Skip to content
ZsquareMedical Billing

Medical billing for U.S. physician practices

Medical billing that gets your practice paid in full.

From eligibility checks and charge entry to claim submission, denials and A/R follow-up, Zsquare manages your entire revenue cycle and reports on every step, so your providers can focus on patients.

Get a Free Audit
  • HIPAA compliant
  • Reporting at every step
  • Works inside your EHR
Physician reviewing patient billing details on a tablet in a modern clinic
Clean-claim rate
96%
Average revenue lift
15%
Reduction in A/R days
35%
Providers served
12

* Illustrative figures pending verification.

Medical billing services

Every step from patient visit to payment, handled and reported.

Choose end-to-end management or the specific services your team needs. Either way, you get specialists who treat your revenue as their own.

Charge Entry

Charges are entered within a defined turnaround window and reconciled against your schedule, so no visit slips through unbilled.

  • Daily reconciliation against appointment logs
  • Fee schedule and payer rule validation
  • Missing-charge alerts before they age
Learn more about charge entry

Your practice, your workflow

Billing built around your practice, not the other way around.

Every practice runs differently. We work inside your existing EHR and practice management system, adapt to your scheduling and documentation habits, and learn the payer mix that drives your revenue.

You get a dedicated team that knows your providers by name, not a ticket queue. They meet with you every month and answer to you every day.

Front-desk staff checking in a patient at a modern medical practice

Collect smarter, faster

Catch problems before payers do.

Every claim runs through a rules-based scrub that checks payer-specific edits, missing data, authorization and eligibility gaps before it is submitted.

When a denial does happen, we don't just rework it. We trace the root cause and turn it into a new rule, so the same mistake is caught automatically next time. Each month your claims get cleaner.

  1. 1Rules-based scrubPayer edits checked before submission
  2. 2Submit & trackClean claims out, status monitored
  3. 3Post & reconcilePayments matched to contract rates
  4. 4Analyze denialsRoot causes found and grouped
  5. 5Refine the rulesLessons fed back into the scrubber
  6. 6Report to youEvery step visible on your dashboard
  7. ↺ Repeats every billing cycle

Everything your revenue cycle needs

Full-service management, or any combination of the services below.

  • Insurance eligibility checks
  • Prior authorizations
  • Charge entry
  • Claim scrubbing & submission
  • Clearinghouse rejection handling
  • Secondary & tertiary billing
  • Payment posting (ERA/EOB)
  • Underpayment recovery
  • Denial management
  • Appeals
  • A/R follow-up
  • Old A/R recovery
  • Patient statements
  • Credentialing & enrollment
  • Practice management
  • EHR & billing software management
  • Reporting at every step
  • Fee schedule analysis

Specialties

Fluent in the way your specialty gets paid.

Each specialty has its own payer rules, authorizations and pitfalls. Our teams are organized by specialty, so yours is handled by people who know it well.

All specialties
Medical billing specialist with a headset following up on claims at her workstation

What you can expect

Results you can see, every month.

  • Higher collections

    Accurate charge entry and persistent follow-up capture revenue that would otherwise go uncollected.

  • Faster payments

    Clean first-pass claims and prompt posting shorten the time from visit to deposit.

  • Fewer denials

    Prevention-first scrubbing and root-cause fixes reduce rework month after month.

  • Full transparency

    A live dashboard and monthly reviews, so you always know where every dollar stands.

  • A lighter load for staff

    Your team spends less time on hold with payers and more time with patients.

Free financial audit

Find the revenue your practice is already owed.

A complimentary, no-obligation review of your revenue cycle by our specialists. You'll receive a clear written summary of what we found and what it's worth.

  • Fee schedule review

    We compare what you're paid against what your contracts allow.

  • Denial & A/R review

    We review your denial patterns and aging A/R to show what's recoverable.

  • Unbilled & aging services

    We find visits that were never billed and claims close to timely-filing limits.

Request your free audit

Takes about a minute. No commitment.

Billing technology

See every claim, every payer, every dollar.

Tools that make your revenue visible and your workflow lighter, included with every engagement.

KPI dashboard

  • Collections, denials and A/R days at a glance
  • Drill down by provider, location or payer
  • Updated continuously, available anytime

Real-time eligibility at check-in

  • Coverage confirmed before the visit
  • Patient responsibility shown upfront

EHR & software management

  • Payer, provider and fee schedule setup
  • Clearinghouse and ERA/EFT connections monitored

Advanced reporting

  • Payer performance and reimbursement trends
  • Denial root-cause breakdowns
  • Board-ready monthly summaries

How it works

A quiet, well-planned transition.

We manage the switch end to end, so your cash flow keeps moving while we take over.

  1. 1

    Free audit

    We review your current revenue cycle and share what we find.

  2. 2

    Onboarding & EDI setup

    System access, clearinghouse and payer enrollments, ERA/EFT.

  3. 3

    Staff training

    Clear handoffs for your front desk and providers.

  4. 4

    Go live

    Claims flow through our scrub. Existing A/R is worked in parallel.

  5. 5

    Ongoing reporting

    Live dashboard, monthly reviews and continuous improvement.

Simple pricing

Percentage-of-collections pricing, from [X]%.

We are paid when you are paid. No setup surprises.

Client perspectives

In their words.

For the first time, I can open a dashboard and understand exactly where our revenue stands. The monthly reviews feel like a conversation with a partner, not a vendor.
PA[Client Name]Practice Administrator, Multi-specialty group

Testimonial 1 of 5

Security, compliance & connectivity

  • HIPAA Compliant
  • Business Associate Agreement
  • Reporting at Every Step
  • ANSI X12 EDI
  • Clearinghouse Connectivity
  • ERA / EFT Enrollment
  • Encrypted at Rest & in Transit
  • Role-based Access Controls
  • Payer Portal Integrations
  • Annual Compliance Training

FAQ

Questions, answered.

Straight answers about how we work. Don't see your question? We're happy to talk it through.

Book a demo

See how much revenue you're leaving on the table.

Book a demo with a revenue cycle specialist. We'll walk through your numbers and show you exactly where Zsquare can help.

  • 30 minutes, at a time that suits you
  • Live walkthrough of reporting and workflow
  • A tailored estimate for your practice

Prefer to talk now? Call [PHONE]

CallFree Audit