Services

Front End Revenue Cycle Services

Front End Revenue Cycle Services

  • Patient Scheduling and Appointment Management: Our team efficiently handles patient appointments, ensuring prompt scheduling and reducing no-shows.
  • Eligibility Verification & Benefits Checks: Our team thoroughly verifies coverage, eligibility, and benefits to ensure accurate billing and minimize claim denials.
  • Prior Authorization Services: Our team manages the prior authorizations and referral obtaining process , ensuring approvals are obtained for all the required services in a timely manner.
  • Patient Registration and Demographics: Our team accurately captures patient registration, demographics data, insurance information for seamless billing and timely claims submission.

Middle Level Revenue Cycle Services

Middle Level Revenue Cycle Services

  • Charge Entry & Charge Audit: Our team works on charge entry and charge audit processes resulting in accurate and clean claims and timely claim submission
  • Medical Coding Services: Our coding team consists of experienced, specialty-specific coders equipped with specialized coding tools. They accurately assign codes to the rendered medical services , ensuring correct billing, reimbursement, and a reduction in claim denials.
  • Medical Coding Audit: We have dedicated coding audit resources to audit the medical coding work, identify and correct coding errors, ensuring clean claims are submitted and reducing claim denials.
  • Clinical Documentation Improvement: We assist in enhancing clinical documentation to support accurate coding, minimize claim denials and meets regulatory and compliance requirements.
  • Revenue Integrity: We ensure revenue integrity by regularly auditing and reviewing billing processes and claims submissions. we also ensure the correct checkpoints and metrics are in place for each part of the entire RCM cycle, resulting in effective delivery of excellence we promise.

Back-end Revenue Cycle Services

Back-end Revenue Cycle Services

  • Denial Management and Medical Billing: Our RCM team is highly trained and mentally prepared to efficiently resolve any type of claim denials. we prioritize quick action by billing claims as soon as charges are entered, resulting in reduced accounts receivable (AR) days.
  • Accounts Receivables: Our accounts receivables effectively monitor and collect the outstanding payments from patients and insurance companies. Effective AR management is important for maintaining a healthy revenue cycle and cash flow for healthcare providers.
  • Remittance Processing and Payment Posting: Our team handles payment posting , remittance processing in a timely manner ensuring there is a smooth flow of ar and zero internal error on the rcm and doctor’s side.
  • Charge Entry: Our charge entry team effectively enter and capture charge entry process with 100% accuracy arresting the revenue leakage and loss.
  • Credit Balance: Our credit balance team effective tracks the over payments and credit balances and make appropriate refunds in a timely manner.
  • Provider Enrollment and Credentialing Services: Our provider enrollment and credentialing services offer seamless data maintenance, faster payments, automated paperwork, reduced denials, and improved relationships with payers. benefit from real-time updates on enrollment and credentialing transactions. our enrollment services include verifying provider information, promptly updating billing addresses, and facilitating electronic transactions such as EDI, ERA, EFT, and CSI. we handle various enrollment and credential services, ensuring that provider data stays up-to-date across all insurance databases. Streamline your operations and boost efficiency with our exceptional solutions.
  • Underpayment Analysis & Recovery: By closely monitoring insurance’s allowed and paid amounts, our AR team conducts comprehensive comparisons with provider contracts and fee schedules. Through detailed underpayment and contract analyses, we identify denials related to clinical edits and other underpayment situations. Our dedicated team manages the appeals process and works collaboratively with payers to secure reimbursement

 Patient Based Services

Patient Based Services

  • Patient Welcoming and Follow up: Building strong patient relationships is vital for successful medical practices. We handle patient calls, messages, and queries, providing excellent customer service and collecting feedback to ensure their satisfaction.
  • Patient Billing and Collections: Our patient billing and collections team prioritizes a friendly and stress-free experience. We focus on timely collections to optimize revenue while maintaining positive patient relationships.
  • Patient Retention: At our medical billing office, we offer patient retention services, focused on strategies to keep patients within the practice for ongoing and future services. We ensure a positive billing experience, prompt addressing of concerns, and exceptional customer service, fostering loyalty and long-term relationships.