Qualified and highly experienced subject matter experts meticulously review claims at every stage of the revenue cycle, ensuring uninterrupted cash flow and operational efficiency.
Provider
End-to-End Services
Patient services
Billing services
Provider analytics
Survey services
Claim reimbursement
Credentialing / Re-credentialing
Payer
End-to-End Services
Enrollment maintenance
Network management
Payer analytics
Claims administration
Provider database management
Features
We Offer
Comprehensive Medical
Charts review
Assigning ICD, CPT, HCPCS & Modifiers
MRA/HEDIS scores - Star rating for Managed care
Eligibility & comprehensive benefits verification
Charge entry (Manual/ audit when interfaced with EMR)
Claims Submission to Clearing houses and payer portals
Fixing Scrubber edits
(CH & Payer)
ERA & Manual cash posting
Cash reconciliation with bank deposits
Credit balance reconciliation
Fixing Denials from 835/ EOB/Correspondences
Delinquent accounts follow ups
Insurance AR recovery with projections
Patient AR Follow ups
Timely and Accurate Month End reports on denials and other metrics
Provider, payer, CPT, Location and overall practice analysis
Credentialing and
Re-certifications
Underpayment recovery
Lean & Litigation follow ups
Workers Compensation and Motor Vehicle claims follow up
