- 8017 Labana Ct, Canton Township, MI 48187
- +1 (734) 418 2537
- info@a2zbillings.com
If your clinic uses StreamlineMD for scheduling, documentation, and claims, we plug our coding, billing, and credentialing team directly into that account. No new login for your staff, no data export to a second system, and no gap between what the provider documents and what actually gets billed.
StreamlineMD is an ONC-certified, cloud-based EHR and practice management platform built specifically for radiology, interventional radiology, vein centers, and pain management practices. It’s a wholly owned product of PRC Medical, and it has been serving image-guided procedure specialists since long before “specialty EHR” became a category other vendors chased.
The clinical side handles scheduling, procedure documentation, PACS and DICOM image routing, and patient tracking. The practice management side handles charge entry, claims, and the clearinghouse connection. Because both sides share one database, a note a physician signs off on can move into a claim without anyone re-typing it.
What StreamlineMD doesn’t do is staff your billing office. The software gives your team the fields, the templates, and the clearinghouse connection. It does not chase a denied claim, catch a missing modifier before submission, or renew a provider’s payer enrollment before it lapses. Those are still people’s problems, and they’re the reason practices on StreamlineMD often still run into slow reimbursement or aging claims even with good software underneath them. That gap between having the right platform and having the right team behind it is exactly where our work sits.
A2Z Billings doesn’t build or sell StreamlineMD. We operate as the coding and billing team inside a practice’s existing StreamlineMD account.
We work as an extension of your front and back office, operating directly in the modules you already have access to.
Every encounter entered in StreamlineMD gets reviewed for missing modifiers, incomplete procedure notes, or documentation that won't support the code before the claim goes out the door.
We check the clearinghouse batch inside StreamlineMD daily, not weekly, so a rejected file gets corrected and resubmitted the same day it fails instead of sitting unnoticed.
ERA and EOB payments get posted and reconciled against the fee schedule, and anything paid short or applied incorrectly gets flagged for appeal.
Provider payer enrollment records get tracked and renewed inside the practice's StreamlineMD profile, so a lapsed enrollment never becomes the reason a claim gets denied.
Registration and scheduling staff get trained on which StreamlineMD fields (eligibility status, referring provider, authorization number) actually feed the billing side, since a blank field upstream becomes a denial downstream.
CPT and ICD-10 coding for high-complexity image-guided procedures, with modifier logic specific to OBL, ASC, and hospital-based place-of-service rules.
Most billing problems start at the handoff between the exam room and the claim. StreamlineMD already closes that gap by keeping both sides in one database. Our job is to make sure what gets documented on one side actually holds up as a clean, coded claim on the other.
These are the features already built into StreamlineMD. Our role is running them consistently, not building or licensing them - that agreement stays between your practice and vendor.
This is the sequence our team actually works through on a client account - read it like a claim register, left to right.
| Stage | What happens in StreamlineMD | What A2Z Billings does |
|---|---|---|
| STG 01 Check-in and eligibility | Front desk confirms coverage and enters demographics at intake. | We verify the eligibility response matches the procedure being scheduled, not just that a policy is active. |
| STG 02 Scheduling and authorization | The visit is scheduled and an authorization request is logged. | We track the authorization to confirmation before the procedure date, not after. |
| STG 03 Charge entry | The provider or staff enters charges tied to the encounter. | We review charges against the documentation the same day they're entered. |
| STG 04 Medical coding | CPT and ICD-10 codes are applied inside the encounter. | Our coders apply and verify codes for modifier accuracy and place-of-service rules. |
| STG 05 Claim creation and scrubbing | The system builds a claim from the coded encounter. | We run a manual scrub against payer-specific edits before it's released. |
| STG 06 Clearinghouse submission | The claim is transmitted through the built-in clearinghouse. | We monitor the batch daily and resubmit same-day on any rejection. |
| STG 07 Denial and rejection handling | Denials post back into the PM module with a reason code. | We work every denial within an agreed turnaround window, appealing where warranted. |
| STG 08 Payment posting | ERA and EOB payments post against the claim. | We reconcile posted payments against the contracted fee schedule. |
| STG 09 Patient balance and AR | Remaining patient balance moves to statements and AR aging. | We follow up on aged balances and flag accounts that need a payment plan. |
| STG 10 Reporting | StreamlineMD generates raw financial and productivity reports. | We turn that raw data into a monthly report your practice can actually act on. |
Rather than promise a number, here’s what the difference typically looks like in practice.
leave the building the first time. Instead of catching problems after a denial, we catch them before submission, which is the only point where a fix is free.
gets checked before the appointment Coverage is confirmed against the specific procedure being scheduled, not just a generic active-policy check run days earlier.
stop aging quietly Claims past 45, 60, and 90 days get worked on a schedule instead of surfacing only when someone finally runs the aging report.
holds up if a payer asks later. Every code is backed by a note that would survive an audit, not just a note that was fast to write.
This is the sequence our team actually works through on a client account - read it like a claim register, left to right.
Our coders work almost exclusively in interventional radiology, vein, and pain management, so a modifier question doesn't require research, it requires recall.
There's no migration, no new login for your staff, and no re-training on a second system. We work inside the account you already have.
The same coders and billers stay on your account month to month, so a recurring payer issue gets remembered, not re-explained.
Payer enrollment and re-credentialing are tracked by the same team handling your claims, so a lapse doesn't slip through a handoff.
You see denial and AR trends as they happen through the month, not for the first time in a report that arrives after the fact.
Monthly numbers are built from your own StreamlineMD data and explained in plain terms, not delivered as a raw export.
This includes practices operating as office-based labs, ambulatory surgery centers, and hospital-based groups.
No. StreamlineMD is a separate company that builds the EHR and PM software. We're a billing and RCM team that operates inside accounts practices already with them.
Most of our current clients already run on it, which is why our workflows are built around its specific fields and reports. If you're evaluating StreamlineMD, we can also advise on that decision.
Both. Some practices keep front-desk and charge entry in-house and hand us coding, claims, and denial follow-up. Others move the entire billing function to us.
We work inside role-based user accounts set up by your practice, with access limited to the billing and PM modules. No patient data is exported to a separate system.
We review the current AR and open denials first, so nothing from before the transition gets lost or written off by default.
Both. Initial enrollment and ongoing re-credentialing are tracked by the same team working your claims, since a credentialing gap is one of the more common causes of denials we see.
