What do we offer?
Medical Billing Services
Our comprehensive medical billing services encompass a wide range of tasks, including accurate coding, meticulous claim submission, and diligent follow-up. We handle the complexities of insurance billing, ensuring that claims are processed efficiently, payments are received promptly, and revenue is maximized. With our expertise and attention to detail, we help healthcare providers navigate the intricate billing landscape and focus on delivering quality care to their patients.
Medical Billing Audit
Through our meticulous medical billing audits, we thoroughly examine billing practices and processes to identify potential issues and areas for improvement. Our experienced team reviews coding accuracy, claim documentation, compliance with regulations, and billing performance. By conducting audits, we help healthcare providers enhance their billing accuracy, ensure regulatory compliance, and optimize revenue generation.
Provider Credentialing & Enrollment
Navigating the provider credentialing process can be time-consuming and complex. Our dedicated team simplifies this process by managing the entire credentialing journey. We work closely with healthcare providers to gather necessary documentation, complete applications, and communicate with insurance networks. By handling the credentialing process efficiently, we ensure that providers can seamlessly participate in insurance networks, expand their patient base, and maintain compliance with insurance requirements.
Revenue Cycle Management
Effective revenue cycle management is crucial for the financial success of healthcare providers. We offer comprehensive solutions that encompass the entire billing lifecycle. Our services include patient registration, accurate coding, claim submission, denial management, payment posting, and financial reporting. By optimizing the revenue cycle, we help providers streamline their financial operations, improve cash flow, reduce denials, and enhance overall revenue generation.
Chronic Care Management
Managing chronic conditions requires a specialized approach. Our chronic care management services focus on improving patient outcomes and enhancing reimbursement for healthcare providers. We provide personalized care plans, patient education, care coordination, and regular communication to ensure patients receive comprehensive and continuous care. By addressing the specific needs of patients with chronic conditions, we help providers deliver better care, increase patient satisfaction, and optimize reimbursement for these services.
Patient Calling & Eligibility Verifications
Our Patient Calling and Eligibility Verification services streamline the patient intake process while ensuring accurate insurance coverage assessment. We proactively contact patients to confirm appointment details, address inquiries, and provide timely assistance, enhancing communication and overall satisfaction. Additionally, we perform thorough eligibility checks by verifying insurance coverage, copayments, deductibles, and authorization requirements before appointments. This helps prevent unexpected denials, reduces administrative burdens, and optimizes claim processing. By ensuring all necessary information is gathered upfront, healthcare providers can focus on delivering quality care without delays.
