Xecta Medical Billing is an AAPC-certified billing and revenue cycle management company serving 20+ specialties across all 50 U.S. states. We target a 99.99% first-pass acceptance rate, under 5% denial rate, and 94–97% net collection ratio — on a 3–4% performance-based fee with no setup costs.
Medical Billing That
Maximizes Every
Dollar You Earn.
The average practice loses 13–18% of earned revenue to billing failures. Xecta eliminates every source of that loss — AAPC-certified specialty coders, 99.99% first-pass claims, and a fee that only earns when you do.
Not sure where your practice stands? Benchmark your metrics in under 2 minutes — free, no sign-up.
Take the Free Practice Health QuizWE BILL ALL MAJOR INSURANCE PAYERS ACROSS ALL 50 U.S. STATES
Your Practice Is Owed More Than It Currently Collects
Most physician practices do not know their exact net collection ratio, denial rate, or how their AR days compare to specialty benchmarks. Without those numbers there is no way to know what is being left on the table — or why.
According to MGMA DataDive 2024 and HFMA MAP Keys, the national average net collection ratio is 82–87%. Xecta targets 94–97%. For a $1M practice, that gap equals $100,000–$180,000 in additional annual collections from the same patients and the same payer contracts.
The losses come from five preventable, measurable categories — none require changing how you practice medicine.
- Unworked denials: 50%+ of denied claims receive no follow-up. Every unworked denial is earned revenue permanently abandoned.
- Systematic undercoding: Billing 99213 when documentation supports 99215 costs $40K–$150K annually at 20 patients/day.
- Eligibility & auth failures: 46% of all denials stem from eligibility errors (24%) and missing prior auth (22%) — both 100% preventable.
- Stale payer contracts: Contracts never renegotiated since credentialing pay 15–30% below market rate on every commercial claim.
- Patient balance gaps: Average patient collection rate is 60–65%; high-deductible plan growth makes this worse every year.
Complete Revenue Cycle Management — Every Service Your Practice Needs
From charge capture to final payment posting, Xecta provides the full billing and practice management stack — delivered by specialty-trained staff, not generalists.
Medical Billing Services
Pre-submission scrubbing, NCCI validation, payer-specific rules, and 24-hour claim submission. 99.99% first-pass acceptance target across all specialties.
Learn MoreMedical Coding Services
AAPC-certified specialty coders. Maximum supported E&M level selection, accurate CPT/ICD-10 mapping, zero undercoding on every claim.
Learn MoreRevenue Cycle Management
Complete RCM from charge capture to payment posting — denial management, AR triage, payer contract benchmarking, monthly reporting.
Learn MoreDenial Management
100% of denials triaged in 48 hours, root cause mapped to CARC/RARC, appealed within payer deadlines, tracked to resolution. Zero abandoned denials.
Learn MoreInsurance Verification
Complete pre-visit verification 48–72 hrs before every appointment — coverage, benefits, PA, referrals, COB. Stops 46% of denials before they occur.
Learn MoreProvider Credentialing
Full credentialing and enrollment with Medicare, Medicaid, and all commercial payers. Initial enrollment, revalidation, re-credentialing, roster management.
Learn MoreVirtual Assistant Services
Scheduling, reminder calls, patient balance communication, and admin support — so your in-clinic team focuses entirely on patient experience.
Learn MoreVirtual Medical Scribing
Real-time SOAP documentation during patient encounters. Billing-ready records supporting the highest defensible E&M code. Providers recover 1–2 hours daily.
Learn MoreFree Practice Billing Audit
Xecta audits your denial patterns, coding gaps, and AR — delivers a written action plan with dollar-impact findings. Free, no obligation to engage.
Start Your Free AuditBenchmarks Xecta Targets vs Industry Average
Every managed practice measured against MGMA top-quartile benchmarks from day one.
Claim Acceptance
Collection Ratio
SLA
Rate
20+ Specialties. Specialty-Trained Coders for Every One.
Every specialty has distinct CPT codes, NCCI edits, payer-specific rules, and denial patterns. Xecta assigns coders matched to your specialty.
Know Your Numbers Before You Make Any Decision
8 free calculators that benchmark your denial rate, revenue leakage, clean claim rate, provider productivity, MIPS score, and specialty metrics. No sign-up. Instant results. Personalized action plan included.
From Free Audit to Full Revenue Recovery in 30 Days
Measurable performance improvements within 30 days — without disrupting your clinical workflow.
