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
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