Accuracy and efficiency in medical billing are the pillars of a thriving healthcare practice. We ensure your focus remains on patient care while we handle the rest.
Services we provide
Revenue Cycle Management
Eligibility and Benefits Verification
If you take in-network, out-of-network, or both, we will confirm information such as coverage, copayments, deductibles, and coinsurance with a client’s insurance company
Payment Posting
Recording insurance and client payments within your EMR system, or we’ll track it in our system!
AR Management
When payments from clients or insurance are past due, we will know. AR reports will be run continuously to ensure services provided are paid for.
Scrub and Submit Claims
We’ll check claims before submitting them to ensure that they’re accurate, complete, and have the correct codes. This increases the chances the insurer pays each claim within a timely matter
Denial Management
We will make sure to investigate, analyze, and resolve those claims
Credentialing
Credentialing is when an insurance reviews and verifies a provider’s training, qualifications, license, and professional history, before allowing the provider to participate in the insurance network. This requires extensive documentation and attention to detail for the insurance enrollment process.
We will take care of:
Gathering all the information and documents
Update CAQH as necessary
Fill out and submit insurance applications
Negotiate Fee-Schedules
Regular follow-ups with each insurance to track application status
Update as soon as the credentialing process has been completed
Payroll
We provide detailed payroll calculations for you to submit to your accountant, ensuring your employees are paid accurately and efficiently.