We offer pre-certification and insurance verification services for medical billing. Our expert team obtains pre-approvals and verifies insurance coverage for patients to ensure timely and accurate reimbursement for healthcare providers. Contact us to learn more about our services.

Our patient demographic entry services accurately capture and enter patient information into electronic health records and billing systems, ensuring complete and accurate patient information for timely reimbursements. Our experienced team minimizes the risk of claim denials and provides healthcare providers with more time to focus on delivering quality care to their patients. Contact us today to learn more about how we can support your medical billing needs.

Our CPT and ICD-10 coding services ensure that healthcare providers receive accurate and timely reimbursements for the services they provide. We provide expert medical coding services that reduce the risk of claim denials and rejections, allowing providers to focus on delivering quality care to their patients. Contact us today to learn more about how we can support your medical billing needs.

Charge entry is the process of entering charges for medical services rendered into the billing system. We provide accurate and timely charge entry services, to reduce the risk of claim denials and ensure that healthcare providers are reimbursed for all services provided. Our team has expertise in charge entry for various medical specialties and billing systems, allowing healthcare providers to focus on delivering quality care to their patients. Contact us today to learn more about how we can support your medical billing needs.

Claims submission is the process of submitting medical claims to insurance providers for reimbursement of services rendered by healthcare providers. Our team ensures accurate and timely submission, reducing the risk of claim denials or rejections and we monitor claims to ensure prompt processing and payment. We stay up-to-date on industry regulations and requirements to ensure compliance and support healthcare providers in managing their revenue cycles.

Payment posting is the process of recording and reconciling payments received from insurance providers and patients for services rendered by healthcare providers. Our team ensures accurate and timely posting of payments, including adjustments and write-offs, to ensure proper account balancing and revenue recognition. We also perform denials management to resolve any payment discrepancies and follow-up on any outstanding claims to ensure maximum reimbursement. Our focus on accuracy and efficiency helps healthcare providers to streamline their revenue cycle management.

Account receivables (AR) follow-up is the process of managing outstanding claims and unpaid balances from insurance providers and patients. Our team performs regular follow-up on AR, identifies unpaid or partially paid claims and takes necessary steps to resolve them. We use a combination of technology and experienced professionals to ensure timely and efficient AR management. Our goal is to minimize denials and reduce the days in AR, resulting in improved cash flow and revenue for our clients.

Denial management is a crucial component of revenue cycle management in medical billing. It involves the process of analysing and resolving denied claims, ensuring that healthcare providers receive the maximum reimbursement for their services. Our team of experts uses sophisticated technologies and advanced analytics to identify the root cause of denials and develop strategies to reduce them. We work closely with insurance providers and healthcare providers to ensure that claims are correctly filed and follow up on outstanding denials in a timely manner. Our focus on denial management helps healthcare providers to minimize losses and improve their financial performance.

Practice performance audit and analysis is a comprehensive review of a healthcare provider's practice operations, revenue cycle management, financial performance, and clinical quality measures. Our team of experts conducts a thorough analysis of practice performance by gathering data from various sources, including financial reports, billing and coding data, and patient feedback. We identify opportunities for improvement in revenue cycle management, clinical operations, and compliance with regulatory requirements. We also provide recommendations for streamlining workflows, reducing costs, and improving patient outcomes. Our focus on practice performance audit and analysis helps healthcare providers, to optimize their practice operations and improve their bottom line.

Revenue cycle management (RCM) is the process of managing the financial aspects of healthcare services provided to patients, from registration to payment. It includes administrative and clinical functions such as patient registration, eligibility verification, charge capture, coding, claims submission, payment posting, denial management and accounts receivable follow-up. Effective RCM improves the financial health of healthcare providers by ensuring proper reimbursement and reducing the resources needed to manage revenue.

Optimization of costs refers to the process of identifying and reducing unnecessary expenses in a business, to increase profitability. This can involve analyzing expenses such as overhead costs, labour costs, and supply chain expenses, among others, to identify areas where cost reductions can be made without sacrificing quality or productivity. By optimizing costs, a business can improve its bottom line and increase its overall financial health.

Account receivable management is the process of tracking and managing payments owed to a business by its customers or clients. It involves monitoring the accounts receivable balance, ensuring timely payment from customers, and following up with customers on any outstanding balances. Effective account receivable management can help improve cash flow, reduce bad debts, and maintain positive relationships with customers. It often involves implementing systems and processes for invoicing, collections and payment tracking, as well as ongoing analysis and reporting to identify areas for improvement.

Physician billing services refer to the management of medical billing processes on behalf of physicians and healthcare providers. This includes patient demographic entry, insurance verification, coding, charge entry, claims submission, payment posting, denial management, and account receivables follow-up. Outsourcing physician billing services to specialized companies can improve revenue cycle management, optimize costs and provide better patient care.

Account receivables (AR) follow-up is the process of managing outstanding claims and unpaid balances from insurance providers and patients. Our team performs regular follow-up on AR, identifies unpaid or partially paid claims and takes necessary steps to resolve them. We use a combination of technology and experienced professionals to ensure timely and efficient AR management. Our goal is to minimize denials and reduce the days in AR, resulting in improved cash flow and revenue for our clients.