Healthcare Services

Patient Demographics

Streamlined patient registration process that ensures accurate collection of patient demographic and insurance information.

Insurance Verification

Thorough verification of insurance eligibility, benefits, and coverage details to reduce claim rejections.

Authorization Handling

Efficient management of prior authorizations to ensure timely approvals and minimize delays in patient care delivery.

Coding

Expert medical coding services following the latest ICD-10, CPT, and HCPCS guidelines for accurate billing.

Billing and Claims Submission

Accurate preparation and electronic submission of claims to reduce denials and speed up reimbursement cycles.

Charge Entry

Precise charge entry services to ensure all services are properly billed and documented.

Payment Posting

Efficient and accurate posting of payments from various sources including insurance carriers and patients.

Clearing House Rejections

Identification and resolution of clearinghouse rejections to ensure claims are processed properly.

Claim Transmission

Timely and accurate electronic submission of claims to insurance carriers to expedite reimbursement.

Audit Quality Check

Thorough quality checks and audits to ensure compliance with regulations and identify improvement areas.

Denials Management

Effective handling of denied claims with analysis, appeals, and follow-up to maximize reimbursement.

AR Recovery

Systematic accounts receivable management to recover outstanding balances and reduce aging AR.

Patient Statement

Clear and comprehensive patient statements to facilitate understanding and prompt payment.

Collections

Professional collection services to recover patient balances while maintaining positive relationships.

Referral Management

Streamlined referral management ensuring proper authorization, documentation, and follow-up.

PCR AND ADR

QA

Custom Report

Tailored reporting solutions that provide insights into key performance indicators and operational trends for informed decision-making.