Revenue Cycle Mangement
Our revenue cycle management services can help you develop successful processes and policies to stay financially healthy. We can improve efficiencies to maximize revenue and reduce the amount of time between providing a service, and receiving payment. Our denial management service can provide peace of mind through developing procedures to quickly resolve claims reimbursement issues.
- Charge capture
- Claim submission
- Patient collections
- Remittance processing
- Third-party follow up
- Utilization review
Medical Coding Services
We code to the highest level of specificity based on the documentation provided and in accordance with all National Coding Guidelines, including accurately coding and abstracting all medical visits to include ambulatory, pharmacy, laboratory, dental, radiology and any other outpatient or inpatient visits and specialty clinics utilizing the IHS RPMS, Electronic Health Record (EHR), PCC, and Admission/Discharge/Transfer (ADT) systems. Our coding staff has over 35 years of experience with multiple credentials in a vast range of clinics. We believe in specializing our coders to improve efficiency and knowledge to ensure maximum collections are achieved.
- Inpatient Coding
- Outpatient Coding
- Specialty Clinics
3rd Party Billing Services
Looking to increase revenue, optimize efficiency, and improve your cash flow? Let us focus on the financial health of your practice, so you can focus on patient care. Our dependable billing staff has over 25 years of experience and can help your business office stay on top of initial billing, clean up, aging accounts, or
re-billing denials. We routinely work with a variety of state regulations and payers, as well as numerous private payers. Our services are available on a short-term or
long-term basis, depending on your needs.
- Claim submission - Get claims to payers promptly and resolve and prevent back logs.
- Payment processing - Process payer remittances so you don't have to.
- Payer follow-up - Re-work denials and follow-up on unpaid claims.
Our denial management service is a comprehensive process that works in two ways. First, we evaluate the cause of denials and take steps to prevent them. Second, we create specific procedures for refiling or appealing claims that are initially denied. Allowing us to take care of your denials allows your organization to focus resources towards servicing patients to enhance operations and improve practice management.
Our comprehensive auditing approach ensures new project implementation is a success. Our approach includes an initial, agreed upon test batch, in which we audit 100% of visits completed by our team. This ensures projects launch successfully by minimizing learning curves associated with developing protocols. We work closely with decision makers to develop protocols to maximize collections.