SysMD is a US medical billing and revenue cycle management (RCM) company based in the Houston, Texas area. It handles billing, coding, claims, credentialing and front-office administration for healthcare providers, with the aim of improving collections and reducing the administrative workload on practice staff.
The company’s RCM service covers the process from the front desk to payment collection. Front office management includes patient scheduling, registration, insurance eligibility verification and prior authorisations. Medical billing covers charge entry and charge capture, claims scrubbing, claim submission, payment posting and denial management. Certified coders assign ICD-10, CPT and HCPCS codes in line with coding guidelines, and the company also offers medical transcription of clinical voice recordings into patient histories, operative reports, discharge summaries and consultation notes.
Credentialing is a separate service line. SysMD handles provider enrollment, payer credentialing and re-credentialing, and CAQH profile management for Medicare, Medicaid and commercial payers, including NPI, licence and malpractice checks. It says it follows NCQA and payer-specific credentialing protocols.
SysMD also offers specialty billing. Its services include telehealth billing, covering modifier requirements and state-specific rules, dental billing for restorative, orthodontic, periodontic, endodontic and oral surgery procedures, and cardiology billing. The specialties it lists include dermatology, gastroenterology, nephrology, neurology, orthopedics, psychiatry, podiatry, radiation oncology, radiology, urology and internal medicine. It also provides virtual medical assistants who handle documentation, patient outreach, data entry and follow-ups.
According to its website, SysMD has worked with more than 100 practices in 22 states and can help providers save up to 15% on costs while improving revenue. It says it works alongside a practice’s existing staff and offers a free practice consultation to review billing performance.
SysMD is suited to independent practices, specialty clinics and larger healthcare organisations in the United States that want to outsource billing, coding and credentialing, reduce accounts receivable and free clinical staff to focus on patient care.