Free Practice Audit
Xecta audits your denial patterns, coding gaps, and AR aging — delivers written findings with dollar-impact estimates. Zero cost, zero obligation.
EHR Integration & Setup
Seamless EHR/PMS integration. Specialty coder assignment, payer contract benchmarking, and credentialing review — no workflow interruptions.
Go Live — Day One SLA
Claims submitted within 24 hours. Real-time eligibility before every appointment. 48-hour denial triage SLA from day one.
Reporting & Revenue Growth
Monthly dashboards tracking NCR, denial rate, AR aging vs baseline. Quarterly payer contract reviews to identify renegotiation opportunities.
INTEGRATES WITH YOUR EXISTING EHR & PRACTICE MANAGEMENT SYSTEM
Integration completed during onboarding with no disruption to clinical workflows or patient-facing systems.
What Separates Xecta from Generic Billing Companies
Most billing companies assign generalist staff, submit claims, and move on. Xecta is specialty-trained at every level, accountable through a performance fee, and focused on measurable NCR improvement.
Compare fully-loaded in-house billing cost vs Xecta’s performance fee:
In-House vs Xecta Cost ComparisonReal Practice Results — Real Dollar Impact
Every case study documents a specific dollar impact from a specific billing failure — found through an audit and fixed through systematic revenue cycle management.
Medical Billing Resources & Industry Updates
CPT updates, payer policy changes, MIPS compliance, and revenue cycle best practices — written by AAPC-certified billing experts.
Your Practice Is Owed More Than It Is Currently Collecting.
The free audit takes 5–7 business days and delivers a written report with specific dollar-impact findings — denial root causes, coding gaps, AR analysis, and a prioritized action plan. No cost. No obligation.
Medical Billing Services — Frequently Asked Questions
What does Xecta Medical Billing do?
Xecta Medical Billing provides AAPC-certified medical billing, coding, and full revenue cycle management for healthcare practices across 20+ specialties in all 50 U.S. states. Services include claims submission and scrubbing, medical coding (CPT, ICD-10, HCPCS), denial management, insurance verification and prior authorization, provider credentialing, virtual scribing, and virtual assistant services. Xecta targets a 99.99% first-pass claim acceptance rate and 94–97% net collection ratio for all managed practices. Learn more at our Services page.
How much revenue does the average medical practice lose to billing errors?
The average physician practice loses 13–18% of earned revenue annually — $130,000–$180,000 per year for a $1M practice. Primary causes are unworked denials (avg rate: 11–13%), systematic undercoding, eligibility and prior authorization failures (causing 46% of all denials combined), stale payer contracts, and inadequate patient balance collection. Use our Revenue Loss Calculator to estimate your specific monthly leakage. Source: MGMA DataDive 2024, HFMA MAP Keys.
What specialties does Xecta serve?
Xecta serves 20+ specialties including Family Medicine, Pediatrics, OB/GYN, Psychiatry, Behavioral Health, Cardiology, Orthopedics, Neurology, Gastroenterology, Pulmonology, Oncology, General Surgery, Ophthalmology, Dermatology, Physical Therapy, Chiropractic, Radiology, Wound Care, Urgent Care, Pain Management, ENT, and FQHCs. See the full Specialties directory.
How much does Xecta charge?
Xecta uses a performance-based fee of 3–4% of collections. Practices pay only on what is actually collected — no setup fees, no per-claim fees, no fixed monthly retainers. A free practice audit is available at zero cost and with zero obligation. Use our In-House vs Xecta Calculator to compare your current fully-loaded billing cost against Xecta’s performance fee.
What EHR systems does Xecta work with?
Xecta integrates with Epic, Athenahealth, eClinicalWorks, Kareo (Tebra), NextGen, AdvancedMD, DrChrono, ModMed, Greenway, CureMD, Allscripts, Cerner / Oracle Health, ChiroTouch, WebPT, Brightree, and all major EHR systems. Integration is completed during onboarding with no disruption to clinical workflows.
What is a good net collection rate for a medical practice?
A net collection ratio (NCR) of 94–97% is the best-practice benchmark per MGMA DataDive. The national average is 82–87%. Every percentage point below 94% equals ~$10,000 in uncollected earned revenue per $1M annual practice. NCR varies by specialty — use the Specialty Billing Benchmark Tool to see the benchmark for your specific specialty, practice size, and payer mix.