Healthcare providers must verify each patient's eligibility and benefits prior to the patient's visit in order to receive payment for services rendered. According to some estimates, up to 75% of claims have been denied because the patient is ineligible for the services provided by the healthcare provider. Regrettably, it is one of the most underutilized processes in the revenue cycle chain. See More →

One of the most undervalued processes in the revenue cycle process chain is the accurate capture of patient details. Not only does the information gathered during the demographic entry process serve as the foundation for the medical record, but it also has an impact on insurance claim payment. Error-free patient data capture is critical for clean claim submission and expedited claims processing by Payers. See More →

Medical coding errors are a common cause of claim denials. We have a team of AAPC (American Academy of Professional Coders) certified medical coders who maintain the highest level of accuracy in medical coding to assist our clients in preventing these errors. We guarantee accurate coding and complete client satisfaction by meeting and exceeding industry standards and compliances without sacrificing quality. See More →

The charges entered for the medical services performed determine the reimbursements for the healthcare provider's services. Charge Entry must be error-free, as errors may increase claim denials. Reduce revenue leakage by conducting a thorough review of medical services provided. We ensure that the coding and charge entry teams work effectively together to ensure that the charges captured are accurate, all procedures are billed for, and the codes assigned are compliant. See More →

Before submitting claims to payers, the claims submission process involves reviewing the claim data. To ensure data integrity, we use functionality in practice management systems. Before submitting to insurance payers, we identify and correct rejections and work edits. Any issues with the claims will be resolved by our work edits and rejection management teams during submission. As a result, you can address your denials sooner and reduce rework on claim denials. See More →

In many ways, the payment posting process provides insight into the effectiveness of your revenue cycle. It enables you to understand reimbursement trends and perform analytics. Accurate payment posting provides visibility into the state of your revenue cycle, so you must select a highly efficient team to process payments. We process various types of remittances received with high accuracy, improved responsiveness, and in accordance with our clients' procedures. See More →

Our Denial Management process identifies and resolves the issue that is causing denials, thereby shortening the accounts receivables cycle. The denial management team creates a correlation between individual payer codes and common denial reason codes. This trend tracking identifies billing, registration, and medical coding process flaws, which are then addressed to reduce future denials and ensure claim acceptance on the first submission. See More →

Our AR management team is structured to be a complete solution provider for cash flow issues and operates as part of the medical billing team. The goal here is to recover the client's funds as soon as possible. We aim to accelerate cash flows and reduce Accounts Receivable days by submitting error-free clean-claims, properly analyzing denied claims, and following up with insurance companies and patients on outstanding claims and dues on a regular basis. See More →

Credit Balance - the excess money received compared to the medical services rendered charges - is one of the most significant risks in the healthcare revenue cycle. While there are numerous reasons for credit balance situations, overpayments from payers and excessive payments from deductibles and co-pays are the most common. Such amounts must be refunded to the appropriate party, either the payer or the patient. See More →