Comprehensive Revenue Cycle Solutions
From patient scheduling to final payment, we handle every step of the revenue cycle with precision and expertise.
Patient Appointment and Scheduling
We handle high-volume appointment calls, allowing your practice to focus on core functions through professional scheduling and pre-registration services. Our dedicated team ensures optimal scheduling efficiency while reducing no-show rates.
Eligibility & Benefits Verification
We verify coverage of each CPT code and patient eligibility before submitting every claim, reducing rejections and payment delays. Real-time insurance verification ensures accurate billing and faster reimbursement cycles.
Referral and Prior Authorization
Our expert team proactively checks referral and prior authorization requirements during eligibility verification, obtaining authorizations when needed. We streamline the approval process to prevent claim denials and ensure treatment continuity.
Charge Posting
Our entry specialists verify claim details including Date of Service, provider information, units, modifiers, and CPT codes to minimize rejection risks. Accurate charge entry ensures compliance and optimizes reimbursement.
Clearing House Rejection
We fetch rejection reports within 24-48 hours post-billing, correcting and resubmitting rejected claims immediately for faster resolution. Our root cause analysis prevents recurring errors and reduces revenue loss.
Payment Posting & Bank Reconciliation
We process insurance payments from EOBs and ERAs plus patient payments, ensuring prompt posting and reconciliation with bank deposits. Our meticulous approach maintains a complete audit trail and financial accuracy.
AR and Denial Management
We prevent revenue loss through strategic appeals and maintain accounts receivable under 90 days with twice-monthly follow-ups on unpaid claims. Aggressive AR management maximizes your collections and cash flow.
Credentialing & Re-credentialing
We manage government and commercial payer credentialing, including Medicare, Medicaid, private insurers, workers comp, and MCOs. Complete credentialing support expands your provider network and ensures timely revalidation.
Contract Negotiations
Our years of experience and industry insight help secure favorable reimbursement rates for your practice. Expert contract analysis and negotiation optimize your rates and improve profitability.
Provider Portals Up To The Date
We maintain CAQH, PECOS, Medicaid revalidation, and NPPES portals per insurance and HIPAA guidelines. Automated portal compliance and deadline management keep your credentials current and compliant.
Referral Management Service
We streamline referral tracking, processing, and verification for specialist care to ensure continuity of patient treatment. Comprehensive referral coordination maintains communication between providers and supports patient care.
Software Transition
We manage seamless billing system migrations while preserving data accuracy and security throughout the process. Zero data loss and minimal downtime ensure continuity during your transition with complete training and onboarding support.
Ready to Transform Your Revenue Cycle?
Let us handle the complexities of medical billing while you focus on delivering exceptional patient care.
Schedule Your Free Consultation