Medical  Billing 

HOUSTON MEDICAL BILLING AND REVENUE CYCLE MANAGEMENT

Find the leaks. Fix the workflow. Build a more accountable path to payment.

The Perazim Group helps behavioral health and independent practices find revenue leakage, correct billing breakdowns, and build a more accountable path from service to payment.

Houston-area service with nationwide support. No patient information is needed to start the conversation.

Experience and Recognition

• 25+ years — Medical billing and credentialing experience

• Behavioral health focus — Experience supporting clinicians, centers, and facilities

• Goldman Sachs alumni — 10,000 Small Businesses, Cohort 33, 2022

• SBA T.H.R.I.V.E. alum — Emerging Leaders Reimagined, Class of 2024

A BETTER FIRST STEP

Start with the revenue cycle, not a sales pitch.

A focused assessment helps determine whether the problem is preventable denials, inconsistent follow-up, aging balances, workflow gaps, or a larger billing-partner issue.

Scope and document requirements are confirmed before any access is requested. Findings depend on the information your practice can provide.

1. Clarify the symptoms. We discuss reimbursement delays, denial patterns, staffing strain, reporting gaps, and concerns about the current billing operation.

2. Review available evidence. Depending on scope, we may examine de-identified A/R aging, denial categories, claim workflow, payment-posting controls, and management reports.

3. Identify priority leaks. You receive a plain-language discussion of the highest-risk issues, likely causes, and the next actions worth considering.

4. Define the right engagement. If there is a fit, we document responsibilities, systems, transition needs, reporting, and pricing before work begins.

SIGNALS WORTH INVESTIGATING

Revenue leakage rarely announces itself.

It often appears as a collection of operational symptoms that no single report fully explains.

Denials keep returning

The same payer, authorization, coding, eligibility, or documentation issues recur without a root-cause correction.

A/R keeps getting older

Balances migrate into older buckets while follow-up activity and recovery ownership remain difficult to see.

Reimbursement slows

Claims may be submitted, but rejections, missing information, payer delays, or posting gaps interrupt cash flow.

Reporting lacks answers

The practice receives totals without actionable detail on denial reasons, payer behavior, aging movement, or next steps.

Your team is stretched

Front-office or clinical staff spend valuable time resolving billing issues instead of performing their primary work.

Your biller feels distant

Questions sit unanswered, accountability is diffuse, and your practice cannot tell what is being worked or why.

REVENUE CYCLE SERVICES

Work the full path to payment.

The final scope is tailored to your practice. These are the functions we evaluate when determining where responsibility should sit.

1. Claims workflow — Claim preparation, validation, submission, rejection review, and timely follow-up.

2. Denial management — Reason analysis, corrections, appeals, payer follow-up, and recurring-cause prevention.

3. Aging A/R review — Prioritization by payer, age, balance, filing risk, and realistic recovery opportunity.

4. Payment reconciliation — Payment and adjustment posting, reconciliation review, and escalation of unexplained variances.

5. Billing consultation — Workflow review, operational recommendations, staff guidance, and accountable action planning.

6. Credentialing support — Provider enrollment, recredentialing, and payer-status follow-up to reduce avoidable reimbursement delays.

7. Management reporting — Reporting designed to show what changed, what remains exposed, and what action is underway.

WHO WE SERVE

Billing support grounded in how your practice actually operates.

Perazim’s experience includes behavioral health organizations and independent clinicians. Every opportunity is reviewed for specialty and workflow fit before an engagement is proposed.

• Behavioral health clinicians — LPCs, LCSWs, psychiatrists, nurse practitioners, and multidisciplinary practices.

• Community mental health centers — Operationally complex organizations with multiple providers, programs, and payer requirements.

• Substance-use treatment facilities — Organizations that need disciplined authorization, claim, and follow-up workflows.

• Hospice and independent medical practices — Fit, service scope, and payer requirements are confirmed during discovery.

HOW ENGAGEMENT BEGINS

Clear ownership before the first claim is touched.

1. Discovery — Practice type, payer mix, current challenges, systems, and desired outcomes.

2. Assessment — Available workflow and performance evidence reviewed within an agreed scope.

3. Transition plan — Responsibilities, access, open A/R, reporting, communication, and timing documented.

4. Accountable operation — Work proceeds against defined responsibilities with regular visibility into issues and action.

REAL-WORLD EXPERIENCE

Billing is operational work, not a claim-submission promise.

The Perazim Group brings more than 25 years of medical billing and credentialing experience, with services that extend beyond submission into denials, payment posting, consulting, and provider enrollment.

Your practice should be able to see what is holding up revenue, who owns the next action, and how the underlying problem will be prevented from repeating.

FREQUENTLY ASKED QUESTIONS

What practices should know before changing billing support.

What types of healthcare practices does The Perazim Group serve?

Perazim works with independent practices and has experience serving doctors, nurse practitioners, LPCs, LCSWs, community mental health centers, substance-use facilities, and hospices. We confirm specialty, payer, and workflow fit during the initial assessment.

Can you review aging accounts receivable from a previous biller?

Yes. An initial review can segment aging A/R by payer, balance, age, and filing risk to identify recoverable work and transition priorities. The exact recovery scope is agreed after the review.

How do you handle denials?

Denials should be reviewed for root cause, corrected or appealed when appropriate, tracked by payer and reason, and used to identify upstream workflow changes that can prevent recurrence. The engagement scope defines which denial and appeal activities Perazim owns.

Will we need to change our EHR or practice management system?

System compatibility and access requirements are reviewed before engagement. The goal is to work within your current workflow when practical, but no migration or integration promise is made until the system is evaluated.

How is medical billing pricing determined?

Pricing depends on specialty, claim volume, payer mix, service scope, current A/R condition, and whether the engagement is ongoing billing, a cleanup project, or consultation. The written scope should identify inclusions, exclusions, and fees before work begins.

How do we switch from another billing company?

A responsible transition plan covers system access, payer and clearinghouse credentials, open claims, aging A/R ownership, deposit and posting cutoffs, reporting, and communication. Perazim reviews these dependencies before setting a start date.

How will we know what is being worked?

Reporting and communication requirements are agreed during scoping. Useful reporting may include claim status, rejection and denial trends, A/R aging, payer issues, outstanding practice actions, and recovered balances, depending on the engagement.

What privacy information should we send through this page?

Do not submit patient names, dates of birth, account numbers, diagnoses, or other protected health information through this general inquiry form. Secure information-transfer and BAA requirements should be addressed separately before records are exchanged.