ZH Medsolutions
End-to-End US Medical Billing

You care for your patients.
We care for your revenue.

ZH Medsolutions is the quiet partner behind healthier US clinics and hospitals — from ERA enrollment and credentialing to denials, appeals and credit balance resolution.

98.5%
First-pass resolution
30-35
Days in AR
5-10%
Denial rate
RCM Snapshot
Benchmark
Avg Days in AR
30-35 days
Denial Rate
5-10%
First-Pass Resolution
98.5%
Credentialing TAT
51 days
ERA Posting SLA
within 48h
HIPAA-aligned · SOC 2 ready workflows
Sound Familiar?

The four leaks costing US providers the most.

If any of these are happening at your practice or hospital, you’re leaving money on the table every single week.

Denial rates climbing every quarter

Repeat denials from UnitedHealthcare, Aetna, Cigna, Humana and Medicare follow patterns. We tag every CARC/RARC by payer and feed root-cause fixes back to your billing team.

AR over 90 days choking cash flow

Old AR collection rates drop below 15%. Our payer-specific follow-up workflows (UHC, Aetna, Medicaid MCOs and others) typically recover 30-40% of aged AR within the first 90 days.

Coding backlog or under-coding

AAPC/AHIMA-certified coders work in your PM/EHR with daily quality reviews — same-day charge entry SLAs.

Credentialing delays bleeding revenue

Every uncredentialed week = lost claims. Our 60-day onboarding checklist gets new providers billing fast.

Our Capabilities

Fourteen revenue-cycle services.
One quiet, accountable partner.

Pick a single service or hand us your full revenue cycle. We plug into your existing PM / EHR — no migrations, no surprises.

Eligibility Verification

Real-time eligibility checks before every visit — no surprise denials.

Benefit Verification

Detailed benefit & coverage verification with copay, deductible & auth requirements.

ERA Enrollment

Streamlined Electronic Remittance Advice enrollment with all major payers.

Credentialing

Provider credentialing and re-credentialing across commercial and government payers.

Medical Coding

Certified coders for ICD-10, CPT, HCPCS with compliance-first accuracy.

Charge Entry

Accurate charge capture with same-day turnaround and validation.

Payment Posting

ERA / EOB posting with reconciliation, adjustments and write-offs.

EDI Rejection

Rapid resolution of clearinghouse and payer-level EDI rejections.

AR Follow-Up

Aggressive aged AR follow-up to recover revenue and reduce days in AR.

Denial Follow-Up

Root-cause denial management with payer-specific resolution playbooks.

Correspondence & Documentation

Handle payer correspondence, medical records requests and documentation.

Patient Statement

Compassionate patient statements, balance reminders and self-pay support.

Appeal Submission

Targeted first, second and third-level appeals with clinical attachments.

Credit Balance

Identify, validate and resolve credit balances with compliant refunds.

Specialties We Serve

20+ specialties.
One playbook tuned to each.

20+Specialties
4Specialty Categories

Don’t see yours? We onboard a new specialty every month — share a few details and we’ll confirm fit on the call.

Primary & Internal

  • Endocrinology
  • Nephrology
  • Pediatrics

Surgical & Procedural

  • Surgical
  • Urology
  • Pain Management

Diagnostics & Labs

  • Radiology
  • Independent Reference Labs
  • Sleep Medicine

Specialty & Wellness

  • Oncology
  • Podiatry
  • Dermatology
  • Gastroenterology
Who We Work With

Two engagement models.
Built for two very different worlds.

Independent Practices

Solo & multi-provider practices, ambulatory clinics, urgent care.

  • Pay only for what you use — per-claim or % of collections
  • 1-on-1 dedicated account manager (no offshore-only queues)
  • Specialty-specific coders (OBGYN, Ortho, PT, behavioral & more)
  • Live KPI dashboard — your front desk sees what we see

Hospital Systems

Community hospitals, multi-state networks, specialty hospitals.

  • Scaled extended business office (EBO) team
  • Dedicated denial taskforce + appeals war room
  • Payer-by-payer SLA tracking with monthly executive review
  • HIM coding audit support — DRG optimization on request
Platforms We Work In

PM / EHR systems we’ve billed in.

No migrations, no re-platforming. We log into your existing system and work right alongside your team.

EpicathenahealtheClinicalWorksKareo / TebraGreenwayNextGenPractice FusionAdvancedMDDrChronoAllscripts+ 30 more on request
Payers We Negotiate With Daily

Payer-specific playbooks, not generic appeals.

Each payer has its own denial patterns, escalation paths and authorization quirks. We’ve mapped them all.

