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Before Medisure, I was staying late three nights a week just to keep up with billing. Within the first quarter, our collections jumped about 22% and I genuinely got my evenings back. Their team feels like an extension of my front office, not an outside vendor.

We’d been running billing in-house for years and it was getting expensive — three full-time billers, training costs, turnover every time someone left. Medisure took over the whole cycle and our days in AR dropped from 58 to 31 in about five months. We’re spending less and collecting more. It paid for itself almost immediately.

What I appreciate most is how careful they are with documentation. We went through a payer audit last year and their files were spotless — every modifier justified, every note where it should be. That kind of compliance support is hard to build internally at our size.

Our aged AR over 90 days was the embarrassing number nobody wanted to talk about. Medisure’s team worked through the backlog systematically — no excuses, just steady recovery. They pulled in about $340K we’d basically written off. The reporting they send each month finally gives me numbers I can actually act on.

Honestly, what sold me was how easy they are to reach. I send a question in the morning and someone’s back to me before lunch. My clinicians don’t have to think about billing anymore — they show up, see patients, and the rest just happens in the background.

We were a Kareo shop with two in-house billers when we signed on. Now we’re on eClinicalWorks, processing nearly double the claim volume, and our gross collection rate climbed from the low 80s to 94%. The transition was the smoothest vendor onboarding I’ve been through in 20 years of practice management.

I’ll be honest, I was nervous about handing billing to an outside team — chiropractic claims get denied for the strangest reasons and I’d been burned before. Six months in, our denial rate is under 4% and I haven’t had to chase a single Medicare claim myself. That alone is worth it.

Our previous billing company would go quiet for days when we had questions. Medisure assigned us a dedicated account lead and we hear back within hours, sometimes minutes. Our days in AR went from 47 to 28, and I finally trust the numbers in our monthly reports. That trust is worth more than the cost savings, honestly.

What surprised me was how much they caught that we’d been missing — undercoded procedures, modifiers we weren’t using, payer policies we didn’t know had changed. Our collections went up almost 18% in the first six months and nothing about how we practice changed. They just billed it right.

Pain management billing is a minefield — prior auths, controlled substance documentation, payer scrutiny on every injection. Medisure handles all of it and our clean claim rate is now 96%. I used to spend a full day a week on billing issues. Now I see patients. That’s the whole pitch for me.