Welcome
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List of Services
Front-End Services
Eligibility & Authorizations.
Insurance Eligibility Verification:
Confirming active coverage, co-pays, deductibles, and policy limits to prevent upfront friction
Prior Authorization Management:
Securing necessary approvals from insurance companies prior to procedures to guarantee reimbursement. i.e: Certificate of Medical Necessity (CMN) / Physician Certification Statement (PCS).
Mid-Cycle Services
Documentation & Coding
Charge Capture & Entry:
Ensuring every billable service used during care is accurately documented and entered into the billing system without leakage.
Medical Coding (ICD-10, CPT, HCPCS):
Translating clinical charts(ePCR/Face sheets), procedures, and diagnoses into standardized industry codes with certified accuracy.
Back-End Services
Billing & Collections
Claims Submission & Scrubbing:
Running claims through rigorous software checks to catch errors, missing data, or compliance issues before they are sent to the insurance payer.
Denial Management & Appeals:
Investigating rejected claims, correcting errors, and aggressively pursuing appeals with insurance companies to recover lost revenue.
Analytics & Compliance
Conducting regular internal reviews to ensure billing practices align with evolving state and federal healthcare regulations. Providing dashboards that track critical metrics.
Our Partners
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