Services
You can place a single seat or hand over the whole chain. Below is what each function covers and what our team actually does inside it.
All members of our coding team are Certified Professional Coders (CPC) with 6+ years of experience across a wide range of specialties, bringing exceptional accuracy and efficiency to every project.
We stay consistently up to date with the latest coding guidelines and compliance standards to ensure clean claims and optimized reimbursements.
Our billing team brings 6+ years of experience across various roles within the revenue cycle management process.
With a deep understanding of payer requirements and best practices, we ensure accurate, efficient and timely billing operations that maximize revenue and minimize delays.
Our teams deliver comprehensive remote practice solutions that streamline operations and cash flow, from patient registration through final payment collection.
You get seamless operations while you focus on patient care and practice growth.
01
Clean demographics and correct scheduling, captured the first time.
Front-end accuracy decides how much of the cycle runs smoothly. Our team handles new and returning patient registration, demographic and insurance capture, and appointment scheduling directly in your system. Getting subscriber IDs, dates of birth and coordination of benefits right at this step removes a large share of the denials that would otherwise surface weeks later.
02
Coverage confirmed before the visit, not after the denial.
We verify active coverage, plan benefits, copay and deductible status, and coordination of benefits ahead of the date of service. Patients learn their financial responsibility up front, and your billers stop absorbing eligibility denials that were preventable days earlier.
03
Authorizations pursued, tracked and documented end to end.
We identify which services require authorization, submit the request with the clinical documentation the payer expects, follow up until a determination is issued, and record the authorization number and validity window against the encounter. Expirations and unit limits are tracked so nothing lapses mid course.
04
Charges entered accurately and posted without lag.
Every billable encounter is captured and entered with the correct provider, place of service, units and modifiers. We reconcile against the schedule and the encounter log so nothing performed goes unbilled, and we keep entry current so the claim goes out while it is still young.
05
CPC certified coding across a wide range of specialties.
All members of our coding team are Certified Professional Coders with 6+ years of experience across a wide range of specialties. We assign ICD-10, CPT and HCPCS codes from the documentation, apply modifiers correctly, and stay consistently up to date with the latest coding guidelines and compliance standards to ensure clean claims and optimized reimbursements.
06
Scrubbed, submitted, and confirmed accepted at the clearinghouse.
Claims are scrubbed against payer specific edits before they leave, submitted electronically where available, and tracked through clearinghouse acceptance. Front end rejections are corrected and resubmitted in the same cycle rather than sitting in a work queue.
07
Every denial worked, root caused and appealed.
We work claims by age and value, contact payers, and pursue resolution rather than logging a status and moving on. Denials are categorized by root cause, appealed with supporting documentation, and the pattern is fed back upstream so the same denial stops recurring.
08
ERAs and EOBs posted accurately, with variances flagged.
Electronic remittances and paper EOBs are posted promptly and reconciled to deposits. Underpayments, contractual variances and unexpected adjustments are flagged rather than written off silently, so you can see where reimbursement is falling short of contracted rates.
09
Clear statements and respectful, consistent patient follow-up.
We manage the patient balance cycle: statement generation, payment plans, and courteous follow-up on outstanding balances. Patient facing communication is handled professionally, because the way a balance is collected affects whether the patient comes back.
10
Aged A/R worked systematically, oldest and largest first.
Backlogged and aged receivables are triaged by payer, age and recoverable value, then worked systematically. We pursue what is still collectible, document what is not, and give you a clear picture of where the aged balance actually stands.
11
Regular visibility into the measures that move cash.
You receive regular reporting on the measures that matter: A/R aging, denial categories and rates, collections against expected, and productivity by function. Reporting is the feedback loop that tells you whether the cycle is improving, not just running.