Everything Your Practice Needs
Comprehensive revenue cycle management — from billing & coding to credentialing, denial management, virtual assistants, and beyond.
Medical Billing & Coding
Certified coders using AI-driven scrubbing to minimize errors and maximize reimbursements.
- •98% first-pass clean claim rate
- •CPC and CCS certified coders
- •Specialty-specific coding expertise
- •ICD-10, CPT, HCPCS, and modifier accuracy
- •Real-time claim status tracking
Insurance Eligibility Verification
Real-time coverage checks before every visit — eliminate surprise denials at the front desk.
- •Real-time eligibility checks
- •Benefit detail extraction (deductibles, copays, coverage limits)
- •Prior auth requirement flagging
- •Coordination of benefits verification
- •EHR-integrated workflow
Virtual Medical Assistant
Dedicated remote healthcare professional for scheduling, intake, eligibility, prior auth, EHR data entry, and admin tasks.
- •HIPAA-trained and background-verified
- •Works in your timezone, your hours
- •Familiar with all major EHR systems
- •Ready to start within days
- •10+ specialty service capabilities
Billing & Compliance Audit
Identify lost revenue opportunities and ensure HIPAA compliance.
- •Comprehensive chart audit
- •Coding accuracy review
- •Underbilling and undercoding identification
- •Compliance gap analysis
- •Detailed remediation roadmap
Prior Authorization
Timely prior auth submissions and follow-ups to prevent treatment delays and denials.
- •Payer-specific submission protocols
- •Status tracking and active follow-up
- •Appeal management for denied auths
- •Documentation collection support
- •Real-time status reporting
Chronic Care Management (CCM)
Compliant CCM program that drives recurring revenue while improving patient engagement and outcomes.
- •Patient eligibility identification and enrollment
- •20+ minute monthly care coordination tracking
- •Care plan documentation and updates
- •CPT 99490, 99439, 99487, 99489 billing
- •Audit-ready compliance documentation
MIPS Reporting
Quality measure tracking to maximize Medicare incentive payments.
- •Quality, Promoting Interoperability, Improvement Activities, Cost
- •Measure selection and benchmarking
- •Quarterly performance reporting
- •Submission to CMS
- •Audit-ready documentation
Credentialing
Fast-track payer enrollment with end-to-end management — verification, application, follow-up, and ongoing maintenance.
- •Provider eligibility verification (Step 0)
- •CAQH ProView management
- •PECOS Medicare enrollment
- •Commercial payer enrollment (200+ payers)
- •Re-credentialing and license tracking
Denial Management
Zero-loss appeal strategy for every rejected claim.
- •Root-cause denial analysis
- •First-level and appeals management
- •Payer escalation protocols
- •Trend analysis and prevention
- •Recovery of aged AR
Revenue Cycle Management
End-to-end management from patient intake to payment collection.
- •Full RCM lifecycle ownership
- •Real-time dashboards and reporting
- •AR aging and collections management
- •Patient statements and follow-up
- •Monthly performance reviews
Payment Posting
Accurate posting of insurance and patient payments with full reconciliation.
- •ERA and EOB processing
- •Payment-to-claim reconciliation
- •Adjustment and write-off accuracy
- •Patient balance management
- •Daily deposit reconciliation
Charge Entry & Capture
Complete charge capture ensuring no billable service goes uncoded or unbilled.
- •Daily charge entry from documentation
- •Missing charge identification
- •Encounter form review
- •EHR integration for automated capture
- •Specialty-specific charge templates
AR Follow-up & Recovery
Aggressive follow-up and appeals to recover every dollar owed to your practice.
- •Aged AR analysis and prioritization
- •Insurance company outreach
- •Patient balance follow-up
- •Small balance write-off management
- •Recovery reporting
Not Sure Which Services You Need?
Our team will analyze your practice and recommend exactly what will move the needle on your revenue.
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