Services

We verify patient insurance eligibility and benefits before services are rendered, ensuring accurate financial clearance. Our team prepares detailed patient cost estimates in advance to help patients understand their financial responsibility, minimize denials, and improve collection rates.

We obtain prior authorizations and manage referral processes promptly and accurately to prevent claim rejections. Our proactive communication with payers and providers ensures that all required approvals are secured before the date of service, minimizing delays and improving patient satisfaction.

We ensure all charges are accurately captured and submitted within 24–48 hours from the Date of Service (DOS). This rapid turnaround time supports clean claim submission, reduces revenue leakage, and accelerates reimbursement.

Our payment posting team meticulously records and reconciles all payments from insurance carriers and patients. We align posted payments with bank deposits and insurance correspondence, ensuring complete accuracy and financial transparency.

We perform bi-monthly follow-ups on outstanding insurance claims to ensure timely resolution and maximum collections. Our team tracks every claim until payment is received or an appeal is initiated, minimizing aged A/R and improving cash flow consistency.

Denials are analyzed, corrected, and resubmitted within 24–48 hours from the date of posting. We categorize denial trends, identify root causes, and implement preventive measures to reduce future denials. Our experts handle appeals effectively to recover lost revenue.

We manage the entire provider credentialing and payer contracting process—whether it’s new credentialing, re-credentialing, or renegotiating existing contracts. Our team ensures that your providers are enrolled with payers efficiently and your reimbursement rates are competitive and up to date.

We manage patient balances through a combination of patient statements, outbound and inbound calls, and partnerships with collection agencies when necessary. Our approach emphasizes patient engagement and clarity, ensuring a respectful and effective collection process.

Our certified coders perform accurate and compliant coding reviews to ensure proper documentation and maximize reimbursement. We stay up to date with ICD-10, CPT, and HCPCS guidelines to maintain compliance and reduce the risk of audits or claim denials.

We handle payer negotiations and Independent Dispute Resolution (IDR) cases efficiently, representing your best interests to secure fair and timely settlements. Our experienced team ensures that disputes are resolved with minimal disruption to your revenue flow.

We provide weekly and monthly reports, customized to meet your specific needs. Our tailored dashboards offer insights into key metrics such as collections, denials, A/R aging, and payer performance—empowering your practice with actionable data for informed decisions.

In addition to daily RCM operations, our experts offer strategic consulting services to identify inefficiencies, optimize workflows, and implement best practices. We also support EHR transitions, KPI tracking, and technology integrations to future-proof your revenue cycle.

We maintain strict HIPAA compliance and follow industry best practices for data security and confidentiality. Our audit support services ensure your documentation and processes meet payer and regulatory standards, protecting your practice from compliance risks.