HIPAA compliant · Billing in all 50 states
Pay‑for‑performance revenue cycle management

We only get paid after you do, and practices see A/R days drop 30% within 90 days.

Full‑service, HIPAA‑compliant medical billing starting at 2.89% of what we actually collect. No setup fees. No monthly minimums. No contract locking you in if we don't perform.

500+providers billed for
98%clean claim rate
7–14 daysavg. turnaround

Get My Free Billing Audit

A billing analyst reviews your last 90 days of claims and shows you exactly where revenue is leaking. No obligation.

HIPAA‑compliant intake. We never sell or share your information.

Where the revenue is actually going

Most practices don't have a collections problem. They have four specific leaks.

Before we touch a single claim, we run a diagnostic on your last two quarters, the same way a physician reads a chart before writing a treatment plan. Four patterns show up almost every time.

98% CLEAN CLAIMS Claim approved · 9 days
Live claim & A/R visibility, reviewed with your practice
Findings: 90 day claims review

Across 500+ providers, these four root causes account for the majority of lost or delayed revenue we find, usually stacked on top of each other, not isolated.

  1. DENIALS

    Denials get worked, not prevented.

    Most in‑house teams re‑file after a claim bounces instead of catching the coding or eligibility issue before it goes out.

  2. CODING

    Under‑coding drift.

    Staff default to safer, lower‑complexity codes to avoid audit risk, quietly leaving reimbursable revenue on the table every month.

  3. CREDENTIALING

    Credentialing lag.

    A provider sees patients for weeks before payer enrollment clears, and that window of care is often billed late or never recovered.

  4. EHR SYNC

    EHR‑to‑billing gaps.

    Charge data sits in the EHR longer than it should before it ever reaches a clearinghouse, adding days to every claim's life cycle.

Specialty coverage

Billed by people who already know your specialty's payer rules.

Orthopedics Pain Management Podiatry Pediatrics Pulmonology Cardiology Home Health Urgent Care Internal Medicine Primary Care Psychiatric OB/GYN Dermatology Neurology Chiropractic Urology Endocrinology Rheumatology

Don't see your specialty? GreenSense supports 50+ specialties in total. View the full list.

The numbers, once

What changes when performance is the only way we get paid.

Across 500+ providers
7–14
Day average claim turnaround
↓30%
Reduction in A/R days
↑30%
Revenue growth potential
90%+
Collection ratio
98%
Clean claim submission rate
Figures reflect typical results across GreenSense‑billed practices, not a guarantee.
Starting at
2.89% of collections
  • No setup fees
  • No monthly minimums
  • No long‑term contracts
  • No charge on unpaid claims
Why this pricing works

If a claim doesn't get paid, neither do we.

Flat‑fee billing services get paid whether or not your claims collect, so there's no structural reason for them to chase a denial past the first pass. Our fee is a percentage of what actually lands in your account, so an unworked denial costs us the same revenue it costs you.

That's the entire mechanism behind our 98% clean claim rate and 7–14 day turnaround: it's not a service promise, it's the only way we make money.

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Getting started

Four steps from first call to first paid claim.

STEP 1

Free Practice Audit

You get a written breakdown of exactly where your current billing is losing revenue, before you sign anything.

STEP 2

System Setup & EHR Sync

We connect directly to your existing EHR, so charges flow to billing the same day they're entered, with no double data entry for your staff.

STEP 3

Credentialing & Provider Onboarding

Every provider gets enrolled and verified with your payer mix, closing the window where care goes billed late or unbilled.

STEP 4

Go Live

Claims start flowing under your new process, with a dedicated analyst reporting on turnaround and collections from week one.

Built on compliance, backed by credentials

Every claim moves through a compliant, credentialed process.

HIPAA Compliant
Patient data handling & security
HITECH Act Compliant
Electronic health record safeguards
CMS Registered
Verified Medicare/Medicaid billing entity
From practices we bill for

What changed after the switch.

★★★★★

"Switching to GreenSense Billing was the best financial decision for our practice. Their revenue cycle management team optimized our entire workflow, and we saw a dramatic increase in our net collections within just two months. We finally have a predictable cash flow."

Dr. A. MillerAustin Family Practice
★★★★★

"We were drowning in aging accounts receivable before we found GreenSense Billing. Their dedicated A/R team aggressively followed up on unpaid claims and recovered thousands of dollars that we had simply considered lost."

Dr. T. BensonSeattle Podiatry Associates
★★★★★

"Since outsourcing our billing to GreenSense, our practice revenue has increased dramatically. They stripped away the inefficiencies in our billing cycle and captured charges we did not even realize we were missing."

Dr. J. DavisOrlando Orthopedic Group
★★★★★

"Behavioral health billing is notoriously tricky, but GreenSense has mastered it. They significantly reduced our claim rejections and handle all the complex insurance verifications, allowing our therapists to focus entirely on patient care."

Dr. P. HarrisonMiami Behavioral Health Center
★★★★★

"The specialized OB/GYN coding team at GreenSense is phenomenal. They ensure every procedure is billed accurately and compliantly, which has completely eliminated the downcoding issues we used to face with major insurance payers."

Dr. L. ChenHouston Women's Wellness Clinic
In‑house vs. GreenSense

The same practice, billed two different ways.

Metric Typical in‑house billing GreenSense Billing
Monthly collected revenueBaselineUp to 30% higher
Patients billed per monthLimited by staff capacityScales without new hires
Denial rate10–15%, often industry average or worseUnder 5%
Average A/R days45–60 days30% fewer days on average
Time to get paid30–45+ days per claim7–14 days per claim
Success story

An orthopedic group in Reno recovered $184,000 in aged claims in one quarter.

A 6‑provider orthopedic practice came to GreenSense with $310,000 sitting in claims aged past 90 days, most of it written off internally as "likely uncollectable." Within 120 days of go‑live, the team reworked the backlog, corrected a recurring coding error on post‑op visits, and closed a credentialing gap for two providers.

$184K
Recovered in aged claims
120 days
Time to recovery
↓22 days
A/R days, before → after
Watch · 2 min Introduction to Medical Billing with GreenSense
Common questions

Before you call, here's what most practices ask.

There's no long‑term contract. Service continues month to month, and because our fee is a percentage of collections rather than a flat retainer, there's no minimum term to buy out of.

Your account is staffed by billers who already work claims in your specialty's payer rules and modifier logic, not a generalist rotating across every specialty we support.

We connect directly to your existing EHR rather than asking you to migrate systems. Historical claims data stays where it is; new charges sync automatically once the connection is live.

Every denial is worked, appealed where appropriate, and reported back to you with the reason code and resolution, not just re‑submitted and forgotten.

We're paid a percentage of what we collect on your behalf. If a claim is denied and never recovered, we don't get paid for it either. The incentive to work every claim through is built into the fee itself.

Free audits are limited to two new practices per week per region

See exactly what your current billing is costing you.

Get a free, no‑obligation review of your last 90 days of claims. Most practices find recoverable revenue in the first pass.

Get My Free Billing Audit