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Medical Biling & Coding

Medical Biling & Coding

Medical Billing & Coding are vital processes that convert healthcare services into standardized codes for billing. They ensure accurate claim submission for insurers and are essential for healthcare providers to receive timely and appropriate reimbursement for services rendered.

Eligibility & Benefits verification

Eligibility & Benefits verification

We ensure accurate patient data collection and verify insurance eligibility, reducing denials and improving cash flow.

Prior Authorization

Prior Authorization

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. This step is necessary to confirm that the treatment is medically necessary and falls under the policy’s coverage terms. It’s a safeguard to ensure that patients receive appropriate care while controlling healthcare costs

Charge Capture and Entry

Charge Capture and Entry

We meticulously capture and enter charges to minimize errors and expedite claims processing.

Claims Submission & Rejection Handling

Claims Submission & Rejection Handling

Our team efficiently manages claim submissions, timely follow-ups, and denials management to ensure you receive your reimbursements as quickly as possible.

Payment Posting and Reconciliation

Payment Posting and Reconciliation

We accurately post payments to patient accounts, ensuring every payment and adjustment is accounted for, simplifying the reconciliation process.

Accounts Receivable Management

Accounts Receivable Management

Our proactive approach to A/R management focuses on reducing days in A/R, improving cash flow, and identifying areas for financial improvement.

Denial Management and Appeals

Denial Management and Appeals

We analyze and address denials, submitting timely appeals with the necessary documentation to recover lost revenue.

Patient Statements and Collections

Patient Statements and Collections

Our compassionate approach to patient collections maintains your reputation while ensuring patient balances are collected.

Why Choose Us