A2Z Billings runs full revenue cycle management inside the Practice Fusion account you already use. No new software, no data migration, no changing how your providers chart. We work from the same signed notes and superbills your team creates today, and turn them into clean claims, posted payments, and a number you can trust at month end.
Practice Fusion launched in 2005 as a free, ad-supported EHR before Allscripts, now Veradigm, acquired it in 2018 and moved it to a subscription model. It's still built for the audience it started with: solo providers and small practices, usually one to five physicians, without an in-house IT or billing department. That shows up in how the platform is designed. Charting, e-prescribing, and scheduling are meant to run with almost no setup. Billing is different. Practice Fusion supports it, but doesn't manage it for you. Claims can be filed from inside the platform, routed through a connected clearinghouse, or exported and handled by an outside biller entirely, and each path changes where the work, and the risk of a missed charge, actually sits.
The detail most practices miss: a superbill and a signed note are two separate things in Practice Fusion. A provider can sign off on documentation without ever finalizing the superbill underneath it. Nothing errors out when that happens. The charge simply never becomes a claim.
Claims are created and submitted using Practice Fusion’s own billing tools, with no separate clearinghouse or outside biller involved. Fast to set up, but rejections and follow-up sit entirely on practice staff.
Practice Fusion handles clinical documentation while a separate practice management or clearinghouse tool processes claims. Two systems have to stay in sync, which is where reconciliation gaps usually start.
Charges are captured in Practice Fusion, then superbills are exported for a dedicated billing team to code, submit, and follow up on. This is where A2Z Billings operates.
A full billing department built around the way your account already runs.
We check every signed encounter against its superbill so nothing sits in the queue unbilled.
Certified coders confirm CPT, ICD-10, and modifier selections before a claim goes out.
Claims are scrubbed and submitted daily, not batched once a week.
Every rejection gets a root-cause check, not just a resubmission.
ERA and EFT data is posted and reconciled against what was actually billed.
Aging claims are worked on a schedule, with reports broken out by payer.
We manage payer applications and re-credentialing so claims don't stall on enrollment gaps.
Coverage and benefits are verified ahead of the visit, not after a denial arrives.
Monthly reports show collections, denials, and A/R by provider.
We train front-desk and clinical staff on the parts of Practice Fusion that affect billing.
We handle statement generation and patient balance questions directly.
When something in the account looks off, our team investigates it directly.
Four habits that separate active billing from a claims mailbox.
Charges start the moment a note is signed, not whenever a superbill happens to get finished. Our team checks the signed-note queue daily so a completed encounter never sits unbilled for a week.
A superbill left incomplete for too long usually means someone forgot it existed. We complete and code superbills within a day of the visit.
Payment data lands in Practice Fusion as it arrives from payers. We match it against what was billed every day, so a shortfall or underpayment gets caught while it's still fixable.
A denial for missing documentation will happen again if only the claim gets corrected. We flag the note-level gap to the provider so the same denial doesn't repeat.
We didn't build a workaround. We work inside the features already in your account.
specialty templates tell us what should have been billed for a visit before we open the superbill.
prescription history helps confirm chronic-care coding is supported by the chart.
we cross-check the day's schedule against filed claims to catch a no-show billed in error.
coding questions go to the provider through Practice Fusion messaging, so nothing gets lost in a separate email thread.
we use Practice Fusion's native claim submission rather than routing everything through a third-party system.
patients can view balances and statements through the portal they already use for their care.
results tied to an order help confirm a claim has the documentation to support it.
we build out favorites lists by specialty so coding stays consistent across providers.
our access is scoped to billing functions only, and every action is logged in the account's own audit trail.
when Practice Fusion pushes an update, we check it against current payer rules before it changes how anyone codes.
How a scheduled appointment in Practice Fusion turns into money in your account.
Clean data before the visit—where most claim denials are prevented.
Patient demographics and insurance are confirmed before the visit.
Coverage and benefits are verified with the payer before the visit.
Procedures requiring prior authorization are identified before the appointment.
Accurate documentation creates accurate claims.
The provider charts the visit in Practice Fusion as usual.
Charges are finalized the same day the note is signed.
A certified coder validates CPT, ICD-10, and modifiers before submission.
Clean claims move quickly from submission to payer review.
Clean claims are submitted daily through the connected clearinghouse.
Rejected claims are corrected and resubmitted within 24 hours.
Claim status is monitored against payer timelines until resolution.
Every payment is posted, matched, and reconciled accurately.
Electronic payments are posted and matched to the original claim the day they arrive.
Denied claims are appealed with supporting documentation.
Remaining balances are billed to patients on a regular schedule.
Outstanding balances continue to be worked until resolution.
Unpaid claims are prioritized by age and payer instead of sitting in a queue.
Your practice receives reports covering collections, denials, and outstanding A/R.
Every line below is something we track and report to you each month.
first-pass claim acceptance rate Coding review before submission catches the errors behind most denials, so more claims get paid on the first try.
average days in A/R Daily claim filing and follow-up shorten the gap between the visit and the deposit.
signed-note-to-claim match rate Every signed encounter is checked against a filed claim, so an unfinished superbill doesn't quietly turn into lost revenue.
hours your front desk spends on claims and calls Your team answers questions about care. We answer the ones about balances, denials, and insurance.
results of internal chart audits Coding tied to actual documentation in the chart gives an audit something defensible to review.
monthly collections report You get a report showing what came in, what's still outstanding, and why.
We didn't build a workaround. We work inside the features already in your account.
the superbill-versus-signed-note gap, the manual eligibility checks, the spots in the platform that need a second look before a claim goes out.
everything happens in the Practice Fusion login you already have, visible to you at any time. It helps us deal with things in real time while maintaining transparency.
every claim is coded by someone credentialed to catch an error before it becomes a denial. We are proactive in our approach rather than reactive.
a recurring denial gets traced to its source instead of resubmitted the same way every month. We apply denial trend analysis to prevent errors from happening in future.
you know exactly what we bill for and what stays with your staff. We are responsible for dealing with what falls under our JD while we let you know promptly about your part.
no migration, no retraining providers on new charting software, no downtime switching systems.We save the time by minimizing the administrative load for you.
Coding accuracy depends on specialty-specific rules. Here’s where our team already has that experience.
No. We work inside the account and configuration you already have.
Most accounts are fully live within one to two weeks.
Yes, we manage statements and answer balance questions directly.
We can take over completely or work alongside your current staff, depending on what you need.
Yes. Our access is HIPAA-compliant and scoped to billing functions only.
Yes. Our coders are trained across the specialty list above and can work a multi-provider account.