We scrub, validate, and review every claim before it’s submitted to ensure accuracy and compliance. By preventing errors upfront, you reduce denials, protect revenue, and speed up reimbursement timelines.
Accurate order entry is essential to clean billing. If you don’t have the staff or software to manage patient demographics and sales orders, our team handles the setup so every claim begins with complete, correct information.
We post payments daily to ensure your cash flow never slows down. Fast, accurate posting moves secondary claims forward promptly and keeps your financial reporting up to date.
Our team assists with HCPCS and ICD-10 coding to ensure claims meet payer-specific rules and documentation requirements. Proper coding reduces compliance risks, supports clean claims, and helps maximize reimbursement.
We address denials every day, resolving issues quickly to recover revenue while identifying root causes to prevent repeat problems. This proactive approach improves long-term claim acceptance rates.
Rejections are reviewed and corrected daily. We troubleshoot data conflicts, documentation gaps, and system issues early to prevent recurring delays and protect your cash flow.
We continuously analyze Accounts Receivable by payer, age, value, and claim history. This structured, disciplined approach ensures no claim is overlooked and revenue is collected as efficiently as possible.
We manage payer contracts, Medicare/Medicaid enrollment, EFT and EDI setup, price table configuration, and software transitions.
Proper credentialing reduces delays, prevents compliance issues, and ensures you’re fully prepared to get paid.
Our goal is simple: ensure you get paid fairly, consistently, and quickly. We monitor six critical metrics that directly impact your bottom line: held claims, payer-contract issues, unconfirmed orders, collection ratios, denial rates, and aged A/R.
By improving these areas, we strengthen your cash flow and long-term revenue health.
We help close the gap between documentation and reimbursement with a complete audit-support strategy:
This helps safeguard your organization and reduce audit-related risk.
We support your in-house staff by improving accuracy, workflow, and accountability. Our method includes identifying process gaps, improving order-entry accuracy, applying payer medical-necessity rules, integrating best practices, and strengthening communication between team members.
The result is a smarter, more effective revenue cycle.