08:00 AM to 05:00 PM CST Mon - Fri
08:00 AM to 05:00 PM CST Mon - Fri
Our Services
We ensure a seamless start to the patient’s financial journey with our comprehensive front-end services. From accurate patient scheduling and registration to insurance eligibility and benefits verification, we minimize errors that could lead to claim denials down the line. Our team handles prior authorization and pre-certification with efficiency, reducing delays in patient care. We also provide patient cost estimation, giving patients a clear understanding of their financial responsibility upfront. Additionally, our process includes meticulous demographic and insurance data capture and validation, ensuring that every claim begins with accurate, compliant information.
Our mid-cycle services are designed to safeguard revenue integrity while maintaining compliance. We begin with accurate charge capture, ensuring that every billable service is properly documented. Our certified coders handle CPT, ICD-10, and HCPCS medical coding with precision, reducing the risk of errors and denials. To further strengthen accuracy, our Clinical Documentation Improvement (CDI) processes help providers maintain clear, thorough, and compliant records. Before claims are submitted, we conduct claim creation and scrubbing, eliminating errors that could delay reimbursement. In addition, our compliance audits ensure strict adherence to payer guidelines and coding regulations, giving healthcare providers confidence that their revenue cycle is both efficient and compliant.
Our back-end services focus on accelerating reimbursements and maintaining financial accuracy after patient care. We manage timely claims submission to payers and clearinghouses, followed by payment posting and reconciliation to ensure every transaction is accurately recorded. Our dedicated denial management team identifies root causes, reworks denied claims, and implements corrective measures to prevent future rejections. With appeals handling and proactive accounts receivable (A/R) follow-up, we work to maximize recovery and reduce outstanding balances. We also support providers with patient billing and collections, making the process clear and patient-friendly. Additionally, we handle credit balance resolution and refunds with full compliance. To empower better decision-making, our reporting and analytics tools provide real-time insights into cash flow trends, payer performance, and key financial KPIs.
We go beyond traditional revenue cycle processes by offering value-added services that enhance both provider and patient experiences. Our patient engagement solutions—including portals, payment plans, and digital billing—make healthcare financial interactions more transparent and convenient. We assist providers with enrollment and credentialing, ensuring smooth onboarding with payers. Through revenue integrity audits, we help identify leakage points and strengthen financial compliance. Our financial and business intelligence dashboards give leadership teams real-time insights into revenue performance and operational efficiency. We also provide IDR and No Surprises Act support, protecting providers in payer disputes. Our consulting services focus on denial prevention and workflow optimization, helping practices operate smarter. Leveraging the latest in automation and AI-driven RCM tools, such as bots for eligibility checks, coding assistance, and denial prediction, we enable healthcare organizations to reduce manual effort, improve accuracy, and future-proof their revenue cycle.
