Medical Billing & Revenue Cycle Management
Prior-Authorization
Delays in prior authorization can significantly impact revenue. Our team works diligently to obtain timely approvals from payers, ensuring treatments and procedures are authorized without delay.
- Accelerate authorization timelines.
- Minimize denial risks.
- Improve patient satisfaction with smoother workflows.
Charge Entry & Claims Management
Accurate charge entry is the foundation of successful claims management. We ensure error-free charge capture and swift claim submissions to maximize reimbursement.
- Verify and enter charges with precision.
- Submit clean claims to minimize rejections.
- Monitor claims to ensure timely adjudication.
Payment Posting
Efficient payment posting is critical to maintaining financial clarity. Our team handles all payment transactions, posting them accurately for clear account management.
- Post payments from all payers and patients.
- Identify underpayments and payment discrepancies.
- Provide real-time account updates.
Chart & Coding Audits
Accurate medical coding is essential for compliance and revenue integrity. Our certified coding experts ensure your claims meet all payer requirements.
- Conduct regular audits to identify coding errors.
- Optimize code usage for higher reimbursements.
- Reduce compliance risks with accurate documentation.
Self-Pay Collections
Collecting payments from patients can be challenging. We streamline the self-pay process to ensure you receive what is owed while maintaining positive patient relationships.
- Flexible payment options for patients.
- Proactive follow-ups for overdue payments.
- Reduce bad debt with effective strategies.
Denial Prevention
Denied claims can disrupt cash flow and add unnecessary administrative strain. Our team proactively prevents denials by addressing root causes and handles appeals for rejected claims. We focus on:
- Preemptive identification of denial trends.
- Submission of thorough appeals with supporting documentation.
- Recovering lost revenue efficiently.
Denial and Appeals Management
Reclaiming denied revenue is a time-sensitive task. Our dedicated appeals team ensures every denied claim is reviewed, corrected, and resubmitted promptly. We focus on:
- Root cause analysis of denials.
- Systematic appeals submissions.
- Monitoring trends to prevent future denials.
Patient Statements & Calls
Clear communication with patients is key to timely payments. We ensure that billing statements are accurate, easy to understand, and delivered promptly. Our services include:
- Preparing and mailing customized patient statements.
- Handling patient inquiries about billing through our support team.
- Offering online portals for quick payments.
Financial Reporting & Analysis
Actionable insights are crucial for improving practice performance. Our financial reporting services help practices make informed decisions. We provide:
- Detailed revenue cycle analytics.
- Monthly and quarterly performance reports.
- Insights into payer performance, AR trends, and financial growth.
Advanced Technology
Leverage cutting-edge tools for efficient and accurate medical billing.
Industry Expertise
Benefit from our team’s in-depth knowledge of payer rules and guidelines
Personalized Solutions
Tailored approaches to meet the unique needs of your medical practice.
Seamless Workflows
Experience smooth and efficient processes for optimal results.
Superior Results
Achieve excellence in medical billing with our proven track record of success.
Revenue Cycle Assessment
Optimal revenue cycle performance hinges on monitoring key performance indicators (KPIs).
