End-to-end revenue cycle work from claim creation through payment posting—electronic submission, validation, and disciplined follow-up with strong clean-claim performance. Teams typically lower billing cost by about 40–60% while improving collections.
ICD-10, CPT, and HCPCS coding by CPC/CCS and specialty-trained coders, aligned to CMS and payer rules with audits and quality checks. The outcome is compliant, defensible coding that supports appropriate reimbursement.
Coverage, copays, deductibles, and authorization requirements checked before the visit so fewer claims hit preventable denials—often materially better first-pass rates and fewer patient billing surprises.
Electronic and paper paths with validation before send, clearinghouse and direct payer connections, and live status tracking—with electronic submission rates above 99% so reimbursement starts sooner.
Root-cause analysis, prevention playbooks, and payer-specific appeals so denied dollars are chased systematically—many organizations recover a large share of denials with disciplined appeal workflows.
Structured aging reviews, payer-specific follow-up, disputes, and reporting so outstanding dollars do not sit idle—practices often trim AR days by roughly 25–40% with persistent, prioritized outreach.
ERA and EOB posting, adjustments, denials, and deposit matching with very high accuracy—finance and operations get clean ledgers and trustworthy cash visibility.
Dashboards, KPIs, trends, and scheduled business reviews on collections, denials, aging, and revenue—so leadership can steer the revenue cycle with numbers, not guesswork.
Schedule a free consultation and we’ll recommend a clean, measurable next step for your billing operations.