Services

We offer complete RCM services, from patient eligibility and coding to claims submission, billing, and reporting. Our team ensures HIPAA compliance, manages credentialing, conducts coding audits, and provides consulting to improve clean-claim rates, reduce denials, and optimize your billing workflows.

Our Services

Services We Serve

Complete Revenue Cycle Management (RCM)
  • Patient registration & eligibility verification — automated and manual checks to reduce denials.

  • Charge capture & coding — certified coders (ICD-10, CPT, HCPCS) and audit trails.

  • Claims preparation & submission — batch and real-time submission through major clearinghouses.

  • AR follow-up & denial management — root cause analysis, appeals, rebilling, and denial prevention program.

  • Patient billing & collections — patient statements, secure online payment portal, payment plans.

  • Reporting & analytics — monthly financial summaries, denial rates, AR days, net collections, RVU tracking.

Credentialing & Enrollment
  • Provider credentialing (CAQH, NPI management) and payer enrollments

  • Re-credentialing calendar and follow-up

  • Prior authorization support and referral workflows

Coding & Audit
  • Regular coding audits and compliance checks

  • ICD-10 and AMA CPT guideline adherence

  • Pre-bill audits to catch common coding issues

Compliance & HIPAA
  • Policies and procedures aligned to HIPAA Privacy and Security Rules

  • Business Associate Agreements (BAAs)

  • Secure SFTP, encrypted email, and role-based access controls

  • Employee training and incident response plan

Consulting & Optimization
  • Clean claim rate improvement projects

  • Denial reduction programs and root-cause fixes

  • EHR / billing workflow optimization and staff training