With billing, coding and claims processing as our specialty, we offer a complete business process solution for your medical practice that is optimized, efficient, smart, and makes a good business sense. This includes, but not limited to –

• Credentialing & re-credentialing
• Demographic Entry
• Insurance Eligibility Verification
• Coding
• Claims Data Entry, Submission and Re-billing
• Electronic and Paper Submissions of Claims
• Automatic processing of Secondary and Tertiary Claims
• Denial Management & Appeals
• Accounts Receivable management
• Government stimulus returns for meaningful use and quality patient care, e.g.,- PCMH, MACRA, MIPS, APM, HEDIS and other ad hoc State and Local programs
• Customized Reporting

Credentialing Services:

Our service includes provider credentialing, contracting with the insurance Companies, and re-credentialing. We work with all specialties and assist with enrollment in all insurance networks (Medicare, Medicaid, and Commercial Insurance).

Insurance Eligibility Verification:

We verify each and every Patient’s insurance coverage before they are seen by the Doctor to reduce the denials and maximize collections. Daily alerts/mails are sent to the Physician (or to designated office staff) with eligibility verification details including deductible, co-pay information, coverage date, etc. before the patient’s arrival to the office.

Capable to work with your existing system

We customize our billing service to meet your individual needs. We are capable to use your existing billing system, EMR and EHR. If your billing systems are installed on your computers in your office, we are capable of remotely accessing your systems with our robust and secured technologies. There are also options for utilizing fax and secure cloud storage services. Finally, if you want to change your existing system, we will work with your preferred/selected system vendor and help you make the change.

Payments Posting:

We will establish electronic payments for you so that your payments are directly deposited into your designated bank account. We will collect payment information from the insurance carriers and apply them to your submitted claims as each claim gets paid.