01 // OVERVIEW
Billing Solutions
001
Patient Registration & Eligibility
002
Medical Coding
003
Claims Submission & Follow-Up
004
Accounts Receivable & Reporting
02 // DETAILS
The Process
01
Patient Registration & Eligibility
We ensure accurate patient registration and insurance verification to prevent billing errors before they happen. Clean intake data lays the foundation for faster reimbursements and fewer claim denials.
Patient Demographics
Accurate capture and validation of patient information
Insurance Verification
Real-time eligibility and benefits verification
Authorization Management
Pre-certifications and referral tracking
Compliance Checks
HIPAA-compliant intake and documentation processes
Timeline:Ongoing
02
Medical Coding
Our certified coders translate clinical documentation into accurate CPT, ICD-10, and HCPCS codes. Precision coding reduces denials, ensures compliance, and maximizes legitimate reimbursement.
ICD-10 & CPT Coding
Accurate diagnosis and procedure code assignment
Clinical Review
Chart audits to ensure documentation supports coding
Denial Prevention
Proactive coding checks to reduce payer rejections
Regulatory Compliance
Adherence to CMS and payer-specific guidelines
Timeline:1–3 days per case
03
Claims Submission & Follow-Up
We submit clean claims and actively follow up to ensure timely reimbursement. Our team tracks every claim until resolution, minimizing delays and revenue leakage.
Clean Claim Submission
Electronic and paper claims submitted error-free
Payer Follow-Ups
Regular status checks with insurance providers
Denial Management
Appeals and corrections for rejected or denied claims
Payment Posting
Accurate posting of payments and adjustments
Timeline:14–30 days
04
Accounts Receivable & Reporting
We manage accounts receivable to improve cash flow and financial visibility. Detailed reporting helps you identify issues, optimize performance, and maintain a healthy revenue cycle.
A/R Follow-Up
Aggressive tracking of outstanding balances
Aging Analysis
30/60/90-day aging and payer performance insights
Financial Reporting
Clear, actionable revenue and denial reports
Process Optimization
Ongoing improvements to reduce days in A/R
Timeline:Monthly