• Revenue Cycle is the heart behind the Financial health of your Practice, never compromise on the people working on it

Top Reasons Medical Practices Lose Revenue:

Claim Denials above 4%

First-Pass Claim Rate below 98%

Collections under 97%

A/R over 90 Days >12%

Poor Staff Communication

No Clear KPI Tracking

Rising Admin Costs

Wrong People in Key Roles

For Peak Efficiency:
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Medical Billing Services

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End to End Medical Billing

From Patient Scheduling to Payment Posting, We provide our clients with end-to-end medical billing services that maximize reimbursements while lowering overall costs.
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AR Recovery Services

Professional AR team that is highly effective at collecting the maximum reimbursement from old accounts that have become impossible to collect.
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Experienced Team

WMB team includes professionals who are well-versed in medical billing and coding, as well as the rules and regulations governing healthcare payments.
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Our Medical Billing Company is committed to Providing

Medical billing services that enhance the value of medical practices. In order to achieve 100% customer satisfaction, we recommend Wise Medical Billing Company as we have the knowledge, tools, and dedication to reimburse all claims. With years of experience in medical billing and coding, we have unmatched standards.

Our expertise allows us to process claims and make reimbursements more quickly. Using advanced software and expertise, our certified coders work efficiently to collect payments on time and maximize efficiency.

20+ Years
of Experience

Certified
Coding Experts

HIPAA
Complaint Services

Patient
Support

98% Clean
Claims Rate

Experienced
A/R Experts

All
Specialities Covered

Wise Medical Billing Services

We at Wise Medical Billing are committed to quality and mutual growth. We provide exceptional healthcare IT services that go above and beyond the usual practices with the help of our experienced staff and solutions. Having certified medical billers, coders, front and back office staff who understand the complexities involved in obtaining reimbursement from patients and insurance companies is an advantage. Their expertise allows them to offer a compliant solution to all such complexities.
  • End to End Medical Billing
  • Medical Coding Services
  • Laboratory Billing Services
  • Prior-Authorization
  • Front Desk and Scheduling Service
  • Business Website Development
  • Surprise Medical Billing Services
  • Accounts Receivable Recovery
  • Medical Credentialing Services
  • Coverage Discovery
  • Data Entry Services
  • Patient Help Desk and Collection Services
  • Denial Management Services
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Wise Medical Billing
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Wise Medical Billing LLC - How are we different from our competitors?

Reduce Cost:
Our reliable medical billing services save you precious time while only charging a tiny percentage of your collections.
Clean Claim rate:
With our understanding of the entire medical billing process, we are able to complete the entire process quickly. We ensure that 98% of claims are paid on the first submission.
Faster AR Recovery:
Take advantage of Wise Medical Billing unparalleled experience in AR recovery and increase cash flow by minimizing your cost-to-collect, accelerating your cash collections, reducing your AR days, and increasing your return on investment.
HIPAA Compliant:
All aspects of your medical billing are managed by a HIPAA-compliant team and software. Our company assures the security of patient information while using patients' data for the purpose of clearing their accounts.

WMB Specialties

We help all specialty areas with our unique practice management and billing processes. Our billing staff is well versed in all aspects of your practice’s financial billing and management services. WMB’s end-to-end billing solutions are trusted by thousands of healthcare providers nationwide. Providing optimal care and serving small to large practices better than ever before, we help private practices earn more.

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Ambulatory Surgery
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Allergy and Immunology
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Urology
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Pediatric
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Ophthalmology
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Urgent Care
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Emergency Rooms
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Infectious Disease
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Oncology
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Psychiatric and Mental Health
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Pathology
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Neurology
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Obstetrics & Gynecology
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Gastroenterology
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Orthopedic
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Ear, Nose & Throat
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Nephrology
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Pulmonary
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Pain Management
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Internal Medicine
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Podiatry
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Cardiology
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Dermatology
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Wound Care
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FQHC
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Nursing Homes
View All Specialties

Testimonials

Dr. Hasnain

About WMB excellent Reporting and Customer Service

Owner: Multi Specialty Medical Center

I wanted to have visibility of my finances, billing, claims and everything my medical center does. I had trouble communicating with my billing teams, they would not share reports on time and not in the format I needed, also they were not responsive. I found WMB online, after talking to their team I outsourced billing to them. I am glad that I made the right and timely decision to choose WMB. They are very professionals in their dealing, very responsive with their support and their reporting is highly recommended. Finally, I was able to see what I wanted to see. Also they are very experienced in my software. I am glad I chose WMB and I will recommend them to anyone who wants to have control on their billing even if it is outsourced to them.

