Finding the Best eCW Medical Billing Company

For many practices, eClinicalWorks (eCW) is the heartbeat of clinical operations. This popular EHR offers robust tools for documentation, scheduling, and billing, but the true potential of eCW is only realized when paired with a skilled billing team that knows the platform inside and out. An effective eCW medical billing company can transform how you manage revenue, reduce denials, and maintain compliance. The right partner helps your practice collect more of what it earns, while freeing up staff to focus on patient care.

This guide will walk you through what to look for in an eClinicalWorks medical billing partner, the questions to ask, and the benchmarks that matter. 

Understanding eClinicalWorks Medical Billing

eClinicalWorks is one of the most widely used EHR platforms among small- to medium-sized practices. Its built-in billing tools integrate directly with clinical documentation, reducing the need for duplicate data entry and helping ensure claim accuracy.

Some of the key strengths of eCW for billing include:

• Integrated patient scheduling, documentation, and billing
  
  
• Eligibility verification tools
  
  
• Charge capture features
  
  
• Reporting and analytics
  
  
• Secure communication for billing follow-up
  
  

However, these tools require deep platform knowledge to be used effectively. Without specialized expertise, practices can struggle with:

• Incomplete or inaccurate charge capture
  
  
• Incorrect coding or claim formatting
  
  
• Delays in claim submission
  
  
• Poor denial follow-up
  
  
• Lack of visibility into billing performance
  
  

The solution? Partnering with a billing company that specializes in eClinicalWorks and understands how to use it to its full potential.

Key Factors When Evaluating an eCW Medical Billing Company

Choosing the right billing partner is a high-stakes decision. Here are the most important criteria to consider.

1. Proven eCW Expertise

The first requirement is obvious but critical: your billing partner must have hands-on, proven experience with eClinicalWorks EMR.

A company that regularly works inside eCW can:

• Navigate the platform efficiently without disrupting your workflows
  
  
• Customize reports to give you the insights you need
  
  
• Use built-in tools to scrub claims and minimize denials
  
  
• Integrate billing seamlessly with your clinical documentation
  
  

Inexperienced billing teams often try to work “around” eCW instead of in it, which can cause data silos and duplicate work. Look for a partner that works directly in your eCW instance so you have full visibility into their actions.

2. Full Revenue Cycle Management (RCM) Capabilities

eCW medical billing should go beyond just claim submission. The best partners offer complete revenue cycle management, which includes:

• Charge capture – ensuring every billable service is documented and billed
  
  
• Claim submission – sending clean claims promptly
  
  
• Denial management – following up on denials and re-submitting when appropriate
  
  
• Payment posting – accurately recording payments in eCW
  
  
• Accounts receivable follow-up – working outstanding balances until resolved
• Patient Balance Management – Automated statements, card-on-file options, and streamlined payment processing
  
  
• Direct Patient Engagement – Outbound calls/texts and a dedicated patient financial services line to maximize patient collections
  
  

Full-service RCM ensures your practice isn’t just getting claims out the door—it’s getting them paid in full, on time.

3. Denial Prevention and Resolution

Denials are a reality in medical billing, but their impact can be minimized with the right approach.

A high-performing eClinicalWorks medical billing partner will:

• Identify common denial reasons for your specialty
  
  
• Use eCW claim scrubbing and payer rules to catch errors before submission
  
  
• Track denial rates and measure improvement over time
  
  
• Have a defined process for appealing denials promptly
  
  

Metrics to ask about:

• First-pass acceptance rate – ideally above 95%
  
  
• Denial overturn success rate – percentage of appealed denials successfully paid
  
  

The best partners prevent problems before they happen, and resolve the ones that do occur quickly.

4. Transparent Communication and Reporting

You should never feel in the dark about your revenue cycle. Transparency means having:

• Real-time access to claim status in eCW
  
  
• Clear, understandable monthly reports
  
  
• Custom reports that match your key performance indicators
  
  
• Regular review meetings to discuss results and strategy
  
  

Transparency builds trust and allows you to make informed business decisions. Without it, you’re guessing about your own revenue.

5. HIPAA and Regulatory Compliance

Medical billing involves handling sensitive patient data, which means compliance is non-negotiable. Your billing partner must follow all HIPAA regulations to protect patient privacy and data security.

Compliance also includes:

• Staying current on payer requirements
  
  
• Adhering to CMS guidelines
  
  

Failing to meet compliance standards puts both your revenue and your reputation at risk.

6. Clinical Specialty Knowledge

Billing challenges vary widely by specialty, and success depends on understanding those differences.

• Primary care and internal medicine – frequent E/M visits, wellness checks, and chronic care codes
  
  
• Podiatry – procedure-based billing, global periods, and durable medical equipment claims
  
  
• Surgical specialties – high-dollar claims, multiple modifiers, and complex coding requirements
  
  

Healthcare Revenue Group supports a wide range of specialties, including allergy, pulmonary, cardiology, dermatology, family medicine, urgent care, ENT, pediatrics, wound care, urology, pain management, and university-based clinical practices.

