Our Services
We offer a range of medical billing services that can be customized to your specific requirements.
Some of our services include:
- Medical Billing: Medical billing is a critical aspect of the healthcare revenue cycle, and our company excels in providing comprehensive medical billing services for healthcare providers across various specialties. Our team of certified coding specialists and billing professionals has in-depth knowledge and expertise in navigating the complexities of the billing industry. We ensure accurate coding, timely claim submission, and effective follow-up to optimize reimbursement and improve cash flow for our clients. With a 98% claim payment on first submission, we strive to maximize revenue for healthcare practices.
- Medical Coding: Accurate and efficient medical coding is essential for proper reimbursement and compliance. Our team stays up-to-date with the latest coding systems, including CPT and ICD-10, to ensure precision and adherence to industry regulations. We meticulously review and abstract medical information from patient records, assigning the appropriate diagnostic and treatment codes. By leveraging our expertise in medical coding, we help healthcare providers minimize billing errors, improve documentation, and optimize revenue capture.
- Revenue Cycle Management: Effective revenue cycle management is crucial for the financial success of healthcare practices. Our comprehensive revenue cycle management services encompass the entire patient journey, from appointment scheduling to payment collection. We provide end-to-end support, including patient registration, insurance eligibility verification, claims submission, denial management, and accounts receivable follow-up. By leveraging our expertise and technology-driven solutions, we help healthcare providers streamline their workflows, reduce operational costs, and improve revenue generation.
- Claims Management: We handle all aspects of claims management, from verification, submission, tracking, to follow-up. We ensure that your claims are error-free and compliant with the payer’s guidelines. We also handle denials, appeals, and adjustments to maximize your reimbursements.
- Code & Charge Entry: We use the most current coding systems and guidelines to assign the appropriate codes and charges for your services. We also review and audit your codes and charges to ensure accuracy and consistency.
- Insurance Eligibility Verification: We verify your patients’ insurance eligibility and benefits before each visit to avoid claim rejections and delays. We also obtain prior authorizations and referrals when needed.
- Dunning Management: We manage your patient accounts receivable and collections, from sending statements, reminders, to negotiating payment plans. We also handle bad debt recovery and write-offs.
- Compliance Tracking: We monitor and update your compliance status with the various payers and regulatory agencies. We also provide training and education on the latest changes and updates in the medical billing industry.
Free Audit: is offered to potential clients who want to evaluate their current billing practices and identify areas of improvement. A free audit can help healthcare providers to:
- Find out if they are undercoding or overcoding their services, which can affect their reimbursement and compliance.
- Detect any errors, omissions, or inconsistencies in their documentation, coding, and billing processes.
- Compare their performance with industry benchmarks and best practices.
- Receive recommendations on how to optimize their revenue cycle management and increase their profitability.
A free Audit is conducted by our team of certified medical billing experts who review a sample of the provider’s claims and records. The audit results are then presented in a detailed report that highlights the strengths and weaknesses of the provider’s billing system. A free audit can be a valuable opportunity for healthcare providers to gain insights into their billing operations and learn how to improve them.
Stand Alone Credentialing: is offered to healthcare providers who need to enroll or re-enroll with insurance payers. Credentialing is the process of verifying the qualifications and credentials of a healthcare provider to ensure that they meet the standards and requirements for patient care. Credentialing is essential for healthcare providers to participate in insurance networks and receive payments for their services.