Your Billing Company Says Everything's Fine.
Your Numbers Say Otherwise.
A few things we hear before a practice calls us:
"Our patient volume scaled. Our billing process never did."
You Already Know Something's Off.
Most of the practices that call us aren't in crisis. They're tired of asking their billing team the same question every month and getting a different answer.
Somewhere between the claim going out and the money landing in the account, the trail goes cold. We hear the same handful of lines on almost every first call.
What Staying With The Wrong Setup Costs You
It's not just the money still sitting in denied claims. It's what happens around it.
Money you've already earned
Practices we take over are usually collecting 10 to 30% less than they should be. That's not future revenue — it's money for care you already delivered.
Your time
Every hour a physician or office manager spends chasing a billing question is an hour not spent seeing patients or running the practice.
Your team
The staff working denials today are the same staff who burn out and leave if nothing changes. Then you're hiring and training all over again.
"Every month you wait, older claims get harder to collect and newer ones join the pile."
Who We're Built For
We're a fit if
- You're a single-site practice or a multi-site group with 20+ providers — we scale the team to match you
- You have a practice administrator, COO, or RCM lead ready to partner with our team day-to-day
- You need EHR/PM integration, EDI/EFT enrollment, or credentialing handled consistently across every location
- You want a dedicated team structure, not a shared support queue
We're probably not a fit if
- There's no operational leader on your side who can own this partnership
- You're looking for the lowest-cost option rather than the most accountable one
- You need a single point solution, not full revenue cycle ownership
"The point isn't to work with every practice. It's to work well with the ones we take on."
Already Have an RCM Team? That's Okay.
Before making any changes, get a second look at your revenue cycle and see if there are opportunities your current setup may be missing. We're not asking you to switch. We're offering an independent read on your numbers.
Healthcare
What We Do.
Medical Billing
Every claim, every denial, every dollar — worked until it's collected.
- Claims submitted within 24 hours
- Denial rate under 5%
- Dedicated account manager
Credentialing Optional
Payer enrollment and re-credentialing, tracked so nothing lapses and nothing slips.
- Every payer, every deadline tracked
- EHR/PM integrations and EDI/EFT enrollment handled for you
- Faster enrollment turnaround
Coding Audits Optional
We read your charts against your claims and show you exactly where the gap is.
- Documentation audits
- CPC-led coding review, including surgical case coding
Operational Consulting
Front-desk training and operational fixes that stop revenue leaks before they start.
- Front-desk and workflow training
- Policy development and process improvements that keep every location on track
Billing works better with a strategic team behind it.
It's not just software. When a claim gets complicated, one person owns it until it's resolved. When you have a question, it gets tracked until it's answered — not lost in a queue.
See how we run your revenue cycle →Insurance verified before the appointment
Claim followed up until it's paid
Patient statement sent with a simple way to pay
Patient AR strategy planning available
The Best RCM Partner Isn't a Vendor.
It's a Physician Who's Been in Your Shoes.
We treat your revenue cycle the way a physician treats a patient, with rigor, accountability, and a fixation on outcomes.
Physician-Led
A physician leads the strategy, not a shareholder or a sales team.
Dedicated Team Structure
Every practice gets a named account manager and team, built to scale with your provider count and locations, not a shared queue.
Leadership-Reviewed
Weekly account audits. Complex and failed claims escalate to leadership, not frontline staff.
AR Discipline
Insurance AR over 90 days kept under 20%, often under 10%.
Not All RCM Is Created Equal.
Here's how a physician-led, dedicated team stacks up against the two most common alternatives.
| Feature | NatRevMD | Typical RCM Firm | In-House Billing |
|---|---|---|---|
| Physician-Led Leadership | — | — | |
| Team continuity | Dedicated team, low turnover | Varies, often offshored | High turnover risk |
| Account manager ratio | Dedicated team, scales with you | Dozens of accounts, typical | No dedicated manager |
| Weekly leadership account audits | Rare | — | |
| Complex/failed claims handling | Escalated to leadership | Stays with frontline staff | Falls to office manager |
| Denial rate | Under 5% | Varies | Varies, often higher |
| Insurance AR over 90 days | Under 20%, often under 10% | Varies, often higher | Varies, often higher |
Meet the Physician Behind Our Team
Dr. Heather Signorelli is a board-certified pathologist and physician executive with 10+ years in healthcare management. She co-founded NatRevMD after seeing how most billing teams work: they check whether a claim went out, but rarely ask why it was denied in the first place. Was it a front-desk error? A documentation gap? A workflow nobody had reviewed in years? We dig into those root causes and fix the operations behind them — not just the claims.
