Complete Medical Billing & Revenue Cycle Solutions

Our core service — accurate, compliant billing across all payer types including Medicare, Medicaid, and commercial insurers. We submit clean claims the first time, every time, achieving a 98%+ first-pass acceptance rate.

• 98%+ first-pass claim acceptance rate
• ICD-10 & CPT coding by certified specialists
• Payer-specific billing rules applied automatically
• ERA & EOB reconciliation included

Full-cycle RCM from patient registration to final payment. We manage every touchpoint in your revenue cycle, reducing administrative burden while improving financial performance across your entire practice.

• End-to-end revenue cycle oversight
• 30%+ average revenue increase
• Reduced days in accounts receivable
• Monthly KPI reporting & strategy sessions

Real-time eligibility and benefits verification before every patient visit. We check coverage, deductibles, co-pays, and authorizations upfront — preventing billing errors before they happen and protecting your cash flow.

• Real-time payer eligibility checks
• Deductible & co-pay confirmation
• Coverage limitation identification
• Reduces front-desk billing errors by 70%

Accurate, same-day charge entry ensures no billable service goes uncaptured. Our team reviews encounter documentation, assigns appropriate charges, and enters them into your billing system with zero tolerance for errors.

• Same-day charge posting turnaround
• Zero missed billable encounters
• Modifier application & review
• Charge audit reporting included

Electronic claim submission to all payers within 24 hours of charge entry. Every claim passes through our multi-layer scrubbing engine before submission, catching errors that would otherwise cause denials or delays.

• 24-hour submission turnaround
• Multi-layer claim scrubbing engine
• EDI 837P & 837I claim formats
• Real-time submission status tracking

Accurate, timely posting of all insurance and patient payments. We reconcile every EOB and ERA, identify contractual adjustments, flag underpayments, and ensure your AR reflects reality — giving you a true picture of your financial position.

• Same-day ERA & EOB posting
• Underpayment identification & appeal
• Contractual adjustment reconciliation
• Patient balance accuracy guaranteed

Our proactive denial management system works denials within 48 hours of receipt. We perform root cause analysis, prepare detailed appeal letters, track appeal outcomes, and implement systemic fixes to prevent recurring denials.

• 48-hour denial turnaround guarantee
• Root cause analysis on every denial
• 87%+ appeal success rate
• Monthly denial trend reporting

Aggressive AR recovery to collect outstanding balances from payers and patients. We work aging AR buckets systematically — prioritizing high-value claims and applying proven collection strategies to maximize every recovery dollar.

• Systematic AR aging bucket management
• 90+ day AR recovery specialization
• Payer & patient balance resolution
• AR reduction of up to 40% in 90 days

Fast, accurate provider credentialing and enrollment services that get you in-network with target payers as quickly as possible. We manage CAQH profiles, payer applications, and re-credentialing timelines so you never lose billing privileges.

• Enrollment with all major payers
• CAQH profile setup & maintenance
• Average enrollment in 30–90 days
• Re-credentialing tracking & alerts

We manage the prior authorization process end-to-end — submitting requests, providing clinical documentation, following up with payers, and tracking approval status. No more authorization-related claim denials delaying care or payment.

• Same-day authorization submissions
• Clinical documentation support
• Real-time authorization tracking
• Peer-to-peer review coordination

Clear, professional patient billing statements and responsive support that improves collection rates while protecting the patient experience. We handle patient billing communications with empathy and efficiency — keeping patients informed without straining relationships.

• Clear, easy-to-understand statements
• Patient payment plan management
• Patient inquiry support & FAQ handling
• Online payment portal integration

Actionable monthly performance reports and custom dashboards that give you complete visibility into your revenue cycle. We track the KPIs that matter — collection rate, denial rate, days in AR, payer mix, and revenue trends — and turn them into strategy.

• Monthly comprehensive performance reports
• Custom KPI dashboards on request
• Payer performance benchmarking
• Year-over-year revenue trend analysis