Medical Payment Posting
Payment posting and reconciliation workflows that help practices understand payer payments and adjustments.
Payment posting is where contracting problems become visible. When a payer pays less than the fee schedule, the difference sits in an adjustment unless someone is watching for it.
Posting is not data entry
A posted payment carries information: allowed amount, contractual adjustment, patient responsibility, and any remark codes explaining what the payer did. Read carefully, it tells you whether your contract is being honored.
We post electronic remittances daily where possible, work the exception queue for manual and zero-pay items, and flag variances that look like underpayments rather than contractual adjustments.
- ERA and manual payment posting with adjustment verification
- Secondary and tertiary claim coordination
- Underpayment identification against contracted rates
- Patient responsibility assignment and statement support
Closing the month
A month-end close that balances to the penny is worth the effort. It makes the A/R report trustworthy, and a trustworthy report is the only one anyone acts on.
We reconcile deposits to posted amounts and report any unexplained variance before it becomes a habit.
How the process runs
Every engagement follows the same five steps, adjusted to the service you choose. The point is not the checklist — it is that each step has an owner and a date, so nothing waits quietly.
- 1Documenting the current workflow and common exceptions
- 2Establishing ownership and priority for open items
- 3Tracking status, outcomes, and recurring reasons for delay
- 4Escalating issues that require provider or payer input
- 5Reviewing trends and agreeing on next actions
Frequently asked questions
Most engagements use a percentage of collections, agreed in writing before work begins. Some scopes are better handled as a flat monthly fee, particularly when the work is project-based rather than volume-based.
Next step for payment posting
Share your specialty and rough claim volume. We will come back with the questions we would ask, the reports we would want to see, and what an engagement would involve — before you commit to anything.