Our Comprehensive Services

Our holistic RCM service manages the entire lifecycle of your patient accounts, from initial appointment to final payment. We integrate seamlessly with your practice to optimize every financial touchpoint, ensuring maximum efficiency and profitability.

• Patient Eligibility & Verification: We verify coverage upfront to prevent downstream denials, ensuring a smooth patient experience and predictable revenue.
• Medical Coding & Charge Entry: Our certified coders meticulously review clinical documentation to assign the most accurate codes, ensuring compliance and optimizing reimbursement.
• Claims Submission & Management: We scrub every claim for accuracy before submission and manage the entire process through our advanced clearinghouse to ensure a high first-pass acceptance rate.
• Denial Management & Appeals: We don't just manage denials; we eliminate them. Our team analyzes the root cause of every denial, crafts strategic appeals to recover revenue, and provides feedback to prevent future occurrences.
• Payment Posting & Reconciliation: We accurately post all payments from payers and patients, ensuring your accounts are always balanced and reconciled.

Our specialized billing services are tailored to the unique needs of your practice. We handle the complexities of billing so you can focus on what you do best: treating patients.

• A/R Follow-Up: Our persistent A/R team aggressively follows up on all unpaid claims, ensuring timely payment and reducing your accounts receivable aging.
• Patient Statements & Support: We provide clear, easy-to-understand patient statements and offer friendly, professional support for all patient billing inquiries, preserving your patient relationships.
• Performance Analytics & Reporting: Receive detailed monthly reports that provide a transparent view of your practice's financial health, including key performance indicators (KPIs), trends, and opportunities for growth.

Beyond day-to-day billing, we offer strategic consulting services to help you navigate the financial complexities of the healthcare landscape and unlock new opportunities for growth.

• Fee Schedule Analysis: We analyze your current fee schedule against industry benchmarks and payer contracts to identify opportunities for revenue enhancement.
• Payer Contract Negotiation: Our experts can assist in negotiating and renegotiating payer contracts to ensure you are being reimbursed fairly for your services.
• Performance Benchmarking: We provide benchmarking data that compares your practice's financial performance against similar practices, highlighting areas of strength and opportunities for improvement.