Medical Billing
11 servicesThe billing cycle, run end to end - from charge entry to a reconciled payment.
Services
Medical billing, credentialing and revenue optimization
30 services in three areas. Take them together, or only the parts your team can’t get to — every engagement is scoped to your specialty, payer mix and the systems you already run.
Credentialing & Enrollment
13 servicesGet providers credentialed, enrolled and kept in network with every payer.
- Provider Credentialing
- Insurance Enrollment
- Medicare / Medicaid
- CAQH Management
- Re-Credentialing
- Payer Contracting
- Provider Directory Management
- Provider Onboarding
- Provider Document Verification
- Enrollment (Medicare, Medicaid & Commercial Carriers)
- EFT, ERA & EDI Setup
- Contract & Fee Schedule Maintenance
- Demographics Update
Revenue Optimization
6 servicesFind the revenue the cycle is missing - and stop it leaking again.
Worked example — Medical Billing
Workflow
Benefits
Denial Management
The problem
Denials get reworked one at a time, if at all. The highest-value claims are not always worked first, and the reason is rarely recorded - so the same denial comes back next month.
What we do
We categorize every denial by payer, code, provider and reason, rank by recoverable dollars and appeal deadline, correct and resubmit or appeal with the documentation the payer asks for, and report the causes so they can be prevented.
Capture
Categorize
Prioritize
Appeal or correct
Report the cause
- Denials worked by recoverable value, not by date received
- Appeal deadlines tracked so nothing ages out unnoticed
- Reason codes reported, not just totals
- Causes handed to Denial Prevention so they stop recurring
Start with the assessment, not the contract.
We will tell you what we find, whether or not you engage us.
- No obligation, and you keep the findings either way
- Under two minutes to request
- No patient information needed to start