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Comprehensive Medical Billing Services

End-to-end revenue cycle management and billing solutions for healthcare providers.

Our Services Overview

Our Services

  • End-to-end medical billing services to maximize revenue
  • Reduce administrative burden and ensure compliance
  • Patient eligibility verification
  • Accurate medical coding
  • Charge entry and claim submission
  • Payment posting and denial management
  • AR follow-up and analysis
  • AI-powered tools for fast, error-free processing
  • In-house claims settlement software
  • Real-time visibility into billing workflows
  • Tailored services for clinics, diagnostic centers, and specialty practices
  • Seamless integration with any EHR or practice management system
  • Trusted partner handling revenue cycle from start to finish
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Patient Access & Registration

  • Patient demographic entry
  • Insurance verification
  • Coverage limits verification
  • Prior authorization

Charge Capture & Entry

  • Encounter form review
  • CPT/ICD code mapping
  • Service validation
  • Specialty charge review

Claims Management

  • Clean claim creation
  • Code validation
  • Electronic submission
  • Error resolution

Payment Posting

  • ERA/Manual EOB entry
  • Insurance and patient payment posting
  • Secondary claim submission
  • Refund processing

Accounts Receivable (A/R) Management

  • Insurance A/R aging analysis
  • Follow-up for unpaid and underpaid claims
  • Denial root cause identification
  • Appeals with medical necessity documentation
  • Patient follow-up and payment plans

Denial Management

  • Automated and manual denial capture
  • Categorization by denial type
  • Root cause trend analysis
  • Appeal letter generation and submission
  • Payer follow-ups and escalation

Patient Billing & Collections

  • Patient statements and invoices
  • Phone/email reminders
  • Payment portals and card-on-file systems
  • Collection agency coordination

Medical Coding & Complaince Services

Comprehensive Coding Solutions

  • ICD-10, CPT, and HCPCS coding
  • Specialty-specific coding (e.g., cardiology, orthopedics, radiology)
  • EHR/EMR-based chart abstraction
  • Real-time and batch coding
  • Code validation and optimization
  • DRG and HCC coding (for hospitals and risk adjustment)
  • Auditing and feedback for physician documentation
  • Compliance with CMS/OIG/NCCI guidelines

Compliance & Quality Assurance

  • HIPAA compliance (data security & access control)
  • CMS/OIG regulation alignment
  • Internal audits (billing and coding accuracy)
  • Coding quality checks and scorecards
  • Periodic compliance training for staff
  • Support for RAC, MAC, and private payer audits
  • SOP documentation and version control
  • Auditing services

Credentialing & Enrollment

Credentialing Services

Ensure that healthcare providers are qualified and verified by third-party authorities to offer services.

  • Complete setup of NPI, CAQH, and licensing requirements for healthcare providers.
  • Initial credentialing (NPI, CAQH setup, licensing)
  • Re-credentialing and revalidation tracking
  • Group/facility NPI and TIN enrollment
  • EFT/ERA setup and maintenance
  • Hospital privileges and insurance paneling
  • Follow-up on application status and escalations
  • Document management and expiration tracking

Payer Enrollment Services

Get providers enrolled with insurance companies to allow billing and reimbursement.

  • Payer Applications & Submissions
  • Payer enrollment (Medicare, Medicaid, BCBS, Aetna, Cigna, etc.)
  • Individual and group TIN/NPI linking
  • Online portal setup and submission handling
  • Follow-up & Escalation
  • Resolution of rejections or missing information
  • EFT & ERA Setup
  • Insurance Paneling & Contracts
  • Reviewing and negotiating contract terms

Additional Services

Analytics & Reporting

  • Monthly financial reports (charges, collections, adjustments)
  • A/R aging by payer, provider, or location
  • Denial rates, trends, and resolution metrics
  • Clean claim rate, first-pass resolution rate
  • Provider productivity analysis
  • Payer performance benchmarking
  • Custom dashboard creation (Excel, BI tools, PDFs)
  • On-demand and scheduled reporting

EMR Integration

  • EMR setup and configuration for billing
  • Data extraction for coding and charge entry
  • Integration with clearinghouses (Availity, Office Ally, Change Healthcare, etc.)
  • Custom template creation for encounters
  • Automation of charge posting and payment processing
  • Technical support for updates and error resolution

Client Support & Account Management

  • Dedicated account manager per client
  • Weekly/monthly review calls and performance check-ins
  • Escalation management and SLA tracking
  • Client onboarding and workflow documentation
  • Billing SOP alignment with client operations
  • Training for clinic/office staff on best practices

Value-Added Services

Enhancements that differentiate premium billing providers.

  • Practice benchmarking and consulting
  • Contract negotiation and fee schedule analysis
  • Credentialing alert system (for renewals)
  • Patient call center support (for billing queries)
  • Business continuity and disaster recovery planning
  • Marketing and growth strategy support for practices