Comprehensive billing and accounts receivable management.
Dental Billing Services
Home Health Billing Services
Denial management, claim appeals and credit balance resolution.
24–72hrs. claim submission turn-around.
Certified coders.
Coding services available on an interim or on-going basis.
Coding Audits & Assistance.
Prior Authorization
Insurance Eligibility
Charge Entry
Claim submission
Payment Posting
AR Follow-ups.
Credentialing Services
Full-time dedicated Credentialing Staff
Complete services for both government and commercial payers/networks
CMS & Commercial Insurance Revalidations
Secure information transfer
CAQH registration, file set-up and maintenance
NPPES (CMS National Plan and Provider Enumeration System) registration and maintenance
Frequent status reports and updates
Administrative Services
Supervision of patient scheduling, registration, financial counseling, medical records, billing and collection, data entry and processing, and cash payments posting.
Coordination of the day to day operations of the practice.
Development and implementation of policies and procedures.
Interviewing, hiring and training a productive medical office team.
Review of staff performance.
Maintaining and managing organizational systems for the client.
Ensure patient satisfaction, including troubleshooting when there is a complaint and developing process improvements to prevent recurrences.
Ensure regulatory compliance with HIPPA, OSHA, labor laws, and other Federal, State, and Local Regulations.
Coordinates staff meetings for administrative and clinical staff.
Coordinates logistics for internal and external meetings and conferences.
Ensure staffing is appropriate for day to day operation
Consulting Services
Consultants with 7+ years of experience
New practice start-up
Practice efficiency and financial evaluations
Revenue Cycle Management
Assistance with compliance, policies and procedures
