Full-Service Medical Billing & Revenue Cycle Solutions

Medical Billing

• Claims across Medicare, Medicaid, CHIP, and 100+ commercial payers

• Real-time claim tracking

• Payment posting and reconciliation

• Patient statement processing

• Weekly reporting

• EHR integration with any platform

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Medical Coding

• Certified coders — CPT, ICD-10, HCPCS

• Specialty-specific expertise

• Coding audits for billing leakage and compliance risk

• AAPC-certified staff

Insurance Verification

• Real-time eligibility before every service

• Coverage detail confirmation — deductibles, copays, auth requirements

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Revenue Cycle Management

• End-to-end RCM from intake through payment

• Eligibility verification before every episode

• Prior authorization management

• Denial management and appeals

• AR follow-up and collections

• Weekly and monthly performance reporting

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Denial Management

• Systematic denial review and root cause analysis

• Appeals preparation and submission

• Payer-specific denial trend tracking

• Corrective action recommendations

AR / Follow-Up Management

• Aging claims follow-up

• Payer-specific escalation

• Patient collections management

• AR aging dashboards

Medical Credentialing

• Provider enrollment — Medicare, Medicaid, commercial payers

• CAQH setup, maintenance, re-attestation

• NPI registration and updates

• Primary Source Verification — licenses, DEA, certifications, malpractice

• Expirables monitoring with proactive renewal alerts

• Re-credentialing and revalidation management

Prior Authorization

• Submission across all major payers

• Status tracking and follow-up

• Urgent/expedited auth support

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Coding Audits

• Pre-bill and post-bill audits

• Identify underbilling, overbilling, compliance exposure

• Actionable findings with corrective guidance​​