Stop Losing Revenue to Billing Errors — Complete Medical Billing & RCM Services

From patient scheduling to final payment — HIPAA-compliant billing services that reduce denials, accelerate collections, and give you back time to focus on care.

98.7%Clean Claim Rate
35%Avg Revenue Increase
<72hClaim Turnaround
Replace with your hospital / team image
$2.4B+
Revenue Processed
<2%
Denial Rate
Live
Claim monitoring
🎓
AAPC & AHIMA Certified Coders Board-certified coding specialists
🔒
HIPAA + SOC 2 Compliant Enterprise-grade data security
🏥
500+ Providers Served Across all 50 U.S. states
📋
40+ Specialties Supported We know your billing codes
Proven Outcomes

The Numbers That Actually Matter
to Your Practice

Days in AR
45
<30

Industry average is 45 days. Our clients collect 33% faster.

Revenue Increase
+35%

Average uplift within 90 days of onboarding.

First Pass Ratio
82%
96%+

Industry average is 82%. First-submission acceptance rate.

Collection Ratio
88%
98%+

Near-total collection of every allowable dollar owed.

Clean Claims Rate
95%
98.7%

3.7 percentage points above the national benchmark.

Denial Rate
5–10%
<2%

Up to 80% reduction in claim denials versus industry norms.

Full-Cycle Coverage

Complete Revenue Cycle Management
From First Visit to Final Payment

Every touchpoint of your revenue cycle, covered.

Close the loop on every dollar — from payment posting to final collection.

Getting Started

From audit to live in
as little as 72 hours

Zero disruption to your practice, guaranteed.

1
Free Revenue Audit

We analyze your current setup, find the revenue leaks, and deliver a detailed written report — at no cost, no strings attached.

2
Custom RCM Blueprint

A tailored plan built around your specialty, payer mix, and practice size. No cookie-cutter approaches, no wasted motion.

3
Seamless EHR Integration

We integrate with all major EHR platforms and handle the full technical setup. Most practices are live within 72 hours.

4
Ongoing Optimization

Monthly performance reports, denial trend analytics, and a dedicated account manager who answers the phone.

01
Free Revenue Audit
We analyze your setup, find the revenue leaks, and deliver a detailed report — at no cost.
Hospital building photo goes here
$2.4B+
Revenue Processed
500+
Providers Served
98.7%
Claim Rate
<48h
Denial Response
Who We Are

A Billing Partner Built by Healthcare People, for Healthcare People

We started SMadicale because we kept watching great practices bleed revenue through preventable billing problems — not because the doctors weren't skilled, but because the billing systems around them were broken, understaffed, or outsourced to firms that never picked up the phone.

We built something different: a boutique RCM firm that combines enterprise compliance with the responsiveness of a partner who knows your name.

HIPAA Compliant AAPC Certified SOC 2 Type II 10+ Years Experience 40+ Specialties
$2.4B+
Revenue Processed
500+
Providers Served
98.7%
Clean Claim Rate
<48h
Denial Response
Learn Our Story →
40+ Specialties

We Know Your Field

Specialty-specific coders, payer knowledge, and modifier expertise — from day one.

🫀
Cardiology
🦴
Orthopedics
🧠
Mental Health
🩺
Internal Medicine
🏃
Physical Therapy
📡
Radiology
👶
Pediatrics
🚑
Urgent Care
💊
Pain Management
🌸
OB/GYN
🔬
Dermatology
🧬
Neurology

Not sure if you're leaving money on the table?

Most practices are — find out exactly where in 24 hours. Free. No commitment.

Get My Free Audit
Client Stories

500+ Practices Trust Us With Their Revenue

★★★★★

Switching to SMadicale cut our denial rate in half within 60 days. Their team actually calls us back — something our last vendor never did once in two years.

MC

Dr. Michael Chen

Cardiologist · Houston, TX
Revenue up 38% in 90 days
★★★★★

We were sitting on $280K in aging AR when we came to SMadicale. Within 4 months, they'd recovered 94% of it. I wish we'd found them sooner.

SR

Dr. Sarah Rawlings

Orthopedic Surgery · Chicago, IL
$263K recovered from aging AR
★★★★★

As a mental health group, our billing is complicated. SMadicale's coders actually understand our codes. Clean claim rate went from 87% to 97% in the first month.

JP

Dr. James Patterson

Psychiatry Group · Atlanta, GA
Clean claim rate: 87% → 97%
How We Work

Our Principles

The commitments behind every claim, every call, every client relationship.

01

We Pick Up the Phone

Every client gets a named account manager — not a ticket queue. Someone who knows your practice and answers when you call.

02

Transparency Over Comfort

Monthly performance reports whether the numbers are great or need work. You always know exactly what's happening.

03

No Long-Term Traps

No 3-year lock-in contracts. No penalty clauses. We earn your business month over month — the only loyalty that means anything.

04

Specialty Knowledge First

Generalists lose money on modifier nuance. Our coders specialize in your field — they know the payer quirks and audit risks.

05

Security Without Shortcuts

HIPAA, SOC 2 Type II, HITRUST — these aren't badges. They're the minimum standard. Your data is handled like it's our own.

06

Your Growth Is Our Metric

We measure by revenue recovered, denials prevented, and the time we give back to you and your staff.

Resources

Billing & Coding Insights

View All Resources →
📋
Credentialing

Credentialing Guide for Multi-State Providers

Everything you need to know about enrolling with payers across multiple states without losing claim revenue.

8 min readRead →
🤝
Payer Strategy

Understanding Payer Contract Negotiations

How to negotiate reimbursement rates and fee schedules — and what most practices get wrong on renewals.

11 min readRead →
🔢
Coding Guide

JB Modifier: Description, Examples, and Usage Guidelines

When and how to apply the JB modifier — with real claim examples and common denial scenarios.

6 min readRead →
Let's Talk

Start Recovering Lost Revenue This Week

Free audit. No contracts. No disruption to your practice.

Schedule a 15-min Call