Complete Revenue Cycle Solutions
From patient registration to final payment, we provide end-to-end revenue cycle management services designed to maximize your practice's financial performance while ensuring compliance with all healthcare regulations.
Medical Billing Services
Our comprehensive medical billing services handle every aspect of your billing process, from claim submission to payment posting. We ensure accurate, timely submissions and follow up on all claims to maximize your revenue.
What's Included:
- Claim preparation and submission
- Electronic and paper claim processing
- Payment posting and reconciliation
- Patient billing and statements
- Insurance verification and authorization
- Follow-up on unpaid claims
- Detailed financial reporting
Key Benefits
- 98% First-Pass Rate: Industry-leading claim acceptance rate
- Faster Payments: Reduce collection time by 40%
- Reduced Denials: Proactive claim scrubbing
- Cost Savings: Lower overhead costs
- Compliance: HIPAA and regulatory compliance
Coding Expertise
- ICD-10-CM: Diagnosis coding
- CPT: Procedure coding
- HCPCS: Healthcare procedure coding
- Modifiers: Appropriate modifier usage
- Auditing: Regular coding audits
Medical Coding Services
Our certified medical coders ensure accurate coding for all procedures and diagnoses, maximizing reimbursement while maintaining compliance with coding guidelines and regulations.
Our Coding Process:
- Thorough review of medical documentation
- Accurate ICD-10, CPT, and HCPCS coding
- Proper modifier application
- Quality assurance and audit processes
- Ongoing education and certification maintenance
- Specialty-specific coding expertise
- Regular coding updates and compliance monitoring
Collections/Account Receivables
Our dedicated collections team works diligently to recover outstanding payments while maintaining positive patient relationships. We use proven strategies to maximize collections and reduce bad debt.
Collection Services:
- Aging report analysis and management
- Insurance follow-up and appeals
- Patient payment plan setup
- Bad debt recovery strategies
- Collection agency coordination
- Payment posting and reconciliation
- Financial counseling support
Collection Results
- Improved Cash Flow: Faster payment collection
- Reduced A/R Days: Lower days in receivables
- Higher Recovery Rate: Increased collection percentage
- Patient Satisfaction: Professional collection approach
- Compliance: FDCPA compliant practices
Denial Prevention
- Pre-submission Review: Claim scrubbing
- Eligibility Verification: Real-time checking
- Authorization Management: Prior auth tracking
- Coding Accuracy: Certified coders
- Documentation Review: Complete records
Denial Management
Our proactive denial management process identifies, analyzes, and resolves claim denials quickly and efficiently. We work to prevent denials before they occur and appeal denied claims to maximize revenue recovery.
Denial Management Process:
- Real-time denial identification and tracking
- Root cause analysis of denial patterns
- Rapid claim correction and resubmission
- Appeals process management
- Payer communication and negotiation
- Denial trend reporting and analysis
- Process improvement recommendations
Eligibility Verification
We verify patient insurance eligibility and benefits before services are rendered, reducing claim denials and ensuring proper authorization for covered services.
Verification Services:
- Real-time eligibility verification
- Benefits and coverage verification
- Copay and deductible information
- Prior authorization requirements
- Referral verification
- Secondary insurance coordination
- Patient financial responsibility estimation
Verification Benefits
- Reduced Denials: Prevent eligibility-related denials
- Improved Collections: Accurate patient responsibility
- Better Planning: Service authorization clarity
- Patient Satisfaction: Transparent cost information
- Workflow Efficiency: Streamlined processes
RCM Components
- Patient Registration: Accurate data capture
- Insurance Verification: Real-time checking
- Charge Capture: Complete documentation
- Claim Processing: Efficient submission
- Payment Processing: Timely posting
- Denial Management: Quick resolution
- Reporting: Comprehensive analytics
Revenue Cycle Management
Our comprehensive revenue cycle management service covers every step of the billing process, from patient registration to final payment. We optimize each phase to maximize revenue and minimize delays.
Complete RCM Solution:
- Patient registration and scheduling
- Insurance eligibility and benefit verification
- Prior authorization and referral management
- Charge capture and coding
- Claim submission and follow-up
- Payment processing and posting
- Denial management and appeals
- Patient billing and collections
- Financial reporting and analytics
Why Choose Our Services?
Industry Expertise
Over 10 years of experience in medical billing with certified professionals and proven results.
Advanced Technology
State-of-the-art billing software and automated processes for maximum efficiency and accuracy.
Proven Results
98% first-pass claim rate, 25% average revenue increase, and 15-day average collection time.
Dedicated Support
24/7 customer support with dedicated account managers for personalized service.
Ready to Optimize Your Revenue Cycle?
Let us help you streamline your billing processes, reduce denials, and maximize your revenue. Contact us today for a free consultation and customized solution.