Our Clients are super Happy

Why Choose Wise Medical Billing Agency?

Founded by healthcare IT professionals with decades of experience, Wise Medical Billing LLC is dedicated to providing healthcare providers across the state with the finest medical billing and revenue cycle management services. In addition to technology, we recognize the importance of professionals who are able to add value and assist practices to run more efficiently and generate better financial results.

Wise Medical Billing LLC clients experience:

20%-25%

Revenue Growth

30%

Decrease in AR

98%

First Time Pass rate

7-14 Days

Turn Around Time

24/7

Customer Support

93%

Collection Rate

Compliance & Achievements

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Top EHR/PM we work with:

advanced-md-software
all-scripts-software
athena-health-software
care-cloud-software
cerner-software
collaborated-software
DrChrono-software
epic-software
greenway-health-software
kareo-software
meditech-software
modmed-software
next-gen-software
office-ally-software
practice-fusion-software

Take advantage of our professional medical billing and coding services to maximize your revenue collection.

Contact us for more information or to schedule a demo.

Contact Us
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Experience the wisdom of seamless medical billing and coding services, tailored to your specialties.

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Injection & Pain Management

We provide compliant billing for foot injections, nerve blocks, and pain management procedures with accurate documentation and proper modifier usage.

Advanced Treatments

We handle advanced podiatric treatments with proper prior authorization management and comprehensive clinical documentation for high-value services.

Nail & Skin Procedures

We ensure accurate coding for nail debridement, callus removal, and skin lesion treatments with proper medical necessity justification and frequency compliance.

Surgical Procedures

We manage complex podiatric surgeries with accurate modifier usage, justified gaps between claims, and transparent timeframe documentation for all procedures.

Diabetic Care Management

We coordinate diabetic foot care services with proper medical necessity documentation and systematic condition correlation for comprehensive treatment.

Orthotic Services

We provide specialized billing for custom orthotics and devices, ensuring proper HCPCS and ICD-10 code pairing to justify fitting and delivery documentation.

Routine Care & Diagnostics

We handle routine foot care according to strict medical necessity criteria, ensuring precise paperwork and accurate coding for debridement and mycotic nail care, with proper frequency documentation.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

Graft & Skin Substitute Procedures

We select accurate application and graft codes based on location and wound size, audit surgical documents to ensure correct Q-code pairing for procedures and supplies, and assist in navigating state-specific Medicaid nuances through proactive prior authorization.

DME Billing

Robust compliance for orthotics, diabetic shoes, walking boots, and offloading devices. We ensure that certified coders are used for accurate coding and a perfect match for every claim. We evaluate the signature requirements of every payer and employ proactive strategies for expedited prior authorization.

Injection Therapies

We handle foot injection procedures with accurate MCO compliance, ensuring proper documentation and modifier usage for maximum reimbursement in the NY market.

Nail & Skin Care

We provide compliant billing for nail debridement and skin lesion procedures, meeting eMedNY-specific documentation requirements and ensuring proper medical necessity justification.

Advanced Treatments

We manage advanced podiatric treatments with NY-specific requirements, ensuring proper Q-code usage, comprehensive clinical packets, and expedited prior authorization processes.

Diabetic Care Management

We coordinate diabetic foot care services with wound care partnerships, ensuring proper documentation and transparent billing coordination for all involved providers.

Surgical Procedures

We handle complex podiatric surgeries with MCO coordination, ensuring accurate service sequencing and proper documentation to prevent overlapping claims and denials.

