In a small practice, billing usually belongs to whoever has a spare hour: the office manager, a front desk employee, or the clinician after the last appointment. Claims go out, but follow-up slips, denials sit, and nobody has time to find out why a payer paid less than it should have. Maximum Billing handles medical, dental, and behavioral health billing for small practices in twelve states, from solo clinicians to groups with a handful of providers.
Schedule a consultation or call 800-820-0364.
Why Billing Is Harder for Small Practices
Large groups have billing departments. Small practices have one person, or part of one person, and that changes everything:
- One person holds all the knowledge. When that employee is out sick, on vacation, or leaves, claims stop and no one else knows the payer portals or the open appeals.
- Follow-up is the first thing to go. Submitting claims feels urgent. Calling about a claim that has been unpaid for 45 days does not, until it is past the filing limit.
- Denials get written off instead of worked. Without time to read the denial reason, correct the claim, and resubmit, many small practices simply absorb the loss.
- Payer rules change faster than anyone can track. Telehealth policies, authorization requirements, and coding updates arrive every year, and a small office rarely hears about them before the denials start.
- Credentialing delays hit harder. When one new clinician is a third of your capacity, months of unbillable sessions or visits can strain the whole practice.
What We Handle for Small Practices
- Insurance eligibility and benefits checks before visits, including deductibles, copays, and authorization requirements.
- Charge entry and coding review so each claim matches the documentation.
- Clean claim submission and same-week correction of anything the clearinghouse rejects.
- Payment posting, with underpayments flagged against your fee schedules instead of posted as paid.
- Denial management and appeals, worked by reason so the same denial stops coming back.
- Accounts receivable follow-up on every unpaid claim, by payer and by age.
- Patient statements and balance questions.
- Credentialing and payer enrollment for new clinicians and new locations.
You can hand us the full revenue cycle or just the part that is not getting done. Some practices keep scheduling and copay collection in-house and give us everything after the visit.
In-House Biller or Billing Company?
For a small practice, the comparison is rarely just a salary against a fee. An in-house biller also brings payroll taxes, benefits, training, clearinghouse and software costs, and the cost of the gaps: the weeks of vacation, the turnover, and the claims that nobody follows up while a replacement is hired and trained.
A billing company spreads that work across a team, so coverage does not depend on one person being in the office. The trade-off is that you are trusting an outside team with your revenue, which is why you should ask any company, including us, how they report on outstanding claims, who you call with a question, and how they protect patient information. Our page on outsourced medical billing services compares in-house and outsourced billing in more detail.
Built by a Small Team, for Small Practices
Maximum Billing, LLC was founded in 2018 by Gina Abrotsky-Salvatore, CPCS, MHT, who brings more than 20 years of experience in insurance billing and revenue cycle management. Our office is in Fort Myers, Florida, and our team of six certified billing and coding specialists works remotely. We are a small business ourselves, so we understand that every claim matters and that you want to know the people handling your billing.
We work inside the system you already use, so there is no need to switch software. Our team works in SimplePractice, Sessions Health, TherapyNotes, and InSync for behavioral health practices, and in Eaglesoft, Dentrix, Dentrix Ascend, and Open Dental for dental practices.
Specialties We Bill For
- Therapy and behavioral health. Solo therapists and group practices, including psychotherapy time codes, telehealth, and associate clinicians. See therapy billing services.
- Psychiatric practices. Evaluation and management with psychotherapy add-on codes and medication management visits. See psychiatric billing services and Florida behavioral health and psychiatric billing.
- Dental and oral surgery. CDT coding, attachments, coordination of benefits, and medical billing for oral surgery procedures. See dental billing services, and our dental billing pages for Florida and Texas.
- Medical practices. Office visits, procedures, Medicare, Medicaid, and commercial plans. See our medical billing pages for Florida, Texas, and New Jersey. Or start with our medical billing services overview.
The Numbers We Watch
As of 2026, our clients’ claims reach a 91% clean claim rate, and their accounts receivable average 34 days. The clean claim rate measures how many claims are accepted and processed the first time they are submitted, without corrections. Days in A/R measures how long, on average, it takes to collect what a practice has billed. For a small practice, a few days’ difference in either number can decide whether payroll is comfortable or tight.
How Getting Started Works
- Consultation. We talk through your specialty, payers, software, and what is not working today.
- Review. We look at your current aging report and recent denials to see what is still collectible.
- Agreement. We sign a Business Associate Agreement before we touch any patient information.
- Access and setup. You give us access to your practice management system, clearinghouse, and payer portals.
- Transition. We take over new claims and work the existing backlog, starting with balances still inside filing limits.
- Credentialing check. We confirm every clinician is enrolled correctly with each payer, because enrollment errors cause denials that look like billing problems.
Protecting Your Patients’ Information
Every client relationship starts with a signed Business Associate Agreement, and every member of our team completes HIPAA certification. Our HIPAA compliant billing services page explains how we handle protected health information.
Where We Work
We bill for small practices in Colorado, Connecticut, Florida, Georgia, Illinois, Missouri, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, and Texas. Each state has its own Medicaid program, prompt pay rules, and dominant commercial payers, and our state pages cover them in detail, including New York, New Jersey, Georgia, and Texas.
Frequently Asked Questions
Is my practice too small to outsource billing?
No. We work with individual therapists as well as group practices. A solo practice often benefits the most, because the clinician is usually the one doing the billing.
Do I have to change my EHR or practice management system?
No. We work inside the system you already use.
Can you help with old unpaid claims?
Yes. We review your aging report, tell you what is still collectible, and work those claims while we take over new billing.
Do you handle credentialing for new clinicians?
Yes. We handle applications, CAQH, and follow-up for new clinicians and locations. See our credentialing and payer enrollment services. If your practice is growing into a group, see our group practice billing services.
How do you protect patient information?
We sign a Business Associate Agreement with every client, and every team member completes HIPAA certification.
Get Your Billing Off Your Plate
If billing is taking time you would rather spend with patients, we can help. Contact us or call 800-820-0364 to talk through your practice.