Front End Services
EHR Administration Implementation
Project team assistance in implementation of new EHR for revenue cycle management consisting of establishing new submitter IDs, build of payer tables, build of charge tables, and establishment of new workflows
Consulting
Provide a review of current revenue state
Identify areas of opportunity through denial review
Recommend workflow changes
Back End Services
Credentialing
Reimbursement Management
Medical Billing
We complete and ensure processing of credentialing paperwork for all payers.
Medical Billing
Reimbursement Management
Medical Billing
Charge Capture
Create solutions to electronically capture all charges when available and integrate manual charge entry with least amount of difficulty
Charge Review
Analyse all charges for CCI edits, payer edits, appropriate CPT/HCPCS codes and modifiers
Claim Generation and Submission
Create electronic claims files and submit daily to appropr
Charge Capture
Create solutions to electronically capture all charges when available and integrate manual charge entry with least amount of difficulty
Charge Review
Analyse all charges for CCI edits, payer edits, appropriate CPT/HCPCS codes and modifiers
Claim Generation and Submission
Create electronic claims files and submit daily to appropriate clearinghouse
Print and mail paper claims daily for primary, secondary, and tertiary claims - Other payer EOBs are attached to all secondary and tertiary claims
AR Follow UP
Review all open insurance claims every 30 days through online and phone inquires
Patient demographic issues resolved immediately and resubmitted for payment
Denial/Appeal Management
Eligibility, modifier, demographic denials are corrected and resubmitted
Medical Necessity denials reviewed on case by case for appeal
Reimbursement Management
Reimbursement Management
Reimbursement Management
Payment Posting
Post all electronic and paper remittance advices
Post patient payments received through mail
Statement Generation
Generate statements for patient balances and send via USPS
We are not a collection agency. We will generate electronic files to transmit to collection agencies.