allscripts, ModMed, WebPT, TherapyNotes, SimplePractice and TheraNest, along with clearinghouses such as Availity and Office Ally. If your system is not on that list, it is still worth asking.

More than 40, spanning primary care, surgical, diagnostic and behavioral health practices. That includes cardiology, oncology, neurology, nephrology, urology, orthopedics, OB/GYN, pediatrics, radiology, gastroenterology, dermatology, psychiatry, urgent care, optometry and ophthalmology, podiatry, chiropractic, pain management, dentistry and durable medical equipment. Each account is staffed with billers who work that specialty's codes, modifiers and payer rules.

No. We are based in Salem, New Hampshire, and bill for practices in all 50 states. Payer rules and Medicaid programs differ from state to state, so that state-level knowledge matters, and we maintain coverage for each one.

Yes, and it is worth starting early. A provider who is not credentialed with a payer cannot be paid by that payer, no matter how clean the claim is. Credentialing gaps show up later as denials that no amount of billing work can fix, which is why we treat it as the first step in getting paid rather than paperwork to deal with afterwards.

It starts with a free analysis of your account. We review where revenue is being delayed, underpaid or left uncollected, and show you what we find before you commit to anything. Call 603-207-3172 or (866) 906-3116, or email info@summitbillingsolutions.com. Office hours are Mon - Fri 9am - 5pm.

We operate as a HIPAA compliant billing partner. Patient health information is handled under HIPAA privacy and security standards, access is limited to the staff actually working your account, and data moves through your existing practice management system and clearinghouse rather than being scattered across ad hoc tools. If your practice has specific compliance requirements or paperwork it needs in place before sharing data, raise it on the first call and we will walk through it with you.

Most practices are live within one to two weeks. The sequence is straightforward: we review your current setup during the free account review, arrange access to your existing EHR or practice management system, confirm payer enrollments and credentialing status, then begin submitting new claims while your outstanding balances keep being worked.

The part practices most often get wrong is letting old claims go quiet during the handover. Agree upfront who is chasing the balances your previous biller leaves behind, because that is usually where the money gets lost in a switch.

No. We work month to month, with no long-term lock-in. If the results are not there, you are not tied in. A billing partner should be keeping your business by improving your collections, not by holding you to a contract term.