Our Services

Health care is a giant industry, made up of patients, files, hospitals, doctors, medicines, insurance companies, procedures, government agencies, tests, forms, and administrators. We simplify the complex revenue cycle for healthcare providers, allowing you to focus on what matters most – patient care.

Core Services

End-to-end revenue cycle management solutions

Medical Billing Services

End-to-end medical billing services designed to maximize your revenue and minimize claim denials. Our expert team handles every aspect of the billing process with precision and efficiency.

Charge entry and verification
Electronic and paper claim submission
Payment posting and reconciliation
Patient billing and statements
Insurance follow-up
Denial management and appeals

Medical Coding Services

Accurate medical coding by certified professionals (CPC, CCS) ensures proper reimbursement and compliance. We cross-check with provider notes for documentation accuracy.

ICD-10-CM/PCS coding
CPT and HCPCS coding
E/M level optimization
Modifier application
Coding audits and reviews
Documentation improvement

Medical Claims Services

Batch and real-time claim submission with comprehensive compliance checks. We work with leading clearinghouses to ensure maximum claim acceptance rates.

Claim scrubbing and validation
Electronic claim submission
Clearinghouse integration
Claim status tracking
Rejection resolution
Secondary billing

Tools: Kareo, PracticeSuite, AdvancedMD, CollaborateMD
Clearinghouses: Waystar, Change Healthcare, Office Ally, Availity

Revenue Cycle Management

Complete RCM from patient encounter to final payment. We optimize every step of your revenue cycle to improve cash flow and reduce days in A/R.

Patient registration & scheduling
Insurance eligibility verification
Prior authorization
Charge capture optimization
Revenue integrity
Financial reporting & analytics

RCM Cycle: Encounter → Transcription → Coding → Billing → A/R

Denials & A/R Management

Comprehensive denial management and accounts receivable follow-up to maximize revenue recovery. Our proven processes have reduced AR by 95% in just 2 months for our clients.

Denial categorization and trending
Root cause analysis
Appeal letter preparation
Payer follow-up workflows

AR aging analysis (30/60/90/120+ days)
Collection prioritization
Write-off management
Performance benchmarking

95%

AR Reduced within 2 Months

Additional Services

Complementary solutions to enhance your revenue cycle

EMR/EHR Integration

Seamless integration with your existing electronic health records system for real-time data synchronization and enhanced coding accuracy.

Real-time data synchronization
Enhanced coding accuracy
Reduced documentation errors

Platforms: Epic, Cerner, Athenahealth, Allscripts, eClinicalWorks, NextGen

Payment Posting & Reconciliation

Accurate and timely payment posting with comprehensive reconciliation to identify underpayments and variances.

Auto and manual posting via ERAs/EOBs
Underpayment identification
Variance analysis
Real-time revenue visibility

Reporting & Analytics

Real-time dashboards and granular reports to track performance metrics and make data-driven decisions.

Denial rate tracking
First-pass rate analysis
AR aging reports
Collection percentage metrics

Tools: Tableau, Power BI, Google Data Studio

Compliance & Regulatory

HIPAA-compliant workflows and regular audits to ensure adherence to all healthcare regulations.

HIPAA-compliant workflows
Coding audits and reviews
Documentation compliance
CMS & payer-specific regulations