Our Services
Pre-Billing Services
A strong revenue cycle begins with an efficient patient access and pre-billing process. Our pre-billing solutions ensure accurate scheduling, eligibility verification, and charge capture—reducing front-end errors and improving the overall patient experience.
By optimizing early-stage workflows, we help healthcare organizations increase first-pass claim acceptance, reduce denials, and accelerate reimbursements.
Pre-Billing Services Include:
- Charge Capture – Accurate documentation of services to ensure optimal reimbursement.
- Missed Visit Management – Minimizing scheduling gaps and improving patient retention.
- Charge Validation & Verification – Preventing billing errors and revenue leakage.
- Eligibility & Benefits Verification – Real-time insurance verification to reduce claim denials.
- Prior Authorization Management – Faster approvals with minimal delays in patient care.
Billing & Payments
Our medical billing and payment management services ensure accurate, compliant, and timely claim processing. We help healthcare organizations shorten payment cycles, reduce billing errors, and improve cash flow.
Billing & Payment Services Include:
- Patient Data Entry – Accurate capture of patient demographics, insurance, and contact details.
- Charge Capture & Claim Submission – Error-free documentation and timely claim filing.
- Payment Posting & Reconciliation – Accurate posting of payments to maintain financial transparency.
- Claims Scrubbing & Submission – Identifying and correcting errors before submission to improve acceptance rates.
- Billing Compliance & Audits – Ensuring compliance with payer policies, government regulations, and industry standards.
Accounts Receivable (AR) Management
Effective accounts receivable management is critical to maintaining a healthy cash flow. Our AR services help healthcare providers accelerate collections, reduce outstanding balances, and minimize bad debt.
AR Services Include:
- AR Monitoring & Follow-Up – Continuous tracking of unpaid claims to prevent aging receivables.
- Segmentation of Collectibles & Non-Collectibles – Prioritizing high-value claims for faster recovery.
- Aged Trial Balance (ATB) Analysis – Identifying trends and addressing revenue delays proactively.
- Denial Recovery & Resubmissions – Resolving denied claims and maximizing reimbursements.
- Insurance & Patient Collections – Professional engagement with payers and patients while maintaining compliance.
Denial Management
Our proactive denial management services help healthcare organizations recover lost revenue and prevent recurring claim rejections through advanced analytics and strategic follow-ups.
Denial Management Services Include:
- Automated Claim Generation & Submission – Improving accuracy and submission efficiency.
- Denial Analysis & Root Cause Identification – Eliminating recurring denial patterns.
- Appeals & Payer Follow-Ups – Aggressive appeal management to recover maximum revenue.
- Provider Credential Updates – Preventing denials caused by outdated provider information.
- Real-Time Reporting & Analytics – Data-driven insights to strengthen denial prevention strategies.
Provider Credentialing
Efficient provider credentialing and payer enrollment is essential for compliance and uninterrupted reimbursements. We streamline credentialing workflows to reduce delays and administrative burden.
Credentialing Services Include:
- Provider & Payer Enrollment – Fast, accurate credentialing and enrollment processing.
- Re-Credentialing & Renewals – Timely updates to avoid payer interruptions.
- Insurance Contracting & Negotiation – Optimizing payer contracts for better reimbursement rates.
- Document & License Verification – Ensuring full compliance with regulatory standards.
- Ongoing Compliance Management – Continuous monitoring of state, federal, and payer requirements.
Medical Coding Services
Our certified medical coding services ensure accurate documentation, compliance, and maximized reimbursements. We follow the latest ICD-10, CPT, and HCPCS guidelines to reduce audit risks and coding errors.
Medical Coding Services Include:
- Paper & Electronic Chart Coding – Accurate coding across all documentation formats.
- Inpatient & Outpatient Coding – Specialized support for hospitals, clinics, and ambulatory centers.
- Computer-Assisted Coding (CAC) – AI-enabled coding for improved accuracy and efficiency.
- Deficiency Reporting – Identifying documentation gaps for complete patient records.
- Physician Training & Education – Ongoing education to improve documentation quality and compliance.
Credit Balance
Effective management of credit balances is essential for accurate financial reporting and patient satisfaction. Our team identifies, analyzes, and resolves credit balances promptly—preventing revenue loss and compliance risks.
By proactively monitoring overpayments and payer discrepancies, we help organizations maintain clean accounts, improve cash flow, and avoid audit issues.
Credit Balance Services Include:
- Overpayment Identification – Detecting payer and patient overpayments quickly.
- Refund Processing – Timely refunds to patients and insurance carriers.
- Payer Reconciliation – Resolving EOB mismatches and posting errors.
- Compliance Review – Ensuring regulatory adherence and audit readiness.
- Account Adjustment Management – Correcting balances to maintain clean ledgers.