This expertise reduces denials, strengthens collections, and keeps revenue cycles running smoothly.

7. Institutional and Credentialing Specialty Knowledge

Organizations with complex structures need more than standard billing support—they require specialized credentialing expertise.

• FQHCs – strict HRSA compliance and PPS reimbursement requirements
  
  
• Behavioral health practices – unique payer rules and integration challenges
  
  
• University-based clinics – faculty practices, hospitals, and student health services with diverse needs
  
  

HRG aligns credentialing with billing workflows to secure timely network participation, maintain compliance, and maximize reimbursement.

8. Cost Structure and Value

Outsourcing billing is an investment, so you need to understand exactly what you’re paying for.

Consider:

• Fee models – percentage of collections vs. flat monthly fee
  
  
• Included services – are denial management, reporting, and patient billing extra?
  
  
• ROI potential – will the increased collections outweigh the cost?
  
  

The cheapest option is rarely the best. Focus on value—the combination of price and results.

9. Customer Support and Responsiveness

Even with great processes, questions and issues will arise. A responsive billing partner:

• Assigns a dedicated account manager
  
  
• Let’s you talk to the people doing the work
  
  
• Provides proactive updates
  
  
• Offers clear answers without jargon
  
  

Responsiveness is not just a customer service issue; it directly affects your cash flow when billing problems need quick resolution.

Questions to Ask Before Choosing an eCW Billing Partner

When you’re vetting potential partners, be ready with targeted questions:

• What is your experience with eClinicalWorks?
  
  
• How do you handle claim submission, denials, and payment posting?
  
  
• What is your first-pass acceptance rate?
  
  
• How do you ensure HIPAA compliance?
  
  
• Can you provide real-time reporting in eCW?
  
  
• How do you handle patient billing inquiries?
  
  
• What is your fee structure?
  
  
• Can you provide references from current eCW clients?
  
  

These questions reveal not just the vendor’s capabilities, but also their approach to service and transparency.

Credentialing and Contracting Considerations

Credentialing and contracting are directly tied to your revenue. Without proper payer enrollment and competitive contract rates, even perfect billing can’t maximize income.

A strong eCW medical billing company should integrate credentialing into their process. That includes:

• Initial credentialing for new providers
  
  
• Recredentialing and revalidation
  
  
• Payer contract negotiations to improve reimbursement rates
  
  

For example, HRG’s credentialing and contracting services help practices streamline enrollment, avoid payment delays, and secure better contract terms—all of which feed directly into your billing success.

Case Studies and Results as Evaluation Tools

Before committing to a billing partner, review their proven results. Case studies reveal:

• Measurable improvements in collections
  
  
• Reduced denial rates
  
  
• Increased clean claim percentages
  
  
• Client satisfaction and retention rates
  
  

You can see examples of real-world success in HRG’s case studies.

How HRG Meets and Exceeds Every Benchmark

Now that you know what to look for, here’s how HRG delivers on—and surpasses—those criteria.

Deep eCW Expertise

HRG’s 100% US-based team works directly in your eClinicalWorks system. You see every step we take, from claim submission to payment posting, with no hidden processes. Our team knows eCW’s workflows, reports, and automation tools inside and out.

Full Revenue Cycle Management

We handle the entire RCM process within eCW: charge capture, claim scrubbing, submission, denial resolution, payment posting, and AR follow-up. Patient statements and collections are integrated for a seamless experience.

Proactive Denial Prevention

HRG’s claim scrubbing and payer-specific compliance checks result in a high clean-claim rate. Our team monitors denial trends and takes action before they impact revenue. Appeals are handled promptly to recover lost income.

Transparent Processes

With HRG, you have real-time visibility into all billing activities. We provide custom reports and monthly financial reviews so you always know where your revenue stands.

Regulatory Compliance

Our processes are fully HIPAA-compliant, and our coders stay current with payer rules and CMS guidelines. This reduces your audit risk and ensures accurate reimbursement.

Specialty Support

We serve a wide range of specialties, including podiatry eCW services, primary care, and surgical practices. Our team understands the unique codes, modifiers, and payer rules for each specialty.

Credentialing and Contracting Integration

Because we offer credentialing and contracting services alongside billing, your providers are enrolled quickly, and your payer contracts are optimized for better reimbursement. This removes bottlenecks and accelerates payment.

Proven Results

HRG’s track record includes measurable increases in revenue, reduced denial rates, and improved cash flow for clients nationwide. Our clients benefit from streamlined operations and predictable income.

Partner With a Transparent, Results-Driven eCW Billing Company

Your choice of billing partner directly impacts your revenue, compliance, and patient satisfaction. By evaluating vendors against the criteria outlined here, you can make a confident, informed decision.

If you’re ready to see how a specialized, transparent, and results-driven partner can help your practice maximize revenue in eClinicalWorks, contact HRG today.