Medical billing for independent practices
U.S.-owned and managed in Houston · BAA signed before we touch your system · Cancel any time with 90 days' notice
FYNQ Medical Billing is a U.S.-owned revenue cycle company that manages claims, denials, coding, and A/R for independent practices inside their existing EHR. Practices create a billing-only login they control, see every report in real time, and can cancel with 90 days' notice. Claims are submitted Monday through Friday by specialty-trained coders.
Your claims go out. Some get paid. Some get denied. A few of those denials get worked — and the rest quietly age past 90 days until they're written off. Nobody flagged them. Nobody appealed them. They just disappeared from the report you never had time to read.
That's how the typical independent practice loses 8–12% of collectible revenue every year — not to bad medicine, not to bad coverage, but to preventable denials, coding gaps, and A/R that ages without follow-up. For a cardiology practice collecting about $80,000 a month, that leak runs on the order of $80,000 to $120,000 a year.
Here's the part that keeps doctors from fixing it: the two ways out both feel worse than the leak. Hire and manage an in-house billing team — salary, benefits, software, turnover — or hand the whole thing to an outside company and lose sight of your own money. FYNQ was built so you don't have to choose.
Most outsourced billing asks you to hand over your revenue and hope. FYNQ works the opposite way.
We work inside your existing EHR, EMR, or practice-management system. Your office creates a billing-only login for our team. Your data and your reports stay in your system — not ours. You can change permissions or delete our access at any time. You keep the keys; we do the work.
That means you never lose visibility. You and your staff run reports whenever you want — daily, weekly, or monthly — and watch claims, denials, A/R, and posted cash in real time. What you give up is the headache of chasing claims. Not the ability to see them.
And the people doing the work are specialty-trained coders, not generalists. Cardiology, behavioral health, orthopedics, pain management, OB/GYN, surgery — each has its own CPT, modifier, and payer rules. Generic billing is how money gets left behind. We bill to your specialty's standard from day one.
FYNQ Medical Billing LLC has spent 14 years inside the revenue cycle of independent practices. Across that time, practices we work with have seen collection performance in the 96–98% range within about six months — with the honest caveat that some specialties deny more by nature, so we set targets from your baseline, not from a slogan.
We don't promise a dollar figure. We run a proven denial and A/R process, we're paid on what we actually collect, and that makes it a win-win: the more we recover for you, the better we both do.
Common questions
You don't give up control — you give up the headache. We work inside your EHR on a login you create and can delete. You run the reports any time and watch every claim, denial, and dollar. You stay in charge of the practice; we stay in charge of the work.
A Business Associate Agreement is signed before we touch your system. Access is role-based — only the certified coder and biller assigned to you ever touch PHI, and every one of them signs a BAA. Access is logged. You remain the covered entity; we remain accountable to you and to U.S. rules. You control the login.
A bad transition costs money — a planned one doesn't. For the first two weeks we run parallel billing alongside your current team, following your procedures. We inventory open claims and aged A/R before anyone stops, assign every claim in writing by date of service, and give you a written 21-day transition calendar before you sign. The goal is continuity of deposits, not a silent period.
Add up salary, benefits, PTO, training, software, clearinghouse fees, and the claims that never get billed or appealed — in-house billing almost always costs more than it looks. Our fee is tied to what we collect. If your cash drops, our fee drops. The real question isn't the percentage; it's your net after a certified team works your denials, coding, and A/R.
You may be — or you may be used to the current result. We're not asking you to fire anyone today. Let us run a free, no-obligation billing and coding review. If the numbers are healthy, you have confirmation. If money's being left on the table, you have a choice.
You won't chase a call center. You get named U.S. contacts — MJ Abbasi, Katie Stout, and Sofia Abraham — who know your practice, your EHR, and your payers. Call, text, or email during U.S. hours. Questions that need the doctor get bundled, not fired at you between patients.
FYNQ is a U.S.-owned, U.S.-managed company, run by MJ Abbasi from our Houston office. We operate a hybrid production team under U.S. management so claims can be worked while your office is closed — but coding and compliance decisions are supervised to U.S. standards, and if a payer requires U.S.-based billing, that work is done 100% in the United States. You're hiring a Houston company, not a country.
Generic billing is how money is lost. We start with a specialty-aware coding review — your top procedures, your payers, your documentation — and bill to that standard. If a code or modifier is unique to your specialty, it's on our checklist from day one, not discovered after a denial.
You should be able to read the price on one page. No setup fee. No surprise line items. You can start on a free trial, and you can cancel with 90 days' written notice, no questions asked. The contract says you own your data, your payer logins, and your reports. A good billing company keeps you on performance, not a trap.
Patients should feel they're still dealing with your practice. We use your practice name, your payment-plan and hardship policies, and a professional tone. You set the rules — when we call, what we can offer, when anything goes further.
That's a reason to be careful, not a reason to keep doing a job that isn't your specialty. Tell us what broke last time — communication, coding, denials, the handoff — and we put that exact standard in writing. Judge us on a free review and a short trial, not on the company you already fired.
We don't make a dollar guarantee. With 14 years of denial and A/R work, practices we serve see collection performance in the 96–98% range within about six months, set from their own baseline. The free coding review shows you where money is leaking in your specialty first — if we can't show you, you shouldn't switch.
It's the opposite. Onboarding is a short list — EHR login, payer list, fee schedule, a few sample encounters — and provider questions are batched so they don't interrupt clinic. For the first two weeks we bill in parallel so nobody learns a new system under fire.
You don't. We use your existing systems. Credentialing and enrollments stay in your name. We need access, not ownership. Before go-live we confirm NPI, TIN, taxonomy, and EFT so claims don't reject because the new biller wasn't loaded. It's a billing change, not a technology project.
Respected. FYNQ is U.S.-owned and managed in Houston by MJ Abbasi. Most of the work happens in the U.S.; the hybrid team adds capacity under U.S. management, and required U.S.-only payer work stays 100% in the U.S. If you want patient calls and compliance review kept onshore, we structure it that way.
Before you change anything, we run a free, no-obligation billing and coding review of your practice. You see where revenue is leaking — in your specialty, against your own numbers — before you decide anything.
No patient data required to start. U.S.-owned. Houston-based.