OUR SERVICES
Charge Entry & Claim Submission
We offer efficient and accurate charge entry and claim submission services. Our experienced staff will ensure that all relevant information is accurately entered and submitted to the relevant payers for maximum reimbursement.
We stay up to date on the latest regulations and use advanced software to ensure that your claims are processed quickly and correctly.
Patient Billing and Collections
We provide patient billing and collection services. We generate and send out monthly statements for patients and work aged patient balances. Once balances are over 90 days, we offer the option to transfer the account to a collection agency in order to help obtain payment from patients.
Accounts Receivable Follow-Up
Our accounts receivable service is designed to ensure that your aged claims are thoroughly worked. Our team of experts will analyze your A/R data to identify the root cause of unpaid claims and take the necessary steps to avoid future unpaid claims. With our service, you can rest assured that no claim is being overlooked.
Managed Care Plan & TPL
Our team of knowledgeable specialists are well-versed in managed care plans and Medicaid TPL issues, allowing us to effectively work claims related to Medicaid coordination of benefits ineligibility and denials.
Short Term & Long Term Projects
We offer both short and long term projects in any avenue needed in healthcare business operations. Our team is here to be your right-hand, go-to company you can count on for anything. Whether you need help with a short term project or something more permanent, we are here to help.
Business Operations Management
Our business operations management team specializes in providing customized solutions to streamline daily operations. We offer a wide range of services to help businesses improve operational performance, reduce costs, and increase efficiency.
Credentialing
We offer insurance provider credentialing services to help you submit claims to various payors. Our services include assistance with the application process, as well as contract negotiation. Our team of credentialing experts will ensure that your insurance provider credentials meet all payor requirements.
Payment Posting
Our Payment Posting Service ensures that all payor payments are accurately posted promptly with the allowed amount, deductibles, coinsurance, and copays.
We also post all patient payments accurately and promptly, allowing for accurate financial tracking of payments and patient accounts.
Denial Analysis w/Resolutions
Our medical billing experts provide comprehensive claim denial analysis with resolutions. Our team will investigate the denial and provide actionable recommendations on how to improve claims submission to reduce denials and maximize reimbursements.
With our services, you can rest assured that you are receiving the highest level of care and attention in resolving your claim denials.
Provider Payor Web Portal Setup
Our Payor Web Portal Setup service helps providers quickly and easily obtain access to available insurance websites. With this service, providers can easily check patient eligibility and authorizations, as well as obtain referrals, claim status, and explanations of benefits.
Additionally, some payors provide the option to appeal claims online and upload requested documentation.
Revenue Cycle Management
Revenue Cycle Management is a service that provides superior analytical skills to help streamline and optimize the financial operations of a business. Our team of experienced professionals is highly trained in analyzing financial data and uncovering opportunities for improvement within the revenue cycle. Our expertise helps clients maximize their financial performance and increase overall efficiency.
EHR/EMR Practice Software Implementation
Providing a comprehensive service to help medical practices transition to a digital platform. Our team of experts can help with the implementation, setting up the software, and training your staff to get the most out of your EHR/EMR system. We make sure that the transition is seamless and that your staff is fully equipped to use the system.
Month End Reconciliation
At our firm, we provide month end reconciliation services to ensure timely and accurate month end closings. Our experienced team of professionals will prepare comprehensive reports to ensure all accounts are properly reconciled and all discrepancies are identified and addressed. We strive to provide the highest quality month end reconciliation services to ensure the accuracy of your financial reports.
Policy & Procedure Implementation
Our policy and procedure implementation service provides comprehensive support to your business, from creation and execution of policy and procedure documents to helping staff follow protocols and guidelines. This allows business operations to function smoothly and with direction on how to handle day to day functions efficiently while adhereing to the company policies. We provide tailored solutions to ensure that you get the best results for your business.