Case Study: Total Care Billing Solutions achieves faster cash flow and under 1% denials with Tebra

Meeting Diverse Customer Needs with Kareo

Total Care Billing Solutions, founded in 2010 by Julianna Madsen, provides billing and credentialing for a mix of specialties and practice sizes. Her main challenge was managing very different client needs and workflows—from brand‑new pediatric start‑ups to established OB/GYN practices—while avoiding the expense and complexity of many server‑based billing systems.

She implemented Kareo Billing, which allowed rapid, low‑cost onboarding (no setup fees), flexible workflows (scanned superbills or EHR integration), daily electronic claims and EFT, and powerful reporting to clean up back‑end A/R. The results: streamlined operations with almost no denials (<1%), average A/R under 30 days (under 7 days for DME), faster payments, new revenue opportunities (e.g., salons doing DME), and easier growth and client management.

Total Care Billing Solutions

Julianna Madsen

Owner and President