CareCloud Billing Services | Certified Billers Working Inside Your CareCloud Central
Transcure provides CareCloud billing services to practices running CareCloud Central and Charts. Our AAPC-certified billers work inside your existing setup to help your practice:
- Rebuild CollectiveIQ scrubbing rules by payer to lift first-pass acceptance
- Dedicated CareCloud billers assigned per practice with no shared back-office pools
- AR follow-up inside CareCloud Central cuts accounts receivable below 24 days
- AAPC-certified coding included in scope, not sold as a separate plan tier
- Full support for Central, Charts, Complete, and Concierge transition setups
|
|
Thank you for Signing Up |
What Is CareCloud and How Does Its Billing System Work?
CareCloud is a cloud-based healthcare IT platform serving over 45,000 providers across more than 70 US specialties. The company trades on Nasdaq as CCLD and operated as MTBC until 2021. Independent practices, multi-specialty groups, and ambulatory organizations run clinical and financial operations on it.
CareCloud billing runs through CareCloud Central, the practice management module. Central connects to five components that carry revenue cycle work:
- CareCloud Central handles scheduling, charge entry, claim generation, and payer submission from one workspace.
- CollectiveIQ applies over 180 million billing rules against every claim before it leaves your practice.
- CareCloud Charts carries clinical documentation, e-prescribing, and E&M coding that feed charges into Central.
- CareCloud Breeze runs patient intake, check-in, and point-of-service payment capture.
- Multi-clearinghouse routing sends claims through Change Healthcare, TriZetto, and Availity to over a million payers.
Your CareCloud Stack Is Fine. Your Collections Aren't.
We audit 90 days of denials, AR aging, and CollectiveIQ rejection patterns inside your CareCloud Central with BAA executed first using de-identified data only. You get a written breakdown of where revenue is leaking and what it’s costing per month.
How Transcure Helps CareCloud Practices Struggling With Billing
CareCloud practices lose revenue when CollectiveIQ rules go untuned, coding sits outside scope, and AR ages inside Central. Transcure closes each gap with dedicated billers and AI agents.
CollectiveIQ Left on Default Rules
CollectiveIQ ships with a broad rules library, but most practices never tune it by payer. Modifier logic and bundling edits slip through to the clearinghouse. Transcure rebuilds your scrubbing rules per payer and specialty within 30 days.
Coding Sold Separately, Not Solved
CareCloud excludes medical coding from its lowest pricing tier. Practices either hire a coder or buy up to a higher plan. Undercoded encounters cost $20 to $50 each. Transcure includes AAPC-certified coders in scope at no extra fee.
Single-Biller Bottleneck
Solo and small group practices run CareCloud Central billing on one or two staff members. One resignation stalls your entire AR cycle. Transcure assigns a named team with written backup coverage on every account.
Patient Balances Stalling After Breeze
Breeze collects payments at check-in but does not chase balances after the visit. Anything past 60 days sits unworked inside Central. Transcure runs payment plans, automated reminders, and live patient calls until the balance closes.
What Transcure's CareCloud Billing Services Cover
Transcure’s CareCloud medical billing services cover every RCM stage inside your Central module. Our 1,100+ AAPC-certified billers and AI agents work directly in your CareCloud system across these nine areas:
Patient Eligibility and Benefits Verification
ELIXA runs automated eligibility checks through CareCloud Central before every scheduled visit. Coverage failures reach your front desk pre-encounter. Your practice stops billing against terminated policies.
Prior Authorization Management
PRIA maps auth requirements by payer and CPT code inside your CareCloud account. Deadlines from Aetna, UnitedHealthcare, and state Medicaid get met automatically. Denials for expired authorizations drop to zero.
Clinical Documentation and Charge Capture Support
Undercoded visits cost your practice $20 to $50 per encounter. Transcure flags documentation gaps in CareCloud Charts before charges post to Central. Providers get same-day queries on every flagged note.
Medical Coding (CPT, ICD-10, HCPCS)
CODIN and AAPC-certified specialty coders work your CareCloud account directly. CCI bundling edits and MUE frequency limits get validated against 2026 AMA guidelines. Coding accuracy reaches 99% across the book.
