Our Services
We run the whole billing lifecycle, from the first eligibility check to the last appealed denial. Or we plug into the one piece you need.
Credentialing & Enrollment
Get providers enrolled and payer-ready without the paperwork backlog.
- Provider enrollment & credentialing
- Payer contracting & revalidation
- Credential maintenance & application tracking
- Medicare Part BApproved
- BCBS commercialIn review
- AetnaRevalidation
Eligibility & Prior Auth
Every visit checked before it happens, so claims don’t die on arrival.
- Real-time eligibility verification
- Prior & retro authorization
- Benefits & co-pay confirmation
- CoverageActive
- Prior authorizationSubmitted
- Patient responsibilityConfirmed
Medical Coding & Document Review
Accurate coding backed by thorough documentation review for maximum reimbursement.
- CPT, ICD-10-CM & HCPCS coding
- Documentation review & coding validation
- Modifier assignment & coding compliance
99214Office visit, establishedE11.9Type 2 diabetes-25Significant, separate E/M
Billing & Claim Submission
Clean, accurate claims submitted quickly to maximize first-pass acceptance.
- Charge entry & claim preparation
- Claim scrubbing & electronic submission
- Timely filing & submission compliance
- 1Charges enteredCoded encounters priced and keyed for the claim.
- 2Scrubbed & sentEdits run, then filed electronically to the clearinghouse.
- 3Held for reviewAnything that fails an edit goes to a coder, not out the door.
A/R & Denial Management
Recover outstanding revenue and resolve denials before they impact your cash flow.
- Insurance follow-up & A/R recovery
- Denial analysis, appeals & resolution
- Aging A/R reduction & payment recovery
- 10–30 daysCurrent. Watched, not chased.
- 231–90 daysIn active follow-up with the payer.
- 390+ daysEscalated and appealed rather than written off.
Payment Posting & Reporting
Insurance and patient payments reconciled, with reporting you can actually read.
- Insurance & patient payment posting
- Patient statements & balance billing
- Business intelligence dashboards
- ERA postedAutomated
- Patient paymentApplied
- VarianceFlagged
24/7 Patient Billing Support
Billing support for patients and payers, whenever it is needed.
- Patient billing inquiries & payment assistance
- Insurance calls & claim status follow-up
- Payer communication & billing issue resolution
- Patient balance queryAnswered
- Claim statusLogged
- Billing disputeTo coder
Practice Revenue Optimization
Identify missed revenue opportunities and maximize practice profitability.
- Revenue leakage analysis
- Charge capture optimization
- Reimbursement improvement strategies
- Under-coded visitsSampled
- Never-appealed denialsListed
- Program eligibilityScanned
Format shown. Not client data.
Not sure which piece you need? The audit tells you.
We review a sample of recent claims, your denials and your care-program eligibility, then show you what we find. That happens whether or not you decide to work with us.