Our Services

Claim Submission

After all the claim details are entered, our team will make a copy of all the forms and documents as a back-up. We will thoroughly review the details and make any kind of corrections that are necessary. When all the details are complete and the required documents are attached, we submit the claim form to the insurance provider.

Denial Management

If a claim is denied, we determine the reason for the denial. We either submit an appeal, request a reconsideration or send a corrected claim for reprocessing. With rejected claims, these might be as simple as a mistransposed patient ID number or name to a mismatched procedure/ICD code. These also can be resubmitted. Our goal is to submit as many “clean” claims as possible, saving both time and money.

Payment Posting

Once the payments are posted to patient accounts, this presents an opportunity to analyze your revenue cycle for opportunities of improvement. Our effective payment posting analysts assist you in maximizing your revenue cycle by increasing profitability and improving accounts receivable days.

The A/R follow up team is in constant communication with patients, healthcare service providers, and the insurance firms and take necessary actions based on their feedback or responses. The skills and quality of services delivered by the A/R team eventually helps in determining the financial health of a healthcare practice.

The A/R analytics team is responsible for studying and analyzing denied claims as well as partial payments. Also, if any claim is found to have a coding error, the A/R team corrects it and resubmits the claim.

We help providers get credentialed with insurance companies. We take on the tedious task of filling out all the required documents for the needed insurances and monitor them until completion, around 60-90 days. I can also help get credentialed therapists transferred from one clinic to another.