CodeMax Medical Billing
Overview
We are CodeMax Medical Billing, a modern and strategic revenue cycle management partner headquartered in Van Nuys, California, with additional locations in Palmdale and Fort Lauderdale. Since our founding in 2016, we have focused on redefining medical billing by combining real-time technology with deep clinical and billing expertise. Our goal is to empower healthcare providers—especially behavioral health and substance abuse specialists—by simplifying billing, optimizing revenue, and allowing them to focus on quality patient care.
Who We Are
We are a dedicated team of billing and coding professionals, seasoned clinicians, and revenue cycle experts who bring over 20 years of collective experience to your billing operations. We have personally navigated the clinical and administrative challenges that healthcare providers face, and we use that knowledge to deliver precise, transparent, and advocacy-driven billing support. With between 200 and 500 employees, we maintain strong staffing presence across all our offices to ensure responsive, personalized service.
What Services We Offer
We provide a robust suite of services centered around our proprietary, user-friendly software platform and mobile app:
- Billing and Claims Management: We manage charge entry, claim submission, tracking, and payment posting to keep your billing cycle moving efficiently.
- Verification of Benefits & Prior Authorization: Our team works quickly and accurately on benefit verifications, often completing authorizations within 45 to 60 minutes to support timely patient care.
- Utilization Management: We monitor care utilization to ensure appropriate service use and compliance with payer guidelines.
- Quality Assurance & Appeals: We perform comprehensive QA checks, explore medical necessity documentation, and aggressively file appeals when payments fall below usual and customary rates.
- Denials Management: We identify denial root causes, enact systematic improvements, and pursue claims at all appeal levels.
- Consulting Services: We offer strategic reviews and advisory support that reveal inefficiencies, drive improvements, and boost practice profitability.
- All services are powered by our HIPAA-compliant billing software and mobile app, which let you access utilization review, real-time reports, benefit verification, and communications—anytime, anywhere—at no additional cost.
Who We Serve
We specialize in supporting:
- Behavioral health and substance abuse treatment providers
- Mental health clinicians and outpatient therapy centers
- Hospitals, surgery centers, labs, and physician practices
- Ambulance and EMS providers
- Multi-specialty and single-specialty clinics
Our platform and services are built to address the unique needs of behavioral health billing, though we also serve a broader healthcare audience. Our flexible system adapts to your practice’s complexity and payer mix.
Vision Statement
Our vision is to transform medical billing into a seamless, empowering experience for providers. We strive to deliver intuitive tools, comprehensive support, and data transparency so that billing becomes a source of confidence and revenue stability.
Mission Statement
Our mission is to elevate the financial performance of healthcare practices. We do this through real-time billing technology, expert clinical and billing staff, proactive claims management, and unwavering payer advocacy. We aim for faster reimbursements, fewer denials, and better patient access.
Why Choose Us
- Real-Time Billing Tools: Our web and mobile apps allow you to manage authorizations, check utilization, track claims, and review reports at a glance.
- Specialized Advocacy: We aggressively defend your claims and stand up to payers when they underpay or reject valid charges.
- Precise and Efficient: We submit clean claims, verify benefits swiftly, and post payments efficiently—helping you collect faster.
- Deep Domain Knowledge: With over two decades in healthcare and billing, including behavioral health expertise, we offer nuanced insights and guidance.
- Tailored Service: We customize workflows to match your practice environment and billing platform—no migration required.
- Comprehensive Support: From quality assurance to consulting, our services cover every stage of the revenue cycle.
- Customer-Centered: You get one dedicated point of contact who understands your practice and keeps you informed every step of the way.
Industry Experience
With more than 20 years of combined experience and over 50 staffed offices, we have built a strong reputation for reliability and technology-driven billing solutions. Many of our clients report improved revenue, faster claim processing, and more efficient operations.
We are proud to be recognized for our advocacy in payer negotiations, our real-time benefit verification capability, and our pre-authorization speed. Our consultants have helped practices identify billing gaps and increase revenue by as much as 30 percent.
