Services
Medical Billing & Coding
Ensure accurate claims from the start with professional coding and documentation support.
- CPT, ICD-10 & HCPCS Coding
We apply accurate medical codes to services and procedures using current CPT, ICD-10, and HCPCS standards to ensure clean claim submissions and faster insurance reimbursements. - Charge Entry & Code Validation
Our team verifies every charge entry for accuracy and completeness, preventing coding errors that can delay or deny claims and reduce overall reimbursement. - Specialty-Specific Coding
We provide custom coding support tailored to your specialty—whether urgent care, behavioral health, or family medicine—for more accurate billing and compliance. - Coding Audits & Error Resolution
We regularly perform internal audits to identify coding discrepancies and correct them before claim submission, significantly reducing rejection and denial rates. - Upcoding/Downcoding Prevention
We ensure appropriate code levels are assigned based on documentation to prevent overbilling (upcoding) or revenue loss from underbilling (downcoding).
Revenue Cycle Management
Comprehensive financial handling from the moment a patient is scheduled to final payment posting.
- Charge Posting & Payment Processing All services rendered are entered accurately into the billing system, and payments are promptly processed and posted to the correct accounts.
- Accounts Receivable (A/R) Management Our A/R specialists follow up on unpaid claims, reduce outstanding balances, and speed up collections to improve your cash flow.
- Patient Statement Generation We create and send clear, easy-to-read billing statements that help patients understand their charges and payment responsibilities.
Claims Denial & Appeals Management
Fix denials quickly, prevent future rejections, and recover lost revenue.
- Denied Claim Analysis & Correction
We analyze denied claims to identify root causes and make accurate corrections before resubmission to recover missed revenue. - Appeals Preparation & Submission
Our experts prepare strong, evidence-based appeals and submit them promptly to payers for successful claim resolution. - Follow-up & Status Tracking
We maintain constant communication with payers, tracking claim statuses and ensuring timely responses on appeals and reprocessed claims. - Trends & Denial Prevention Reports
We provide reports highlighting denial patterns and recommendations to prevent recurring issues that lead to lost revenue. - Secondary & Tertiary Claim Handling
We manage billing and follow-up for secondary and tertiary insurance carriers to ensure you receive full entitled reimbursement.
Credentialing & Compliance
Secure insurance enrollment and regulatory alignment for long-term stability.
- Initial Credentialing with Insurance Panels
We handle your initial enrollment with insurance payers, submitting all necessary documentation and tracking application status to ensure quick approvals. - Re-Credentialing & Maintenance
We manage ongoing re-credentialing tasks and updates, helping you avoid lapses in network participation or billing delays. - CAQH Profile Management
Our team maintains and updates your CAQH profile regularly, ensuring accurate data is available for payers and credentialing bodies. - HIPAA Compliance Audits & Reviews
We review your billing workflows to ensure HIPAA compliance, helping you avoid penalties and protect patient data security. - Licensing & Provider Directory Support
We support state licensing renewals and ensure accurate provider listings in payer directories to maintain visibility and compliance.
