Medical Billing
and Coding
Medical Billing and Coding
Submitting accurate medical claims to insurance carriers is the key to getting paid quickly and efficiently.
Eligibility Verification
Our Eligibility and Benefits Inquiry system enables health care professionals to request patient eligibility status instantly and securely.
Medical Coding Services and Audit
Identifying and rectifying coding errors is crucial to ensure accurate payment, minimize claim denials, and maximize reimbursement.
Patient Demographics
Patient demographic data refers to all of the non-clinical data about a patient, including: name, date of birth, address, phone number, email address, sex, race, etc.
Prior Authorization
Prior Authorization (PA), sometimes referred as “pre-authorization,” is a requirement from your health insurance company that the doctor should obtain approval from your plan before it will cover the cost of a specific medicine, medical device and/or procedure.
Credit Balance
One of the most significant risks in the healthcare revenue cycle is Credit Balance – the excess money received compared to the medical services rendered charges.
Denial Management
Denial management in medical billing refers to the strategic process of analyzing, correcting, and preventing claim denials. A claim denial occurs when a payer, like Medicare or a commercial health insurance company, declines to honor a provider’s request to be reimbursed for medical care.
Charge Entry and Charge Audit
Charge entry and audit services are integral parts of the medical billing process that ensure an uninhibited cash flow, fewer delays in payments delays, lesser instances of claim denials, and ensure compliance of a healthcare enterprise to the gold standard regulatory and ethical frameworks.
Analytics & Reporting
Get Real-Time, in-depth analysis and key performance indicators of your organization’s operations.
Remittance Processing
An electronic remittance advice, or ERA, is an explanation from a health plan to a provider about a claim payment.
Account Receivables
There are many moving parts in your practice’s revenue cycle management (RCM). But one of the most critical components is your accounts receivable, or A/R.
Our Blog
Your key to unlocking hidden revenue potential.
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Introducing Triumph: The Essential Elements of Efficient Revenue Cycle Management
Achieving success in revenue cycle management is like discovering the ideal solution to an intricate problem. Envision a simplified approach...
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Learning how to effectively manage Revenue Cycle Management is a skill that can be mastered
Are you prepared to discover strategies for increasing revenue in the healthcare sector? Imagine a seamless procedure where each stage...
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Reasons Why Healthcare Providers Should Think About Outsourcing RCM Services
Are you a healthcare provider feeling burdened by the challenges of handling revenue cycle management internally? Picture reducing your workload,...
Our Exposure to EHR's
Discover the benefits and challenges of EHR adoption and learn best practices to optimize your use of this transformative technology.
