Insurance Verification and Eligibility Checks: We ensure that insurance coverage is verified for every patient before services are rendered. Our team conducts thorough eligibility checks to confirm that patients have active insurance coverage, and we determine what services are covered under their plans. This process helps reduce claim denials due to ineligibility or coverage issues, ensuring that services provided are reimbursable.
Revenue Cycle Management
Start a projectWe offer comprehensive, end-to-end management of the revenue cycle to optimize the financial performance of healthcare practices. Our services cover every stage of the revenue cycle, from patient registration and insurance verification to claims submission, payment posting, and collections. We focus on minimizing revenue leakage and maximizing reimbursement through efficient processes and continuous improvement.
Coordination of Benefits (CoB) Verification: We verify the primary and secondary insurance coverage for patients to ensure that claims are submitted to the correct payer in the proper order. Accurate CoB verification prevents payment delays and minimizes the risk of denials due to coordination issues. This process ensures that any outstanding patient responsibility is identified and managed appropriately.
Credentialing Services for Providers: We manage the credentialing process for healthcare providers, ensuring that they are enrolled with insurance payers and meet all requirements to receive reimbursement for their services. Our credentialing services include gathering and submitting necessary documentation, monitoring the status of applications, and addressing any issues that arise during the process. This helps providers avoid revenue loss due to delays in credentialing and ensures that they can start billing for services as quickly as possible.
Our revenue cycle management services aim to improve cash flow, reduce administrative burdens, and enhance the overall financial health of healthcare practices by streamlining all aspects of the revenue cycle.
What specialties do you support?
We support a wide range of specialties, including physical therapy, OB/GYN, cardiology, orthopedics, internal medicine, and more.
Do you handle denials and appeals?
Yes, we offer comprehensive denial management services, including appeal processing.
How does billing outsourcing work?
We work with your team to take over the billing process, from charge entry to claim submission and follow-up on unpaid or denied claims.
What systems do you work with?
We integrate with most major EMR/EHR systems and billing software to ensure a smooth transition and ongoing support.