The professional team works in verifying and validating documents in adherence with the CPT, HCPCS, ICD-10-CM, LCD/NCD and CCI EDITS, HEDIS guidelines.We meticulously follow medical coding best practices.

We have some of the most talented and skilled HCC medical coding experts. We offer specialized medical coding which includes surgery, E&M, Ambulance Services and Anesthesia.

We provide Credentialing services to review and verify the information of a health care provider who seek to participate with various insurances. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.

Our Credentialing Specialist coordinates provider relationships with Medicaid HMOs and other private insurance companies to increase third party revenue.

Our medical billing specialists enter patient demographic details such as Name, date of birth, contact number, Address, Insurance details and guarantor details etc as provided by the patient at time of visit. For established patient we validate these details and necessary changes.

Patient demographics details entry will go a long way by ensuring accurate information, which will save the claims from denials and rejections.

Charges and codes for every medical procedure are entered into the system as per appropriate fee schedule. The billing specialist ensures that all details have been provided in the claim are ready to be filed.

The charges entered will determine the reimbursements for physician's service.

Payment posting team receives the payment file and applies the payments in the billing software against the appropriate patient account.

This process involves identifying Patient accounts, doctors/provider, DOS, procedure, billed amount, allowed amount, paid amount, write off, offset amount, Tax ID# and applying the Payments in the billing software.

Our AR calling services are focused on serving the needs of doctors, hospitals, diagnostic/scanning centers, etc. These healthcare providers have many rejections and denials for a number of reasons. A few services included in our AR calling service are

Accounts Receivable

Follow-up Our financial experts will follow-up all the pending claims, investigate claim denials, initiate collections, track receivable balances, and also track down other payments that are due. This will help in increasing cash flow and reduce the number of AR days.

Insurance Follow up

We understand how much money is lost by healthcare providers due to the lack of follow-up with insurance companies. Our insurance follow-up services are designed to ensure timely payments of claims. Our team has the required skills to aggressively follow-up on all accounts.

Clean-up of Old AR

Oftentimes, healthcare providers have large numbers of unresolved AR either through insufficient follow-up skills or lack of manpower and poor management leads to a huge backlog. Our team of AR follow-up experts can help you strategize and clear the backlogs within a quick turnaround time.