CollectiveIQ Configuration and Claim Scrubbing
Default CollectiveIQ rules get rebuilt with payer-specific edits and modifier logic per specialty. Claims run dual-pass scrubbing through CollectiveIQ and Transcure's AI rules layer. First-pass acceptance hits 99%.
Payment Posting and ERA Reconciliation
REMITA auto-posts ERA payments to patient ledgers within 24 hours inside Central. Allowed-versus-paid gaps surface instantly. Cigna and Medicare Advantage underpayments route straight to appeals.
Denial Management and Appeals
DEXA traces root causes by CARC and RARC code, including CO-4, CO-16, CO-50, and PR-96. Appeals file at every level inside your CareCloud denial workflow. Denied claims never bounce back to your staff.
Accounts Receivable Follow-Up
AR callers work 30+ day claims through your CareCloud Central aging buckets daily. ARIA maps aging patterns by payer automatically. Average AR recovery completes within 24 days. Claims past 90 days get priority.
Patient Billing via CareCloud Community
Statements push through your CareCloud Community portal once secondary claims close. AI-driven reminders cut patient bad debt by 25% for your practice. Your front desk stops fielding billing calls saving valuable time.
How Does Transcure's CareCloud Billing Support Work?
Transcure puts certified billers inside your CareCloud Central setup within 14 days through five stages. Your CareCloud system stays untouched. We log in and start clearing claims as your EMR billing services partner.
Step 1.
Revenue Leak Detection in CareCloud Central
Your dedicated account manager audits denial rates, AR aging, and payer mix inside Central. DEXA scans CARC and RARC codes from the last 90 days. Every leak gets mapped before a single claim moves.
Step 2.
HIPAA-Compliant System Access
Assigned billers receive encrypted CareCloud logins under a signed BAA per 45 CFR § 164.502(e). You control role-based permissions from the admin panel. PHI never leaves your CareCloud environment.
Step 3.
CareCloud-Specific Workflow Build
Custom SOPs map to your plan tier, whether Central, Complete, or a Concierge transition. CollectiveIQ rules get rebuilt per payer. Modifier logic for Aetna, BCBS, and UnitedHealthcare locks into the workflow.
Step 4.
Claims Processing Goes Live
Live billing starts on day fourteen. CODIN and specialty-certified coders take your account. Every claim runs dual-pass scrubbing through CollectiveIQ plus Transcure's AI rules layer. First-pass acceptance hits 99% from week one.
Step 5.
Monthly KPI Reviews and Rule Updates
Your account manager reviews denial trends, AR days, and net collections against specialty medians monthly. LCD/NCD, MUE, CCI, and OCE rules update inside CareCloud in real time. Performance never drifts.
Our Certifications
Every Transcure biller assigned to your CareCloud Central holds AAPC or AHIMA coding credentials. Our operations team carries ISO 27001 and HIPAA compliance certification. Coding standards from CMS and submission requirements from Aetna, BCBS, and Medicare Advantage stay current.
Our Success in Numbers
Should You Use CareCloud Concierge or Outsource to Transcure?
CareCloud sells its own full-service RCM under the Concierge plan at 3% to 7% of collections. A shared back-office team handles claims across multiple practices. CareCloud publishes a 94% first-pass rate across all clients. Here is how the two options compare.
Factor
Team Structure
Coding Coverage
Published First-Pass Rate
Pricing
Contract Terms
AI Agents
CareCloud Concierge
Shared back-office team working across multiple practices
Excluded from the entry tier, sold as a plan upgrade
94% across all clients
3% to 7% of collections
Three-year agreements encouraged
cirrusAI for clinical documentation
Transcure
Named, dedicated billers and coders assigned per practice
1,100+ AAPC and AHIMA coders across 40+ specialties, plus CODIN
98% to 99% from week one
Under 5% of collections, coding included, no onboarding fees
No long-term lock-in
7 RCM agents: ELIXA, PRIA, CODIN, DEXA, REMITA, ARIA
Which Specialties Does Transcure Support With CareCloud Medical Billing?
