Services
Ways in which we help you save money
1
Credential & Consulting
Credentialing stands as a pivotal component of your operations, encompassing services for all states, private insurances, Medicaid, and Medicare. We cover credentialing for all Advanced Practice Registered Nurses (APRNs), Physician Assistants (PAs), Physicians, Certified Registered Nurse Anesthetists (CRNAs), and Multistate Physicians Licensure. Additionally, we assist with credentialing for Point of Care Lab (CLIA Waived), CAQH, NPPES, PECOS, and HRSA.
2
Medical Billing & Coding
Our medical billing services are designed to optimize reimbursement through comprehensive AR collection, prior and retro authorization management, patient collections, out-of-network negotiation, eligibility verifications, and denial management. We guarantee a revenue increase of 10-15% through our effective strategies.
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3
Medical Practice Analyst
Refining profitability hinges on meticulous assessment of quality metrics and physician performance productivity. We meticulously evaluate each physician's contribution to the practice using comprehensive metrics, aiming to enhance revenue-generating activities while managing costs effectively. By fostering a culture of accountability, we ensure physicians are actively engaged in optimizing performance and driving sustainable financial growth.
4
Revenue Cycle Management
A streamlined Revenue Cycle is imperative for the success of any practice. From initial registration and insurance eligibility verification to meticulous claim scrubbing and submission, we ensure accuracy at every step. Our services include thorough identification of proper CPT or HCPCS codes, followed by comprehensive claim status inquiries and prompt issue resolution. Additionally, we manage corrected claims, reconsiderations, or appeals, ensuring seamless revenue flow and optimal financial health for your practice.
5
Revenue Cycle Consulting
We specialize in operational process improvement, conducting thorough business analyses, and implementing profitability improvement projects. Our management consulting services provide expert guidance to enhance overall efficiency. Additionally, we conduct detailed claims and payments audits, negotiating favorable fee schedules and payer contracts to optimize revenue streams for your organization.
6
Revenue Optimization
Our Revenue Optimization Program is dedicated to ensuring that your organization operates at its pinnacle, maximizing financial performance. We bring extensive experience and skilled insights to identify and capitalize on opportunities for improvement. Through meticulous analysis of your people, processes, and technology, we tailor strategies to enhance efficiency and profitability, empowering your organization to thrive.
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