Our Services
Medical Billing
Comprehensive medical billing services designed to ensure accurate claim submission, timely payments, and complete financial visibility.
- Charge entry
- Claim submission (CMS-1500 / UB-04)
- Payment posting (ERA / EOB)
- Patient billing & statements
Medical Coding
Accurate and compliant medical coding to support clean claims, reduce denials, and meet payer and regulatory standards.
- CPT coding
- ICD-10-CM diagnosis coding
- HCPCS Level II coding
- Coding audits & compliance checks
Revenue Cycle Management (RCM)
End-to-end RCM solutions that optimize workflows, eliminate revenue leakage, and improve overall financial performance.
- End-to-end RCM management
- Workflow optimization
- Revenue leakage analysis
- Monthly performance reporting
Insurance Eligibility & Benefits Verification
Proactive verification services to prevent claim denials and ensure accurate patient responsibility estimation.
- New patient verification
- Coverage validation
- Co-pay, deductible & coinsurance checks
- Authorization requirement review
Prior Authorization & Referral Management
Efficient management of prior authorizations and referrals to avoid treatment delays and claim rejections.
- Pre-authorization requests
- Follow-ups with payers
- Referral tracking
- Authorization documentation
Denial Management & AR Follow-ups
Aggressive yet compliant denial resolution and AR management to recover unpaid and underpaid claims.
- Denial analysis & categorization
- Appeal submissions
- Aged AR follow-ups
- Underpayment recovery
Credentialing & Provider Enrollment
Proactive credentialing services to ensure timely payer enrollment, prevent reimbursement delays, and maintain provider compliance.
- Provider credentialing
- Payer enrollment
- Re-credentialing
- CAQH profile management
RCM Consulting & Process Optimization
Efficient RCM consulting services to optimize workflows, reduce denials, improve efficiency, and enhance overall revenue performance.
- RCM audits
- Process redesign
- Staff training support
- Transition & onboarding support