Orthotic Services

We provide specialized eMedNY-compliant orthotic billing with precise HCPCS coding, accurate ICD-10 pairing, and comprehensive modifier knowledge for maximum reimbursement.

Routine Care & Diagnostics

We ensure eMedNY compliance for routine foot care services with systematic condition documentation, proper modifier alignment, and comprehensive medical necessity justification for all procedures.

Graft & Skin Substitute Procedures

We prepare comprehensive clinical packages for fast approval, ensure thorough compensation for graft products and application, and prevent claims denials through accurate coding and correct submission.

Wound Care Partnerships

We provide accurate code coordination to prevent overlapping, ensure transparent tracking for pre- and post-surgical services, and deliver complete operative notes with reduced errors.

DME Billing

NY Medicaid’s top coverages include diabetic shoes and inserts, ankle-foot orthoses, braces, and custom-molded orthotics. We ensure eMedNY compliance through precise documentation, proper ICD-10 coding, and in-depth knowledge of modifiers to prevent denials.

Robotic Procedures

We deal with complex billing for radical prostatectomy, partial nephrectomy, and cystectomy by elaborative documents for the used devices. Our accurate codes and modifiers ensure successful approvals.

Telehealth

Our coders ensure accuracy for pre-op consultations, follow-ups, and LUTS/OAB management. Our optimized POS and use of modifiers have lower denial rates, as we demonstrate their necessity with clinical documents.

Urodynamics & Diagnostics:

We handle multi-channel involvement and billing complications with detailed CPT/ICD pairing. Our proactive prior authorization handling and expert claim structuring ensure error-free approvals.

Cystoscopy & Endoscopy:

We capture every detail and require evidence to ensure a smooth claim approval for office-based and hospital-based endoscopic procedures. We offer robust billing claims for biopsies and stone removals.

Lithotripsy (ESWL) & Stone Management:

We understand the complex bundling of ESWL, URS, and stone procedures, including device charges, anesthesia, and supplies for ongoing care. This in-depth knowledge ensures coding accuracy for each component.

Prostate Procedures & Biopsy:

We offer meticulous billing for targeted biopsies and imaging-guided prostate procedures, ensuring proper coordination of involved pathology and detailed capture of all allowable charges.

Implants & Prosthetics

We strictly follow the payer’s rules for high-value penile prostheses and testicular implants, ensuring proper coverage for device charges. Our coders ensure proper coding pairs, transparent vendor contracts, and logs for implants.

Pathology & Imaging

Our team possesses in-depth knowledge of the working principles of pathology and imaging centers. We collaborate with service providers to obtain accurate clinical information, ensuring that we capture all allowable charges.

Botox & Neuromodulation

For these complex services, we provide thorough coverage by handling prior authorization approvals and ensuring coding accuracy for both trial and permanent procedures. Our modifier’s accuracy provides high compliance with diverse payer requirements.

DME & Catheter Supplies:

We provide streamlined billing claims for catheter and drainage bag supplies, ensuring smooth and timely payment collections. Our proof-of-delivery and proactive SOPs save practices from financial loss.

DME & Catheters

We handle catheter supplies, ongoing maintenance claims, and billing for incontinence aids. We complete clinical documents with proof of need, supply evidence, and other supporting elements according to Medicaid requirements.

Pathology & Advanced Imaging

Outpatient labs and imaging services face facility-based billing cuts due to poor classification. We manage all complexities with professional splits and ensure compliant claims for radiology reads and pathology services.

Botox & Neuromodulation

We perfectly align the trial with a permanent implant and explain all stages with accurate codes. Our precise and error-free claim submission ensures maximum reimbursement for all elements.

Implants & Prosthetics

We offer support for commercial or Medicaid billing claims through transparent device tracking, fair vendor contracts, and compliant pre-auths, resulting in the successful implantation of penile prostheses, urinary sphincters, or slings.

Prostate Procedures & Biopsies

Pairing of biopsies with MRI-guided prostate means additional care for billing documents. These coordinated services required accurate pathology linking, ensuring that our robust component captures the necessary information.