Transcure supports CareCloud medical billing across 40+ specialties. We match specialty-certified coders to your Central setup, with payer policy depth and CMS coding compliance on every account.
Leaving CareCloud Concierge Without Leaving CareCloud
Practices on Concierge often want a different billing team, not different software. Transcure takes over billing inside your existing CareCloud Central and Charts setup. Your data, templates, fee schedules, and payer contracts stay exactly where they are.
We map your CollectiveIQ configuration and open AR before the transition date. Claims keep clearing through the handover. No migration project, no retraining, no gap in collections.
Why Should Practices Choose Transcure to Outsource CareCloud Billing?
Practices pick Transcure because coding, staffing, and pricing commitments get written into how we operate. Six things separate us from generic CareCloud billing partners.
Dedicated Account Manager Per Practice
One assigned manager handles every payer escalation, monthly review, and workflow change in your CareCloud setup. No shared inboxes.
AAPC and AHIMA Certified Billers
Billers on your account hold AAPC or AHIMA credentials with CareCloud Central operational training. Generalist staff never touch your claims.
Coding Included in Scope
CareCloud excludes coding from its entry tier. Our scope covers CPT, ICD-10, and HCPCS through certified specialists at no extra fee.
Pricing Under 5% of Collections
Flat percentage of what we collect, with coding included. No onboarding fees, no three-year contract, no upcharges for credentialing or appeals.
HIPAA Compliance With an Executed BAA
Every engagement opens with a Business Associate Agreement under 45 CFR § 164.502(e). Your PHI stays inside your CareCloud environment. Audit risk stays at zero.
Continuous Training on CareCloud Releases
CareCloud ships platform updates and new cirrusAI features regularly. Our billers train on each release before it reaches your account.
What CareCloud Practices Say About Working With Transcure
Read how practices running CareCloud and other ambulatory platforms have lifted collections and stabilized their AR with Transcure.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About CareCloud Billing Services
Here are the questions CareCloud practices ask most often before bringing Transcure into their setup.
Does Transcure Support Central, Charts, Complete, and Concierge Setups?
Yes. Transcure bills inside every CareCloud plan tier, including Central, Charts, Complete, and practices moving off Concierge. Our billers configure to your existing setup during onboarding. Nothing in your CareCloud environment changes, and no data moves to an outside platform.
Will Billing Pause When CareCloud Pushes a Platform Update?
No. CareCloud ships regular updates to Central, Charts, and cirrusAI. Our billers train on each release before it reaches your account. Claims keep clearing through update windows, and workflow changes get absorbed on our side. Your revenue does not stall on a system change.
How Does Transcure Compare to CareCloud Concierge?
Concierge runs a shared back-office team and publishes a 94% first-pass rate across all clients. Coding sits outside the entry tier. Transcure assigns named billers per practice, includes AAPC-certified coding in scope, and holds first-pass acceptance at 98% to 99%. Pricing stays under 5% of collections with no three-year commitment.
What Does Transcure Charge for CareCloud Billing Services?
Pricing sits under 5% of monthly collections with coding included. There are no onboarding fees, no long-term contracts, and no upcharges for credentialing, AR recovery, or appeals. The percentage is fixed in the engagement letter and scales with what we collect.
Is My Patient Data Secure When Transcure Accesses CareCloud?
Yes. Access runs on encrypted credentials under a signed Business Associate Agreement per 45 CFR § 164.502(e). PHI never leaves your CareCloud environment. Monthly compliance audits cover access logs, permission scope, and PHI handling. Your audit risk under the HIPAA Privacy Rule stays at zero.
CareCloud Billing Knowledge Center
Explore the latest CareCloud-specific healthcare industry insights to enhance practice performance and profitability.
03/23/2026
Discover the 19 best EMR softwares for healthcare providers. Compare features, benefits, pricing, and top systems like Cerner, Athenahealth, eClinicalWorks, and NextGen.
03/06/2026
Learn what EMR software is, its types, how it works, costs, and key benefits for healthcare providers in this complete guide.
03/31/2026
Explore the top EMRs for ambulatory surgery centers (ASCs) that streamline documentation, reduce billing errors, and boost efficiency.










