Our Services

Expert Medical Billing Solutions

Streamlining your revenue cycle with comprehensive billing, coding, and revenue cycle management services. We serve hospitals, emergency rooms, urgent care centers, and physician practices across all 50 US states with a 99.9% claim acceptance rate.

Medical Billing & Coding

Our certified medical billers and coders ensure every claim is coded accurately and submitted promptly. We handle the entire billing process from charge capture to payment posting, so you can focus on patient care instead of paperwork.

Accurate ICD-10, CPT, and HCPCS coding by certified professionals
Clean claim submission for faster processing and fewer denials
Daily billing and follow-up on all submitted claims
Denial management, root cause analysis, and appeal processing
Comprehensive charge capture review to prevent missed revenue
Payment posting and reconciliation for all payer types
Regular reporting on coding accuracy and claim acceptance rates
Multi-specialty coding across all medical disciplines

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Accounts Receivable Management

Our A/R management team works aggressively to reduce your days in accounts receivable and recover outstanding balances. We analyze aging reports daily and follow up with payers to ensure your practice gets paid what it deserves.

Comprehensive aging report analysis and prioritized follow-up
Aggressive insurance follow-up and collections on overdue claims
Patient billing, statement management, and payment plan setup
Payment posting, reconciliation, and balance adjustments
Reduction of days in A/R through systematic denial resolution
Monthly performance reviews with actionable recommendations
Write-off analysis to identify and recover lost revenue
Underpayment identification and recovery from insurance payers

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Credentialing & Contracting

Credentialing delays mean lost revenue. Our team handles the entire provider enrollment process, from initial applications to re-attestation, ensuring your providers are credentialed with all major insurance payers quickly and correctly.

Provider enrollment with all major commercial and government payers
CAQH profile creation, management, and regular updates
Re-credentialing and re-attestation before deadlines
Contract negotiation and rate review for optimal reimbursement
Timely filing and follow-up on all credentialing applications
Multi-state credentialing for providers licensed in multiple states
Hospital privilege applications and medical staff credentialing
Tracking and management of expiring licenses and certifications

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Out-of-Network Negotiation

Out-of-network claims require specialized expertise to maximize reimbursement. Our negotiation team has years of experience working with insurance payers to secure the highest possible rates for ER, hospital, and urgent care services.

Aggressive negotiation with insurance payers for maximum reimbursement
Specialized expertise in ER, hospital, and urgent care OON billing
Usual and customary rate (UCR) analysis for fair reimbursement
Appeals and dispute resolution for underpaid or denied OON claims
No Surprises Act compliance and patient billing management
Independent dispute resolution (IDR) process management
Transparent reporting on negotiation outcomes and recovery rates
Payer-specific strategies based on historical data and trends

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Eligibility & Benefits Verification

Verify patient insurance coverage before services are rendered to reduce claim denials and improve collections. Our team checks eligibility in real-time and communicates coverage details to your front desk staff.

Real-time insurance eligibility verification before patient visits
Comprehensive benefits verification including copays and deductibles
Prior authorization management and tracking
Coverage determination and clear communication to front desk staff
Reduction in claim denials due to eligibility and authorization issues
Coordination of benefits (COB) verification for dual-coverage patients
Verification of referral requirements for specialist visits
Batch eligibility checks for scheduled patients in advance

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Complete Revenue Cycle Management

Our end-to-end RCM services cover every step of your revenue cycle, from patient registration to final payment. We optimize each touchpoint to maximize your revenue, reduce denials, and give you full visibility into your financial performance.

End-to-end revenue cycle oversight from intake to final payment
Patient registration and demographic data optimization
Charge capture review and coding accuracy audits
Claims management, submission, and payer follow-up
Financial reporting, KPI dashboards, and trend analysis
Denial prevention programs and root cause analysis
Compliance monitoring for federal and state billing regulations
Monthly strategy meetings to review performance and set goals

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Ready to Optimize Your Revenue Cycle?

Let us handle your medical billing so you can focus on what matters most — your patients. Get started with a free consultation today.

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