Patient Registration & Insurance Verification

Begin the billing process with accurate patient information and insurance checks.

• Accurate patient demographic entry
• Insurance eligibility and benefits verification
• Prior authorization assistance
• Coordination of benefits verification

Medical Coding Services

Support accurate coding based on clinical documentation and applicable coding requirements.

• ICD-10, CPT, and HCPCS coding
• Accurate and compliant coding practices
• Coding audits and compliance reviews
• Specialty-specific coding support

Charge Entry

Capture and enter charges accurately to keep billing records complete and organized.

• Timely and accurate charge posting
• Superbill and encounter form review
• Claim scrubbing before submission
• Charge entry review and correction

Claims Submission

Prepare and transmit claims with attention to completeness and payer submission requirements.

• Electronic claim submission
• Paper claims when required
• Clean claim preparation
• Claim transmission monitoring

Payment Posting

Record payments and adjustments to maintain clear account balances and support reconciliation.

• Insurance payment posting
• Patient payment posting
• ERA/EOB reconciliation
• Denial and adjustment posting

Accounts Receivable (A/R) Follow-Up

Track outstanding balances and follow up on delayed, unpaid, or underpaid claims.

• Insurance claim follow-up
• Outstanding claims management
• Appeals and reconsiderations
• Follow-up on unpaid and underpaid claims

Denial Management

Identify denial reasons, coordinate corrections, and support appropriate appeals.

• Denial analysis and correction
• Claim resubmission
• Appeal preparation and submission
• Root cause analysis to help reduce repeat denials

Patient Billing & Statements

Help manage patient balances through organized statements, follow-up, and billing support.

• Patient statement generation
• Balance follow-up
• Payment plan coordination
• Patient billing support

Credentialing & Provider Enrollment

Organize provider enrollment and credentialing activities to support payer participation.

• Medicare and Medicaid enrollment
• Commercial insurance credentialing
• CAQH profile setup and maintenance
• Recredentialing services
• Contracting assistance

Eligibility & Benefits Verification

Check coverage and benefit information to help practices prepare for appointments.

• Real-time insurance verification when available
• Copay and deductible verification
• Coverage confirmation before services
• Benefits and plan detail checks

Authorization Management

Coordinate authorization and referral workflows, including tracking and follow-up.

• Prior authorization processing
• Referral management
• Authorization tracking and follow-up
• Supporting documentation coordination

Reporting & Analytics

Review billing activity through organized reports that help track financial performance.

• Monthly financial reports
• Accounts receivable aging reports
• Collection reports
• Denial trend analysis
• Revenue performance tracking

Compliance & HIPAA Security

Support responsible handling of patient information through privacy-conscious administrative workflows.

• HIPAA-focused processes
• Secure data handling practices
• Compliance monitoring support
• Confidential patient information protection

EHR & Practice Management Support

Support the systems and workflows that connect clinical administration with billing operations.

• EHR integration support
• Billing software management
• Practice workflow optimization
• Clearinghouse management

Specialized Billing Services

Billing support for a range of healthcare settings and specialties, based on their workflows.

• Home Health Billing
• Home Care Billing
• Wound Care Billing
• Behavioral Health Billing
• Physician Billing
• Physical Therapy Billing
• Occupational Therapy Billing
• Skilled Nursing Billing