Medical Billing Services We specialize in providing RCM services to Healthcare providers including physicians, physician groups, independent and physician owned laboratories.
We provide complete revenue cycle management services for Physicians and Laboratories, With expertise in a variety of RCM solutions.
Co-source RCM services
We also provide RCM services in a co-source model, where we become the extended team along with the customer's in house billing team.
We provide software for end-to-end RCM including Claim processing, electronic claim submissions, payments and AR/Denial management.
We understand the need for pre-authorization in specific areas and work with the client to ensure the auth check is integrated into the provider and RCM workflow
We provide automated and manual eligibility check for patient insurance details collected during the provider visit. The policy being active, the details of deductibles, coverage scenarious are added to the claim for the biller to make the right decision
Demographic data & Charge entry
We have numerous RCM application knowledge to manage the patient demographic entry with address validation, claim creation bundled as a service.
CPT and ICD code verification
We provide 100% compliant coding services with certified coders performing the CPT and ICD verficiation on all the claims
Patient Balance Followups
Patient being a critical part of the RCM lifecyle, the collection efforts are significant and sensitive. We have teams to specifically handle patient balance collections.
Claims submission with proper tracking, followup and acknowledgments are part of the process. The team has expertise in using multiple RCM systems and clearing house applications
We ensure proper reconciliations of payments and refunds through a robust payment posting services. The team also provides guidance on the next steps of the RCM to enable controlled workflows
AR & Denial Management
Claims which are denied, zero paid or not paid needs followup and proper redressel mechanisms. We provide complete expertise with automated and ML enabled workflows to achieve maximum efficiency in AR and Denial Management