ZOC Medical runs your revenue cycle like an engineering discipline — eligibility, coding, clean claims, denials, posting and A/R — with live dashboards that show exactly where revenue leaks and who is fixing it. Built for large organizations and independent practices alike.
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One score across your whole cycle — built from clean-claim rate, denial pressure, A/R aging and collection velocity.
Clean-claim rate
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Denial rate
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Days in A/R
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Pricing
Build your billing pod. One simple FTE rate.
Pick the billing roles you need — denials, A/R follow-up, posting, coding and more. One flat monthly rate per dedicated specialist. Scale up or down anytime.
One flat monthly rate per dedicated specialist. Pick any role on the right — or assemble a full pod that covers your cycle end-to-end.
- A named specialist who knows your account inside-out
- Works inside your existing EHR & PM systems
- HIPAA-trained, covered under a signed BAA
- Weekly productivity & outcome reporting
- Scale roles up or down as your volume changes
Select roles to build your pod
Most practices start with 2–3 specialists and add a Billing Manager ($1,800/mo) for oversight as the pod grows.
* $1,200/specialist/month is the starting rate; the Certified Medical Coder role is $1,500/month and the Billing Manager role is $1,800/month. Final pricing depends on role mix, specialty complexity and volume, and is confirmed in writing after your free revenue diagnostic. No long-term lock-in.
Who we serve
One billing discipline. Two very different scales.
Large groups & health systems
Multi-site groups, FQHCs and specialty networks that need a billing operation that scales across locations. Dedicated account pods, cross-site denial analytics, consolidated executive reporting, and payer-enrollment management that doesn't stall when you add a location.
- Dedicated billing pod per organization
- Cross-location denial & underpayment analytics
- Consolidated monthly executive reporting
Independent practices
A full-service billing office without the hires. We take over the cycle end-to-end — or plug into the pieces your front desk can't hold — so a two-provider practice gets the same discipline as a system, at a scale that makes sense.
- End-to-end or à-la-carte scope
- Credentialing & payer enrollment support
- Plain-English weekly reporting
Full-cycle scope
From the scheduled visit to the posted payment.
Eligibility & benefits verification
Coverage checked before the visit, not after the denial. Prior-auth requirements surfaced at scheduling.
Coding & charge capture
Certified coders review documentation so the claim reflects the work actually performed — no down-coding, no upcoding risk.
Claim scrubbing & submission
Every claim passes payer-specific edits before it leaves. Clean claims go out daily, not in weekly batches.
Denial management & appeals
Denials are worked within 48 hours, root-caused by category, and appealed with documentation — not resubmitted blind.
Payment posting & reconciliation
ERAs posted daily, contractual adjustments verified against fee schedules, underpayments flagged automatically.
A/R follow-up & patient statements
Aging buckets worked by priority with clear patient-friendly statements, so balances resolve instead of writing off.
Specialty billing
Coders who know your specialty’s rules — not a generic queue.
Every specialty has its own denial patterns, modifier traps and documentation demands. Your account is staffed with coders experienced in your specialty, and it shows in the first-pass rate.
Primary Care & Internal Medicine
E/M leveling, AWV and care-management codes (CCM, APCM, RPM, TCM) billed concurrently without overlap violations.
Cardiology
High-volume E/M plus device monitoring, stress testing and RPM for cardiac populations — with auth tracking built in.
Behavioral Health
CoCM psychiatric collaborative-care codes, therapy time-tracking and the documentation rules payers actually audit.
Podiatry
Routine foot-care medical necessity, Q modifiers and Medicare LCDs handled by coders who know the difference.
Physical & Occupational Therapy
RTM codes, KX modifiers, therapy thresholds and plan-of-care certification tracked to the visit.
Rural Health & FQHC
AIR and PPS encounter logic, care-management add-ons like G0511, and the concurrent-billing rules unique to RHCs.
See your revenue clearly
The revenue cycle, instrumented.
Every ZOC billing engagement comes with live visibility into the cycle. The dashboards below show the kind of clarity your team gets — every day, on every claim.
All dashboards on this page are illustrative examples. They are not client data, industry benchmarks, or a promise of specific results.
01 · One number for the whole cycle
0
/ 100
One score across your whole cycle — built from clean-claim rate, denial pressure, A/R aging and collection velocity.
Clean-claim rate
0.0%
Denial rate
0.0%
Days in A/R
0
02 · Find where money escapes
Eligibility rejects · $4,120
Coding mismatches · $2,860
A/R aging over 60d · $7,540
03 · Problems surface before they age
CO-97 denial spike on 99214 — 11 claims flagged
BCBS · 12m ago
RPM 99454 nearing timely filing — 6 claims, 5 days left
Medicare · 38m ago
Prior auth missing for 3 cardiology E/M visits
Aetna · 1h ago
Every alert routes to a named biller with a due date — nothing sits in a queue unowned.
04 · Every claim has a name on it
Coded
Coder
Scrubbed
Scrubber
Submitted
Clearinghouse
At payer
Follow-up
Posted
Posting
How it starts
From diagnostic to steady-state collections.
Step 01
Revenue diagnostic
We review your last 90 days of remits and produce a leak map: where revenue is escaping, by payer, code and cause. No commitment required.
Step 02
Transition plan
Payer enrollments, clearinghouse setup and data migration sequenced so there is no gap in your cash flow during the switch.
Step 03
Go-live in weeks
Claims flow through our scrub-and-submit pipeline while your team keeps one point of contact and full visibility into every claim.
Step 04
Continuous optimization
Weekly reporting, monthly denial root-cause reviews, and quarterly fee-schedule checks keep the cycle tightening over time.
Common questions
Asked before every engagement.
Do you replace our billing team, or work alongside it?
Either. We run full end-to-end revenue cycle for practices that want it handled, or take over specific functions — like denial management or A/R follow-up — alongside an in-house team. Scope is defined during the revenue diagnostic.
Which EHR and practice-management systems do you support?
We work inside your existing systems. Our team is platform-agnostic across the major EHR/PM vendors, and the ZOC platform adds an analytics and alerting layer on top — no rip-and-replace required.
How is pricing structured?
Billing roles are hired as dedicated specialists on a flat monthly rate — starting at $1,200 per specialist per month, with Certified Medical Coders at $1,500 and the Billing Manager role at $1,800 per month. You pick the roles your cycle needs and scale the pod up or down as volume changes. Final pricing is confirmed in writing after your free revenue diagnostic.
How do you handle compliance and data security?
All work is performed under a signed BAA with HIPAA-aligned controls: role-based access, encrypted data in transit and at rest, and audit trails on every claim touch. We never bill a code we can't document.
Find out where your revenue is leaking.
Book a free revenue diagnostic — we’ll map the last 90 days of your remits and show you exactly what’s recoverable.