FRONT-END REVENUE CYCLE

1. Patient Scheduling and Appointment Management: Our team assists in managing patient appointments to ensure timely scheduling and reduce no-shows.

2. Eligibility Verification: We handle the verification of patient insurance coverage, eligibility, and benefits, ensuring accurate billing and minimizing claim denials.

3. Prior Authorization: Our team oversees the prior authorization process to secure approvals for necessary services.

4. Patient Registration and Demographic Management: We manage patient registration and demographic data to ensure accurate billing and timely claims submission.

MID-REVENUE CYCLE SERVICES

1. Charge Entry & Charge Audit: We handle charge entry and auditing, ensuring accurate billing and timely claim submissions.

2. Medical Coding Services: Our certified medical coders accurately assign codes to medical procedures, facilitating timely reimbursements and reducing claim denials.

3. Revenue Integrity: We maintain revenue integrity by conducting regular audits and reviews of billing processes and claims submissions.

4. Medical Coding Audit: Our team conducts medical coding audits to identify and correct coding errors, ensuring timely reimbursements and minimizing claim denials.

5. Clinical Documentation Improvement: We enhance clinical documentation to support accurate coding, reduce claim denials, and ensure regulatory compliance.

BACK-END REVENUE CYCLE SERVICES

1. Remittance Processing: We handle remittance advice and EOBs, ensuring timely and accurate posting of payments.

2. Accounts Receivable: Our team manages accounts receivable to ensure timely follow-up and collections.

3. Denial Management: We address claim denials and appeals to ensure maximum reimbursement and minimize revenue loss.

4. Credit Balance Management: We oversee credit balance accounts to ensure timely and accurate refunds.

CONSULTATIVE SUPPORT