Medical Billing & RCM

Revenue cycle management isn't just about submitting claims. It's about knowing what happens after — and making sure every dollar you've earned actually reaches your account.

Our team handles every stage of the billing process, from verifying patient eligibility and coding accuracy before submission to actively managing denials, appeals, and aging accounts receivable. We don't wait for problems to appear on a report — we catch them early and resolve them fast.

The difference? You stop leaving money on the table, and your team stops spending hours chasing down payments that should have arrived weeks ago.

What's Included

Patient Eligibility Verification

Catch coverage gaps before they become denials.

Charge Entry & Claim Submission

Accurate coding and clean claims, first time.

Payment Posting & Reconciliation

Every payment tracked, every discrepancy flagged.

Denial Management & Appeals

Aggressive follow-up on every rejected or underpaid claim.

Accounts Receivable Follow-Up

Systematic work on aging balances to accelerate cash flow.

Reporting & Analytics

Clear, regular reporting so you always know where your revenue stands.

ABA Therapy Billing

Billing for Applied Behavior Analysis comes with its own set of challenges — complex authorization requirements, session-based coding, and payers that require meticulous documentation. Many billing companies treat ABA like standard medical billing and wonder why claims keep getting denied.

We understand the nuances. Our team knows the difference between 97153 and 97155, when concurrent billing applies, and how to stay ahead of authorization renewals. We work closely with your clinical team to make sure documentation and billing stay aligned — so you can focus on your clients, not your claim status.

Whether you're a solo BCBA or a multi-location ABA provider, we tailor our approach to fit the way your practice actually operates.

ABA-Specific Expertise

Authorization Tracking & Renewals

Stay ahead of expirations so sessions never go unbilled.

Session-Based Coding

Accurate CPT coding for every service type and modifier.

Payer-Specific Requirements

We know what each insurance carrier expects — and we deliver it.

Clinical-Billing Coordination

We work with your BCBAs and RBTs to keep records and billing in sync.

Credentialing Support

Help navigating payer enrollment and credentialing processes.

Full-Cycle Accounting

Most practices manage billing in one system and bookkeeping in another — if they manage bookkeeping at all. The result? A fragmented view of your finances, missed insights, and reconciliation headaches at tax time.

With Paragon RCM, you have the option to integrate your billing into a comprehensive accounting service. Your claim revenue flows directly into your books. Payroll, expenses, and financial reporting all live under one roof. No more piecing together spreadsheets from three different providers.

It's the kind of financial clarity that lets you make real business decisions — not just guess and hope.

Accounting Services

Bookkeeping & Reconciliation

Accurate books that tie directly to your billing revenue.

Payroll Management

Streamlined payroll that keeps your team paid and compliant.

Financial Reporting

Monthly and quarterly reports that actually tell you something useful.

Tax Preparation Support

Clean, organized financials ready for your tax professional.

Fractional CFO Services

Through our partnership with Bluprint Consulting, we offer fractional CFO services that round out your financial suite — giving you executive-level financial strategy without the executive-level price tag.

Financial Strategy

Data-driven guidance on growth, profitability, and long-term planning from experienced financial professionals who understand healthcare.

Cash Flow Optimization

See where your money is going, forecast what's coming in, and make informed decisions that protect and grow your practice.

Budgeting & Forecasting

Professional financial modeling so you can plan hires, expansions, and investments with confidence — not guesswork.

Let's Build Something That Works

Whether you need billing support, a complete financial overhaul, or just want to explore your options — we're here to listen.

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