Services

Our way of handling every account, by taking the account wise extra step, which includes verifying benefits even with the secondary and tertiary carrier but not limited we extend in addressing to the level of prior authorization to avoid denial in the first place.

We do not stop only with demographic entry with provided information but take an extra step to verify and ensure that all necessary billing information is captured and ensured for clean claim submission. Our hands are extended to support collecting suspense details (payor and other demo information) from facilities and other parties to have complete Patient information on file

We ensure claims scrubbing validation checks before submitting the claims (both electronically / Paper) to avoid any re-work. Our Bench Mark FPR of 98.5% is achieved by this process. All claims are reviewed before submission. Rejection Management helps to avoid further delay and make necessary corrections and resubmit the claims to have a quicker turnaround and keep lower AR Days. Denial / AR Management with the new trigger process by payor helps to catch the claims on time and address them to avoid TFL issues and reduces the unnecessary write-off

All the responses on Transactions are captured in the application to have complete transparency on the claims. This includes Denial Capture, posting payments to both carriers and patients from ERA, EOB, and any other receipts. Our Denial Capture process helps to address the claims and send them for re-processing.

Our Team has expertise with all major carriers across the country, our ease of onboarding process on a new hire is one extra step to our customers to avoid bad debt impact due to delay in enrollment.

Our expert team continuously monitors the changes in the penalty and thresholds and helps with all major EHR systems in the market to help our clinicians to achieve the goal. Our continuous education and support program help our customers to avoid the penalty.

Our Team starts by even collecting the Medical Notes from the client EHR system based on the need and validating the correctness of the information (specific to the selection of code) - On the other hand, use appropriate billable codes and points to the ICD (Pre0milanry claims to scrub). Additionally, as value-added audit the charts by our specialist compliance team and submit the report to the customer for provider education and suggest billing requirements to help the practice.

Our MIS Analysts continuously monitor your A/R KPIs to identify any deficiencies and improve collections. Present a clear view of steps to improve collections. BenchMark your Revenu cycle with Market standards and suggestions for improvements on need