"I built NatRevMD because I watched physicians lose money they'd already earned — not from poor medicine, but from billing systems never built with clinicians in mind."
— Dr. Heather Signorelli, Co-Founder & Physician AdvisorWhat Practice Owners Say.
These are public Google reviews. We did not write a word of them.
"Love working with this company! Heather and her team are always on top of everything for our practice and we are so lucky to work with them!"
Read on Google →"Absolutely great team! They know what they are doing. Excellent communication. They make my life so much easier!"
Read on Google →"If you are an OB/GYN, you NEED this service! Heather and her team are absolutely excellent! They have improved and elevated every aspect of how our business operates, and are incredibly responsive and genuinely invested in helping us succeed."
Read on Google →"I switched my medical practice billing over to NatRevMD six months ago, and seen a complete turnaround, experiencing far fewer challenges, ease in communication, transparency when issues arise, and overall a feeling of relief that my practice billing is in excellent hands."
Read on Google →"NatRevMD's team has kept us afloat in trying times post-COVID and brought our AR back down to under 20% when it was much higher with our in-house team. It has allowed our leadership to focus on other priorities and grow our business."
Read on Google →"So happy we made the switch to NatRevMD. They've done a phenomenal job bringing our billings up and were very organized the entire time. Great communication with all the staff."
Read on Google →"Saved my butt not once but twice." I really tried to keep billing in house at my practice, but NRC provided a better, more efficient full-service RCM. I cannot recommend NRC enough!"
Read on Google →"NRC has been an amazing addition to my practice's team for the last year+. NRC was able to step into an absolute billing mess and not only clean it up, but redirect the trajectory of our practice back to a path of success!"
Read on Google →"As a medical practice that had been suffering for quite a while with a former billing company, National Revenue Consulting was a game changer for the practice. Trust me, it is worth your while!"
Read on Google →Questions Practices Ask Before Switching
How is our practice's data protected?+
We use bank-level encryption and HIPAA-compliant access protocols for every system we touch, including your PMS and payer portals. Every account is reviewed weekly by our leadership team, not just frontline staff.
How fast can we get started?+
Most practices are fully onboarded within 1–2 weeks. We start with a claims and AR audit so we understand exactly where the leaks are before we touch a single claim.
What happens to our current billing staff?+
We work alongside your front desk, not around them. Many practices redirect existing staff toward patient experience and scheduling once the billing burden is off their plate.
Are we locked into a long-term contract?+
No. We earn the relationship month to month. If we're not moving your numbers, you're free to walk.
Are we the right fit for every practice?+
Honestly, not always. We work best with medium to large practices, groups, and healthcare facilities that want a hands-on partner, not a call center. We'll tell you upfront if we're not the right match.
Which Solution Is Right for Your Practice?
Answer 7 quick questions and we'll point you to the solution that fits your biggest revenue gap.
Our promise: if your numbers aren't where they should be, we drop our price until they are. See how switching works →
Take Something Useful Either Way.
All free, all ungated, and none of it puts anything on your calendar.
RECOVER Diagnostic
Five questions, a read on where you are leaking
Financial Health Dashboard
A workbook built for these six numbers
30-Day Revenue Recovery Plan
Four weeks of fixes you can run yourselves
Payment Posting Checklist
What to reconcile, and in what order
EMR and PM Evaluation Framework
Before you change systems, ask these
NatRevMD AI Kit
22 prompts and three interactive tools
Every free resource
The full library
Two hundred episodes, no gate and no form.
Get notified about our next webinar
We run live sessions on coding, denials, and revenue cycle strategy throughout the year. Subscribe once and we'll let you know when the next one is scheduled.
You're Losing Revenue. The Metrics Will Show You Where.
Answer a few quick questions and get a personalized look at where your billing is helping, or hurting, your bottom line, plus the fastest ways to fix it.