Services

Services

Certified Medical Billing and Coding, Contracting and Credentialing Services

Our main goal is to guarantee high reimbursement and on time Physician enrollment. We are dedicated to compliance and also monitor adjudication.

Our Billing Services

We offer a complete suite of services that provides accuracy, efficiency and maximum reimbursement. Our clients receive accurate data on revenue, write offs and accounts receivable.

Front Office

Assist Practice in setting up front end in-house collections and insurance verifications.

Optimal Coding

Verify current procedural terminology (CPT), diagnosis (ICD10) codes and essential modifiers by reviewing medical records.

Claim Submission

Review and transfer clean claims to insurance payors.

Accounts Receivable

Follow up and resubmission of denied claims and appeals.

Cash Flow

Oversight and management of Insurance and Patient A/R.

Patient Billing

Preparation of patient statements on a monthly cycle.

Billing Questions

Answer billing calls from Insurances and Patients.

Audit

Analysis of Insurance and Patient billing, collection and cash flow processes.

Collections

Preparation of unpaid patient balances for client decision of collections turnover at 90/120 days.

Payments

Post and track all insurance and patient payments.

Insurance Refund and Overpayment

Handle and appeal incorrect Insurance refund and overpayment requests.

Our Credentialing and Contracting Services

Provider credentialing and contracting have a direct impact on patient care and revenue. Our high level of organization and attention to detail result in effective provider enrollment without delays in productivity.

Medicare and Medicaid Contracts

Medicare and Medicaid Provider Enrollment and Revalidation.

CAQH

Completion of application and attestation required by Commercial Insurance plans.

Hospital Credentialing

Apply for Hospital Privileges and
Re-Credentialing

Commercial Insurance Contracting

Obtaining higher Insurance Reimbursement and Contract
Re-Negotiation

Appeals

Allow Providers to contract with Insurances that have closed panels.

Commercial Insurance Credentialing

Credentialing and Re-Credentialing with Commercial Insurances

Get In Touch With Us

Contact us 24 hours a day, 7 days a week