MedStat

Company Overview

Founded in 1989, MedStat has been dedicated to delivering efficient, reliable, and accurate medical billing services. With over 25 years of experience, we are ICD-10 and Soc II Certified.

Today, MedStat powers revenue operations for 100+ healthcare organizations, supported by a global team of 5,000+ employees across 5+ international locations.

Key Services Offered

• End-to-End Revenue Cycle Management (RCM): From pre-arrival excellence through final payment posting, MedStat manages every step of the revenue cycle. Our comprehensive approach includes eligibility verification, encounter documentation, coding and charge capture, claim submission, payment posting, denial management, AR follow-up, and patient responsibility collections.
• Pre-Arrival Excellence: We prevent revenue leakage by mastering the pre-arrival process, focusing on documentation gathering, enhanced scheduling, pre-registration, and insurance verification to ensure cleaner claims and fewer denials.
• Medical Coding: Our certified coders ensure accurate, compliant coding with AI-assisted auto-coding capabilities, physician education, and charge capture validation, reducing denials and optimizing reimbursement rates. We maintain a 96% first-pass claim rate.
• Eligibility & Prior Authorization: Our in-house AI-powered platform instantly verifies insurance eligibility, retrieves and assesses benefit coverage, identifies prior authorization requirements, and validates tests against payer medical necessity guidelines, backed by 300+ personnel when manpower is required.
• Denial Management & Appeals: Our dedicated AR experts actively investigate unpaid claims to uncover the reasons behind delays. Rather than letting charges stall and age into unresolved debt, we work each account until resolution, achieving a 94.7% claim resolution rate within 90 days.
• Patient Financial Engagement: Through our in-house iConnect patient engagement platform, we deliver omni-channel billing and payment solutions including e-statements online patient portal, mobile-friendly access, call centers with auto-payment options, and flexible payment plans.
• Practice Analytics & Reporting: Our iNsight web-based business intelligence dashboard provides real-time access to inventory, denials, revenue by service type/facility/physician, cash forecasts, and more.
• Credentialing Services: MedStat handles provider enrollment and credentialing with all major payers, ensuring your practice is properly contracted and able to bill from day one.
• Practice Management & Strategic Advisory: Comprehensive support including payor analysis, modality and volume optimization, radiologist productivity benchmarking, revenue integrity audits, MIPS compliance management, and strategic referral growth.

Geographic Markets Served

MedStat proudly serves healthcare practices in all 50 states

Specialties Served

We support a wide range of medical specialties including Radiology, Family Practice, Internal Medicine, Pediatrics, Cardiology, Orthopedics & Podiatry, Dermatology, Behavioral & Mental Health, OB/GYN, Gastroenterology, Pulmonology, Urology, Pain Management, Urgent Care, Physical Therapy & Rehabilitation, Neurology, Oncology & Hematology, and Ophthalmology. Our specialty-specific coding and billing expertise ensures that each practice receives tailored support optimized for its unique workflows and payer mix.

Why Choose MedStat?

• Pre-Arrival Excellence: We prevent revenue leakage by mastering pre-arrival, focusing on documentation gathering, enhanced scheduling, pre-registration, and insurance verification ensuring cleaner claims and fewer denials.
• Human Touch + Technology: We combine human oversight with advanced systems to capture every dollar you’ve earned that other companies choose not to go after.
• Complete Practice Support: Access IT support, custom reporting, transcription services, and HR assistance tailored to small practices.
• Tailored/Customizable Solutions, Not Out-of-Box: Everything we do is customized to your specific practice needs. Our services adapt to you, not the other way around.
• Strategic Referral Growth: Beyond optimizing collections, we proactively help expand your referral base using data-driven targeting and outreach, supporting quarterly referral development aligned with your growth goals.
• Seamless Transition Guarantee: Our commitment ensures zero disruption to your revenue cycle during implementation, with dedicated support throughout the process.

Special Offer

Seamless Transition Guarantee: Your revenue is protected while we transition your practice, guaranteed. Before onboarding begins, MedStat reviews your average monthly collections from the past 12 months. Once the baseline is agreed upon, MedStat guarantees no revenue disruption during the first four months of the transition.