Our Services

Claims Management

Our expert team ensures accurate and timely claims submission, maximizing your revenue and minimizing denials. We handle everything from claim creation to follow-up.

Key Features:

Accurate Claims Submission
Real-time Claims Tracking
Electronic Claims Processing
Claims Status Monitoring
Timely Follow-up on Pending Claims
Denial Prevention Strategies

Benefits:

Faster Payments

Reduce claim processing time by up to 50%

Higher Collection Rate

98% average collection rate

Reduced Denials

92% clean claims rate

92%

Clean Claims Rate

48hrs

Average Turnaround

98%

Collection Rate

Certified Medical Coders

CPC Certified AAPC Member AHIMA Member

Medical Coding Services

Our certified medical coders ensure accurate coding using ICD-10, CPT, and HCPCS codes. We stay updated with the latest coding guidelines to maximize reimbursement.

Specialties We Code:

Primary Care & Family Medicine
Cardiology & Cardiovascular
Orthopedics & Sports Medicine
Gastroenterology
Neurology & Pain Management
Dermatology & Plastic Surgery
Urgent Care & Emergency Medicine
Pediatrics & Women's Health

Coding Accuracy:

99.5%

Industry-leading coding accuracy rate

Provider Credentialing & Enrollment

We streamline the credentialing process, ensuring your providers are enrolled with insurance companies and ready to see patients quickly.

Credentialing Services:

Initial Credentialing with Insurance Panels
Re-credentialing & Renewals
CAQH Profile Setup & Maintenance
NPI & DEA Registration
Medicare & Medicaid Enrollment
Commercial Payer Enrollment
Hospital Privileging Assistance
Credentialing Status Tracking

Typical Timeline:

1

Application Submission

Week 1-2

2

Verification Process

Week 3-8

3

Approval & Contracting

Week 9-12

Insurance Panels We Work With:

Medicare

Medicaid

Blue Cross Blue Shield

United Healthcare

Aetna

Cigna

Humana

Tricare

Denial Resolution Success

Claims Overturned

85%

Appeals Won

78%

Recovered Revenue

90%

Denial Management & Appeals

Our dedicated denial management team works tirelessly to identify, analyze, and resolve claim denials, maximizing your revenue recovery.

Our Denial Management Process:

Denial Root Cause Analysis
Prioritization Based on Value
Appeal Letter Preparation
Supporting Documentation Gathering
Timely Appeal Submission
Follow-up Until Resolution
Trend Analysis & Prevention

Common Denials We Handle:

Missing Information Coding Errors Medical Necessity Authorization Issues Duplicate Claims Timely Filing Eligibility Issues Bundling/Unbundling

Complete Revenue Cycle Management

End-to-end revenue cycle management from patient registration to final payment, ensuring optimal financial performance for your practice.

Complete RCM Process:

Patient Registration

Demographic & insurance verification

Eligibility Verification

Real-time insurance benefit checks

Charge Capture

Accurate service documentation

Medical Coding

ICD-10, CPT, HCPCS coding

Claims Submission

Electronic claims processing

Payment Posting

Accurate payment reconciliation

AR Follow-up

Outstanding balance collection

Reporting & Analytics

Comprehensive financial insights

RCM Performance Metrics:

30 Days

Average Days in AR

98%

Collection Rate

92%

First-Pass Acceptance

15-20%

Revenue Increase

What's Included:

Patient Demographics Management

Insurance Verification

Authorization Management

Charge Entry & Posting

Electronic Claims Submission

ERA/EOB Processing

Patient Statement Generation

Collections Management

Compliance Monitoring

Financial Reporting

Real-Time Verification

Patient Info

Insurance Check

Verification

Results in under 60 seconds

Insurance Eligibility Verification

Prevent claim denials and patient dissatisfaction with our comprehensive real-time eligibility verification services before appointments.

Verification Services:

Real-Time Insurance Verification
Coverage Benefit Details
Copay & Deductible Information
Prior Authorization Requirements
Out-of-Network Coverage Check
Policy Status Verification
Secondary Insurance Verification

Why Verify Eligibility?

Reduce Denials

Avoid eligibility-related claim denials

Improve Collections

Collect copays upfront with confidence

Better Patient Experience

Set clear payment expectations

Save Time

Automate manual verification processes

Complete Revenue Cycle Management Solutions