Services

Eligibility & Enrollment
We ensure that patients are covered and all services are pre-approved before treatment begins.
Key Tasks:
- Real-time insurance verification
- Benefit coordination (co-pays, deductibles, coverage limits)
- Prior authorization and enrollment assistance
- Patient communication and education
Benefits:
- Fewer denied claims
- Faster reimbursements
- Improved patient satisfaction

Medical Coding
Certified coders transform clinical records into compliant billing codes for maximum reimbursement.
Key Tasks:
- Accurate ICD-10, CPT, HCPCS coding
- Specialty-specific and risk-adjusted coding
- Compliance with CMS, NCCI, LCD/NCD guidelines
- Quality audits and coder education
Benefits:
- Boosts revenue integrity
- Reduces audit risk
- Eliminates coding errors

Claims Submission
We submit clean claims swiftly through secure channels to prevent payment delays.
Key Tasks:
- Clearinghouse and payer submission
- Claim scrubbing and error validation
- Rejection tracking and fixes
- Daily clearinghouse reconciliation
Benefits:
- High first-pass acceptance rate
- Shorter payment turnaround
- Decreased administrative workload

AR Follow-Up
Relentless follow-up on outstanding claims to maximize revenue recovery
Key Tasks:
- Worklists by payer and age bucket
- Appeals and escalations
- Payer rep coordination
- Follow-up logs with detailed notes
Benefits:
- Accelerates AR liquidation
- Improves cash flow
- Lowers aging >90 days

Denial Management
We identify root causes and recover denied claims efficiently.
Key Tasks:
- Denial analysis by CARC/RARC codes
- Corrected claim resubmission
- Timely and well-documented appeals
- Prevention recommendations to providers
Benefits:
- Revenue recovery from denials
- Long-term denial rate reduction
- Provider education & improvement

Patient Billing
Clear, timely, and compassionate billing processes that improve patient collections.
Key Tasks:
- Patient-friendly statements
- Secure online payment portal
- Installment plan management
- Follow-ups via SMS, email, and phone
Benefits:
- Increases patient collection rates
- Reduces billing confusion
- Enhances patient trust

Customer Service
Patient & provider support that feels like an extension of your in-house team.
Key Tasks:
- Answering billing/payment queries
- Insurance guidance and clarifications
- Escalation management
- Multilingual, HIPAA-trained reps
Benefits:
- Improved patient-provider relationships
- Faster issue resolution
- Higher satisfaction scores

Reporting & Analytics
Actionable financial insights to steer your practice with clarity.
Key Tasks:
- AR aging and collection rate tracking
- Denial and productivity dashboards
- Custom KPI reports by specialty
- Monthly performance reviews
Benefits:
- Smarter decision-making
- Transparent billing performance
- Improved financial outcomes