We securely collect and manage patient demographics, insurance details, and consent forms, ensuring HIPAA compliance and accurate data entry. Our streamlined process minimizes errors and maximizes efficiency, allowing for a smooth patient onboarding experience. We utilize secure online forms and integrate with your existing systems for optimal data management.
We verify patient insurance coverage and benefits before services are rendered, preventing claim denials and ensuring accurate billing. Our team utilizes online portals, phone calls, and clearinghouse connections to confirm coverage details, co-pays, deductibles, and plan limitations. This proactive approach minimizes financial risks and improves your revenue cycle.
We obtain necessary authorizations from payers for specific procedures and treatments, ensuring timely approvals and minimizing financial risks. Our experts submit detailed authorization requests with supporting documentation and diligently follow up with payers for prompt approvals, both prior and retro authorizations.
We accurately assign ICD-10, CPT, and HCPCS codes to diagnoses and procedures, ensuring compliance and maximizing reimbursement. Our certified coders meticulously review patient charts and assign appropriate codes, maintaining accuracy and adherence to industry standards. This ensures that you get paid for the services you provide.
We submit electronic claims to payers via clearinghouse, efficiently managing rejections and resubmissions. Our process generates and transmits secure electronic claims files, monitors for rejections, corrects errors, and promptly resubmits claims to ensure timely payment. We manage the electronic data interchange (EDI) process for you.
We accurately record payments from insurers and patients, ensuring proper reconciliation with submitted claims. Our team posts electronic remittance advice (ERA) and manual payments, reconciling them with submitted claims to maintain accurate financial records. This allows for clear financial tracking and reduces errors.
We identify and appeal denied claims, maximizing your revenue and minimizing financial losses. Our experts analyze denied claims, determine denial reasons, and initiate the appeals process, ensuring timely resolution and maximizing reimbursement. We are experts at finding missed revenue.
We generate detailed reports on key performance indicators (KPIs), providing valuable insights into your revenue cycle. Our team creates customized reports to track performance, identify improvement areas, and provide data-driven recommendations. This empowers you to make informed decisions.
We accurately record payments from insurers and patients, ensuring proper reconciliation with submitted claims. Our team posts electronic remittance advice (ERA) and manual payments, reconciling them with submitted claims to maintain accurate financial records. This allows for clear financial tracking and reduces errors.