Lithotripsy & Stone Procedures

We offer coding accuracy from ESWL to ureteroscopy by managing compliant documents for anesthesia, professional components, and prior authorization for such high-value services.

Cystoscopy & Endoscopic Interventions

Our technical expertise ensures billing accuracy for stent removals, cystoscopy, and facility-based endoscopy procedures. We separate each component of treatment to bring payment for all.

Urodynamics & Pelvic Testing

We justify the clinical necessity for urodynamic services. We offer hands-on support for authorization, ensure claims accuracy with diagnosis justifications, and document compliance for revisits.

Telehealth Evaluation Services

We have current information about eMedNY and MCO policies, ensuring coding accuracy with proper place-of-service designations, relevant modifiers, patient consent forms, and explanations of rendered services.

Robotic Procedures

We cover high-value procedures such as prostatectomy and nephrectomy, among others, by accurately documenting device costs in clinical documents and justifying their necessity under APG and facility-based insurance rules.

Pathology & Imaging Coordination

We resolve coding conflicts for these pairing services and ensure a justified coordination in documents to prepare a clean claim with reduced denial risks.

DME & Catheter Supply Managemen

The Medi-Cal and commercial payers have strict compliance requirements for DME. We streamline your claims with transparent usage tracking to ensure quality care and justified reimbursement.

Botox, Neuromodulation & OAB Treatments

We simplify the staged billing process for trials by managing prior authorization, the device’s paperwork, and submitting claims to accurate insurers to make it more manageable.

Implants & Prosthetics

We expedite your operation by handling authorization and vendor contracts, managing paperwork for pre-approvals, ensuring coordination, and maintaining inventory logs for stents and penile implants.

Prostate Procedures & Biopsies

Our experts accurately sequence the complex billing claims for MRI-fusion biopsies, prostate services, and imaging pairings across various payers to ensure maximum reimbursement for practices.

Lithotripsy & Stone Procedures

We navigate the complex process through accurate coding, transparent anesthesia reports, and the use of durable equipment, resulting in maximum coverage for every service.

Cystoscopy & Endoscopic Interventions

We capture each detail about scope procedures, stent placements, and biopsies performed in facility or ASC settings to prepare compliant claim documents.

Urodynamics & Pelvic Testing

We understand the unique compliance requirements, from bladder studies to pelvic floor testing, which prove the clinical necessity to ensure robust prior authorization and successful billing claims.

Telehealth Evaluation Services

California has broader telehealth services, with high Medi-Cal reimbursement for these services. We cover modality, consent, and explain facility settings so that you can get maximum advantage from every allowed charge.

Robotic Procedures

We precisely document robotic-assisted surgeries, negotiate with insurers, reflect the procedure’s complexity, and complete all paperwork in accordance with payer requirements to ensure a justified payment.

AB 72 – Surprise Billing Law

For podiatrists providing surgical services in out-of-network facilities, California’s AB 72 limits balance billing. Navigating this requires precise billing strategies.

Prior Authorization Hurdles


Increasingly, California payers require prior authorizations for DME, orthotics, skin grafts, and advanced wound care procedures. Failure leads to non-payment.

Workers’ Compensation Complications

California’s Workers’ Compensation system demands strict adherence to the Official Medical Fee Schedule (OMFS) and highly detailed documentation—especially for podiatric injury care, fracture management, and surgical interventions

Complex Wound Care & Skin Graft Billing

Podiatrists collaborating with wound care centers for diabetic ulcers, pressure sores, or limb salvage procedures face frequent denials related to skin substitute grafts (e.g., Apligraf®, Dermagraft®) and advanced wound treatments like NPWT (vacuum therapy).

Medi-Cal Restrictions

Medi-Cal limits podiatry services unless directly related to chronic disease management. Denials are common without proper coding and documentation.

Routine Foot Care Scrutiny

California insurers, including Medi-Cal and major HMOs (Kaiser, Blue Shield CA), often classify foot care (like nail debridement and callus removal) as non-covered unless medically justified by conditions like diabetes or peripheral vascular disease.