MEDICAL BILLING & CODING SERVICES

A clearer path from patient care to payment

Novera brings coding accuracy, claims discipline, denial follow-up, and revenue visibility into one dependable workflow built around your practice.

HIPAA-conscious support
Designed for cleaner, more confident billing
Novera medical billing and coding support
ONE WORKFLOWBilling + Coding + Follow-Up
Healthcare partners reviewing billing performanceBuilt around the visitSo your team can stay focused on care
THE NO VERA DIFFERENCE

Billing and coding should work as one system

When documentation, coding, claims, and follow-up are managed in separate lanes, small gaps can become expensive delays. Novera connects the work so your practice has a clearer view from the first charge through final reimbursement.

Fewer preventable delays

A connected billing and coding workflow reduces the handoffs where errors often begin.

Compliance-conscious processes

HIPAA-conscious handling and documented checks support secure, responsible operations.

Support shaped to your practice

Our approach adapts to specialty clinics, private practices, and growing healthcare teams.

THE WORK BEHIND EVERY CLAIM

Medical billing and coding, explained clearly

Billing and coding are connected, but they solve different parts of the revenue cycle. Novera brings both into the same operating conversation so your practice can see where a claim needs attention.

THE CLAIM JOURNEY

Medical billing that keeps work moving

Medical billing coordinates the financial path from patient and insurance information to claim status, payment, and resolution. Strong billing support keeps work organized after the visit instead of letting unpaid claims disappear into a queue.

  • Patient demographics and insurance information review
  • Eligibility and benefits checks before the visit when requested
  • Charge capture, claim preparation, and electronic submission
  • Payment posting, reconciliation, and balance visibility
  • Denial investigation, appeals, and payer follow-up
  • A/R aging review with practical next-step reporting
THE DOCUMENTATION LINK

Medical coding with clinical context

Medical coding gives the claim its structured language. A careful review connects the provider's documentation to the appropriate code set while keeping payer rules, modifiers, and specialty requirements in view.

  • Documentation review for completeness and coding support
  • CPT, HCPCS, and ICD-10-CM code assignment
  • Evaluation and management and modifier review
  • Specialty-specific payer and documentation considerations
  • Pre-submission quality checks to reduce avoidable rework
  • Coding feedback that helps teams improve documentation habits
WHAT WE HANDLE

Practical support across the revenue cycle

From documentation review to payment visibility, our services are designed to reduce friction and make the next step easier to manage.

01

Charge Capture & Coding

Translate complete clinical documentation into accurate CPT, ICD-10, and HCPCS code selection.

02

Claim Quality Review

Catch missing details, payer rules, and coding inconsistencies before they become preventable delays.

03

Electronic Claim Submission

Prepare and route clean claims efficiently while keeping submission status visible to your team.

04

Eligibility & Authorization

Confirm coverage details and authorization requirements early to reduce avoidable rework.

05

Denial & A/R Follow-Up

Investigate rejection patterns, coordinate appeals, and keep unresolved balances moving.

06

Payment Posting & Reconciliation

Keep payments, adjustments, and outstanding balances aligned so your reports reflect what is really happening.

07

Patient Billing Support

Make patient statements and billing questions easier to manage with clear, respectful communication.

08

Reporting & Revenue Insight

Turn billing activity into clear reports that help you spot trends and make better decisions.

WHY PRACTICES OUTSOURCE

More capacity for care, more visibility for decisions

Outsourcing is not only about sending claims. The right operating partner can help your team reduce administrative pressure while making the revenue cycle easier to understand.

Give time back to your team

Move repetitive billing administration away from clinical and front-office staff so they can focus on patients.

Make revenue easier to see

Organized claims, payments, denials, and A/R reporting give leadership a clearer operating picture.

Keep compliance in view

Documented checks and HIPAA-conscious workflows support responsible handling of sensitive information.

Add capacity without a rushed hire

Extend your billing capability as your provider count, locations, or claim volume changes.

Work with the systems you already use

We focus on fitting the workflow around your practice rather than forcing an unnecessary technology change.

Create a dependable point of contact

Clear ownership and regular communication make it easier to resolve questions before they become bottlenecks.

HOW WE WORK

A steady process for better financial clarity

We make the workflow visible, keep responsibilities clear, and use each billing cycle to find the next practical improvement.

Healthcare team reviewing revenue performance
01

Understand the workflow

We learn how your practice documents visits, handles payer requirements, and tracks financial priorities.

02

Align the handoff

We organize the information, access, payer details, and working preferences needed for a smooth start.

03

Code with context

Our team reviews the available documentation and applies the right coding and billing checks for the service.

04

Submit with confidence

Claims move through a quality-focused review before submission, with issues surfaced early.

05

Follow through

We monitor responses, post payments, work denials and A/R, and keep unresolved items visible.

06

Review and improve

Clear reporting turns recurring issues into practical workflow improvements for the next billing cycle.

SPECIALTY-AWARE SUPPORT

One billing workflow does not fit every practice

Documentation patterns, code combinations, payer expectations, and patient communication can vary widely. We begin with your specialty and build the workflow around the details that matter to your team.

Private practices and physician groupsBehavioral and mental health providersTherapy, rehabilitation, and chiropractic clinicsUrgent care and ambulatory facilitiesSpecialty practices and diagnostic servicesGrowing practices adding providers or locations
A PRACTICAL STARTING POINT

We look at the full handoff

Our review considers what happens before a claim is created, while it is being processed, and after a payer responds.

Before submissionDocumentation, eligibility, authorization
During submissionClaim quality, payer rules, status
After paymentPosting, denials, A/R, reporting
COMMON QUESTIONS

What practices ask before getting started

A clear operating plan starts with clear answers. Here are the questions we hear most often about billing and coding support.

What is included in medical billing support?

Medical billing support can cover the work after a visit is documented: eligibility review, charge capture, claim preparation, submission, payment posting, denial follow-up, A/R work, and reporting. The exact workflow is shaped around your practice and payer mix.

How does coding connect to billing?

Coding turns clinical documentation into the standardized codes used on a claim. Billing then uses that coded information with payer and patient details to submit, track, reconcile, and follow up on the claim. Keeping both functions connected helps surface issues earlier.

Can Novera support our existing EHR or practice management system?

Our onboarding conversation starts with the tools and access your team already uses. We review the handoffs, payer portals, reporting needs, and security requirements before recommending the most practical operating model.

What happens when a claim is denied?

The team identifies the denial reason, checks the supporting documentation and payer requirements, determines whether a correction or appeal is appropriate, and tracks the item through resolution. Recurring denial patterns are also useful signals for workflow improvement.

Is outsourcing suitable for a small practice?

Yes. A smaller practice may benefit when billing work is concentrated on one person, claims are aging, or provider growth is outpacing administrative capacity. Support can be scaled around the work your practice actually needs.

How do we get started?

Start with a conversation about your specialty, current workflow, payer challenges, and the outcomes you want to improve. We can then outline a practical next step and the information needed for a focused review.

START WITH A CONVERSATION

Let's find the gaps in your current workflow

Tell us where billing or coding is slowing your team down. We'll help you identify a focused next step for your practice.