Our Services

Eligibility Check & Benefit verification

Eligibility checks and benefit verification play pivotal roles in revenue cycle management. We've set our benchmark at 98% accuracy to ensure precise information retrieval and minimize revenue loss. By maintaining this high standard, we aim to safeguard against errors that could impact revenue and enhance the financial health of our clients. This commitment not only builds confidence processes but also contributes significantly to the overall effectiveness of your revenue cycle management strategy.

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Medical Coding

The fact that all of our coders are CPC certified speaks volumes about the exceptional expertise maintained within our organization. Deploying coders with specific experience to match the needs of each client or specialty ensures that we can provide customised and high-quality coding services. This approach not only enhances accuracy and efficiency but also fosters client satisfaction by delivering specialized expertise aligned with their unique requirements.

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Billing (Charge Entry)

Billing, specifically charge entry, is a critical component of the revenue cycle in healthcare. Accurate and timely charge entry is essential for maximizing revenue, reducing claim denials, and maintaining compliance with regulatory requirements. Overall, effective charge entry is essential for optimizing revenue cycle management and maximizing financial performance. It requires attention to detail, adherence to compliance requirements, and a commitment to continuous improvement.

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Payment Posting

Payment posting is the crucial step of recording and reconciling payments received for healthcare services. It ensures accurate tracking of revenue, streamlines financial management, and helps maintain a healthy revenue cycle. The majority of our payment posting process is automated. This automation enhances efficiency, reduces manual errors, and accelerates revenue cycle management. By prioritizing accuracy, timeliness, reconciliation, reporting, we optimize our payment posting processes and effectively manage revenue cycle.

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EDI & ERA enrolment

Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA) enrolment are pivotal for modern healthcare billing and reimbursement processes. EDI Our team ensures that EDI enrolment is completed whenever necessary. This enables healthcare providers to electronically submit claims. By facilitating these electronic transactions, we streamline administrative processes, reduce paperwork, and expedite reimbursement, ultimately enhancing the efficiency of healthcare operations. ERA We enroll in ERA to guarantee electronic payment detail receipt, boosting efficiency and precision in revenue cycle management.

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AR Follow up

Our AR team ensures that outstanding balances are resolved promptly, contributing to the financial stability of the healthcare organization. Account receivables (AR) follow-up is the proactive process of tracking and managing outstanding payments owed to a healthcare provider. It involves contacting patients or insurance companies to follow up on unpaid claims or balances. Timely AR follow-up is crucial for maintaining cash flow, reducing aging of accounts, and maximizing revenue collection.

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Denial Management

Our experienced team is committed to effectively resolving denials. Through meticulous account analysis, we swiftly deliver resolutions, offering alternative solutions or implementing corrective and preventive actions for any unresolved denials. This proactive approach not only ensures resolution but also mitigates future occurrences of similar issues, safeguarding against potential revenue loss. Our diligent team employs innovative strategies to ensure timely resolution, minimizing recurrence and safeguarding revenue integrity effectively.

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Credentialing

We have a team of experts dedicated to assisting healthcare professionals in enrolling and contracting with payors. Being credentialed with multiple insurance companies allows healthcare professionals to accept a broader range of patients. This can increase the provider's patient base and practice revenue. Without credentialing, providers may not receive reimbursement for their services. Overall, credentialing with insurance companies is essential for healthcare professionals to effectively serve patients, expand their practice, and ensure financial viability.

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