UnitedHealthcareAetnaCignaHumanaCMS / MedicareMedicaid Managed CareAnthem BCBSKaiserTricareWellCare+ Regional BCBS & commercial plans
How We Work

A predictable, auditable engagement model.

Step 1

Discovery

We audit your current denials, AR aging, payer mix and PM/EHR setup — no obligation.

Step 2

Onboarding

Secure data exchange, dedicated account manager, KPIs and SLAs locked in writing.

Step 3

Daily Operations

Coding, charge entry, posting, AR & denial work loops with daily quality reviews.

Step 4

Optimization

Root-cause analytics feed back to your billing team and coders — denials shrink quarter over quarter.

Our promise to providers

You bill it. We collect it.
No quiet write-offs.

From the first eligibility check to the last appeal, every claim is owned by a human on our team — not a queue. That’s how we keep first-pass resolution above 98% and denials shrinking quarter over quarter.

Healthcare team collaborating
Recovered for clients
$18.4M+
in 2024 alone
About ZH Medsolutions

We’re the operations partner your front-desk wishes you hired sooner.

Born to solve one painful problem: independent practices and hospital systems leak revenue through avoidable denials, delayed credentialing and slow AR follow-up. We bring discipline, dashboards and humans who actually answer the phone.

  • 100% US-healthcare focused team
  • HIPAA-aligned secure data handling
  • Works in Epic, athenahealth, eClinicalWorks, Kareo/Tebra, NextGen, Greenway, Practice Fusion + 30 more
  • Daily, weekly and monthly KPI dashboards
  • Certified medical coders (AAPC / AHIMA)
  • Transparent, outcome-based pricing

“You care for your patients. We care for your revenue.”

— Our promise
Built on Trust

Compliance & standards we operate under.

HIPAA-Aligned
Signed BAAs
SOC 2 Ready
Workflows & controls
AAPC / AHIMA
Certified coders
PHI Encrypted
In transit & at rest
Role-based access
Least-privilege model
100% US-focused
Healthcare only
Case Studies

Outcomes you can measure in dollars.

Anonymized engagement snapshots showing exactly what changes within 30, 60 and 90 days of partnering with ZH Medsolutions.

Orthopedics

Texas Ortho Group: $1.2M Aged AR Recovered in 90 Days

A 9-provider orthopedic practice partnered with us to tackle a swelling 90+ AR bucket and rising denials from a major commercial payer.

$1.2M
Aged AR recovered
-18
Days in AR ↓
32%
Denials ↓
Behavioral Health

Behavioral Health Network: 14 Providers Credentialed in 60 Days

A growing multi-state behavioral health network needed to onboard new clinicians fast — without losing months of billable revenue per provider.

14
Providers credentialed
58 days
Avg TAT
$890K
Revenue protected
FQHC

FQHC in the Midwest: Coding Accuracy 92% → 99.1%

A federally qualified health center was losing revenue from undercoding and HRSA audit-flagged charts. We rebuilt their coding QA loop.

99.1%
Coding accuracy
76%
Audit flags ↓
11.4%
Net collections ↑
Cardiology

Cardiology Practice: First-Pass Resolution from 84% to 98.7%

A 5-physician cardiology practice was bleeding cash on rework. We turned their denial loop into a root-cause feedback engine.

98.7%
First-pass rate
61%
Rework hours ↓
12 days
Avg pay TAT
Independent Labs

Reference Lab: ERA Posting from 6 Days to Under 24 Hours

An independent reference lab had ERA posting backlogs that masked reconciliation issues. We rebuilt their posting layer.

<24h
ERA posting SLA
89%
Unreconciled ↓
22%
Cash velocity ↑
Hospital System

Community Hospital: EDI Rejection Backlog Cleared in 5 Weeks

A 240-bed community hospital had a 4,800-claim EDI rejection backlog blocking clean reimbursement.

4,800
Backlog cleared
$2.3M
$ recovered
Daily
Sweep cadence
Frequently Asked

Things we’re asked on every discovery call.

Get In Touch

Let’s look at your numbers together.

Share a few details and we’ll respond within one business day with a free revenue-cycle assessment.

ZH Medsolutions
ZH Medsolutions
Care · Coding · Cash Flow

End-to-end medical billing partner for US healthcare providers and hospitals — consistently delivering healthier revenue cycles.

Subscribe to our newsletter and be the first to know about our updates.

We respect your inbox. No spam, unsubscribe any time.

Connect with us
© 2026 ZH Medsolutions. All rights reserved.
||
ZH MedsolutionsOffline
We're closed — leave a message
ZH
Thanks for stopping by! We’re currently offline (business hours: Mon-Sun 9 AM - 6 PM ET). Leave us a message and we’ll respond first thing.
Replies typically within 1 business day

Made with Emergent