Your practice CEO
Otolaryngology is a core business here — not one of forty specialties.
70% of BillCos don’t work nationally
75% of BillCos don’t specialize
80% of BillCos use >5 programs
We are a national, ENT-focused, tech-leveraged surgical billing firm working.
50+ billing programs a day. We own being different.
NCCI add-on rules and payer bundling fights — the rules change. AAO-HNS CPT updates go into our code mapping every January, not after the denial.
Payers fight modifier 50. We know when it's defensible, the difference between a 69209 and a 69210, and how turbinate procedures differ.
Audiology has its own bundling rules and benefit-manager carve-outs; immunotherapy has its own concurrent-billing logic. Each billed to the right benefit, right CPT family.
Rhinoplasty, brow lifts, functional blepharoplasty — two surgical coding sets under one tax ID, one team. No hand-off to a second vendor.
ProRevenue AI works your aging buckets by root cause — not a queue someone gets to eventually.
ENT denial patterns each have a defined appeal path: FESS bundling fights, modifier-50 disputes, medical necessity on sinus and sleep procedures.
The denials most billing companies batch and abandon, we actually work.
Powered by ProRevenue AI.
Built in-house and run on every client account — no extra cost.
Imagine your patients receiving a text or email with a one-click payment option that automatically posts the payment to your billing system. No humans. No human error.
What if your patients could chat billing questions right from their phone to your billing team?
What if you only had to press send once and your patients got automated reminders for 90 days instead of one piece of snail mail per click?
With Raxia, they can.
Our named patient-billing partner — statements, text/chat, click-to-pay, offered to clients at no cost.
New practice? Expanding your payer grid? Sick of the headache? We handle ENT credentialing and payer contracting end-to-end.
Sinus surgery, sleep procedures, cochlear implants — submitted proactively with CPT-level specificity so the auth matches your op note. No last-minute denials on cases you already performed.
Bookkeeping, reporting, and financial strategy built on your real billing data — the financial layer most practices never get from a biller.
Are your numbers a black hole? Unsure what your biller is doing? Sick of waiting for reports?
We’ve got a solution for you.
The Auctus ProVider App illuminates your billing.
Real-time AR, denial trends, and payer behavior — built by Auctus.
Now live.
Sick of coding? Op notes piling up? Done with printing paperwork from the OR?
We’ve built a better mousetrap.
ProCode AI codes your op note — clean CPT, ICD-10, modifiers, units. NCCI-passed.
90% faster and 5× more accurate than the average coder — built by Auctus.
Now live.
The CPT your surgeon produces in the OR isn't always the CPT that should appear on the claim. Our specialty-certified ENT coders read every operative report — FESS bundling and endoscopy add-ons, bilateral procedures and modifier-50 sequencing, turbinate distinctions down to a 69209 vs a 69210. AAO-HNS CPT updates go into our code mapping at the start of every calendar year. ProCode AI does the first pass 90% faster and 5× more accurate; our coders close the gap.
Audiological testing has its own bundling rules — and often its own benefit manager; allergy immunotherapy has its own concurrent-billing logic. We bill each service line to the right benefit under the right CPT family, never conflated with your surgical claims. If your practice includes facial plastics, we code both surgical specialty sets under one roof. And if part of your practice is out-of-network, the same team handles IDR/NSA billing end-to-end — no separate arbitration vendor.
Medical billing services for ENT practices involve accurately documenting, coding, and submitting insurance claims for every surgical and office procedure. Accurate coding using CPT and ICD-10 is critical because otolaryngology spans endoscopic sinus surgery, audiology, and allergy services — each with its own bundling rules and benefit structures, and payers scrutinize bilateral and add-on procedures closely.
Outsourcing ENT medical billing services can benefit your practice in various ways. It will help improve cash flow and revenue, reduce operational costs, and increase the overall efficiency of your business. It enables your staff to focus more on offering exceptional services, while handling medical billing is outsourced to a team of experts.
Automated appeals utilize specialized billing software to quickly identify, categorize, and resubmit denied insurance claims. When a claim gets rejected, the system automatically reviews the reason for the denial, attaches the necessary documentation, and generates a compliant appeal letter in accordance with payer-specific rules. This approach reduces manual efforts, speeds up reimbursement, and ensures you do not overlook denied claims.
RCM, or Revenue Cycle Management, is a comprehensive process that medical practices use to manage the administrative and financial aspects of a patient’s journey. From the first appointment to the final payment, the RCM takes care of everything. It connects the clinical care that the patient has received with the ENT billing services.
Medical coding accuracy directly impacts the accuracy of claims submitted to insurance companies. Accurate coding ensures the accuracy of reimbursements for healthcare providers, thereby ensuring that medical practices are paid correctly for the services they render. On the other hand, inaccuracy in medical coding can lead to claim denials and underpayments, thus resulting in critical revenue losses.
To track your medical practice’s billing performance, you can monitor Key Performance Indicators (KPIs) such as Accounts Receivable (AR) aging, Net Collection Rate (NCR), First Pass Rate, and Days in AR. Moreover, your Revenue Cycle Management Report will also provide you with an understanding of your billing process and help identify areas for improvement, including potential bottlenecks.
