Our Services​

1. Provider Credentialing & Enrollment
Fast & Accurate Provider Enrollment with payers (Medicare, Medicaid, Commercial)
CAQH & PECOS Updates & Maintenance
Primary & Secondary Credentialing for individual & group practices
Re-credentialing & Expiration Monitoring to prevent disruptions
Denial Resolution for Enrollment Issues
2. Medical Coding & Auditing
ICD-10, CPT, & HCPCS Coding Compliance
Specialty-Specific Coding (Primary Care, Cardiology, Ortho, Behavioral Health, etc.)
Coding Audits & Compliance Reviews to reduce errors & denials
E/M Coding Optimization for accurate documentation & reimbursement
Ongoing Coder Training & Education
3. Medical Billing & Claims Submission
Clean Claim Submission (EDI & Paper) with <24-48 hour turnaround
Real-Time Claim Scrubbing to prevent rejections
Primary & Secondary Billing for all major payers
Electronic & Paper Remittance Processing
ERA/EFT Enrollment Assistance
4. Denial Management & Appeals
Root-Cause Analysis of claim denials
Customized Denial Prevention Strategies
Timely Appeals & Resubmissions (within payer deadlines)
Underpayment Recovery & Negotiation
Trend Reporting to Reduce Future Denials
5. Accounts Receivable (AR) Follow-Up
Proactive AR Management (30/60/90+ days)
Payer Follow-Ups & Payment Posting
Patient Billing & Self-Pay Collections
Bad Debt Recovery Solutions
Weekly/Monthly AR Reporting
6. Revenue Cycle Analytics & Reporting
Custom KPI Dashboards (Collections Rate, Denial Rate, DSO)
Monthly Performance Reports with actionable insights
Benchmarking Against Industry Standards
Financial Forecasting & Revenue Optimization