Our Services

Medical Billing & Claims Submission

Accurate charge entry, rigorous claim scrubbing, and electronic submission with clearinghouse monitoring. We manage rejection corrections and resubmissions to keep claims moving.

Revenue Cycle Management (RCM)

End-to-end oversight from eligibility to payment posting. We standardize workflows, track KPIs (AR days, denial rates), and provide transparent dashboards for informed decision-making.

Accounts Receivable (AR) Follow-Up

Systematic follow-up by payer and aging bucket. We resolve delays, document payer responses, and escalate when needed to accelerate collections.

Insurance Verification & Eligibility

Real-time eligibility checks and benefits verification. We capture copays, deductibles, referral or authorization needs, and minimize front-end denials.

Medical Coding (CPT, ICD-10, HCPCS)

Certified coders apply current CPT, ICD-10, and HCPCS guidelines. We support documentation improvement and audit readiness to ensure compliant, accurate coding.

Credentialing & Enrollment

Payer enrollment and revalidation support, CAQH maintenance, tracking expirables, and follow-through to avoid interruptions in reimbursement.

Denial Management & Appeals

Root-cause analysis, corrective actions, and timely appeals. We address coding, documentation, and front-end issues to reduce future denials.