Services

End-to-end Revenue Cycle Management Services

MEDICAL BILLING, CODING, AND ACCOUNTS RECEIVABLE MANAGEMENT SERVICES
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FRONT-END REVENUE CYCLE

  • Patient Scheduling and Appointment Management: Our team helps you manage patient appointments, ensuring timely scheduling and reducing no-shows.
  • Eligibility Verification: We verify patient insurance coverage, eligibility, and benefits, ensuring accurate billing and reducing claim denials.

  • Prior Authorization: Our team manages the prior authorization process, ensuring approvals are obtained for required services.

  • Patient Registration/Patient Demographics: We manage patient registration and demographic data, ensuring accurate billing and timely claims submission.

MID-REVENUE CYCLE SERVICES

  • Charge Entry & Charge Audit: We manage charge entry and audit processes, ensuring accurate billing and timely claims submission.
  • Medical Coding Services: Our certified medical coders assign accurate codes to medical procedures, ensuring timely reimbursements and reducing claim denials.
  • Revenue Integrity: We help ensure revenue integrity by conducting regular audits and reviews of billing processes and claims submissions.
  • Medical Coding Audit: Our team performs medical coding audits to identify and rectify coding errors, ensuring timely reimbursements and reducing claim denials.
  • Clinical Documentation Improvement: We help improve clinical documentation to support accurate coding, reduce claim denials, and ensure compliance with regulations.
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BACK-END REVENUE CYCLE SERVICES

  • Remittance Processing: We process remittance advice and EOBs, ensuring timely and accurate payment posting.

  • Accounts Receivable: Our team manages accounts receivable, ensuring timely follow-up and collections.

  • Denial Management: We manage claim denials and appeals, ensuring maximum reimbursement and reducing revenue loss.

  • Credit Balance: We manage credit balance accounts, ensuring timely and accurate refunds.

CONSULTATIVE SUPPORT

  • Provider Enrollment and Credentialing Services: Our team manages provider enrollment and credentialing, ensuring compliance with regulatory requirements and facilitating reimbursement.
  • Medical Billing Specialists: Our certified medical billing specialists manage all aspects of medical billing, from claim submission to follow-up and collections.

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