Enjoy streamlined, strategic revenue cycle management.

Simplify financial processes for your practice while reducing claim lag and denials.

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Services & Solutions

Contracting

Verification of Benefits

Billing

Collections

Denial Management

Accounts Payable

Audits

Health Information Management

Health Information Systems

Billing Systems


Specialties & Focus Areas

Institutional Billing


Professional Billing


Behavioral Health Billing


Acupuncture Billing


Chiropractic Billing


Revenue Cycle Management Services

Revenue Cycle Assessment and Optimization

Comprehensive evaluation of your current revenue cycle processes to identify inefficiencies and areas for improvement. Customized strategies and solutions to optimize revenue generation and streamline workflows.

Denial Management and Appeals

Proactive denial management strategies to minimize claim denials and accelerate reimbursement. Effective appeals processes to challenge denied claims and recover lost revenue.

Billing and Coding Support

Expert assistance with medical billing and coding to ensure accurate claims submission and maximize reimbursement. Coding audits and training programs to enhance coding accuracy and compliance.

Financial Analysis and Reporting

Financial performance analysis to track key metrics and identify opportunities for financial growth. Customized reporting solutions to provide actionable insights and support informed decision-making.

RCM Software and Systems We Use:

HIM/Billing Systems:


MediTech


Tier


KIPU


Eagle Soft


Athena


Jane


And many more!


Clearinghouses:


Waystar


Claim MD


Collaborate MD


Fin Thrive

Steps for an Effective Revenue Cycle:

Appointment scheduling

Determining the need for services, along with collecting patient name, contact information, and insurance coverage details


Registration

Completing patient intake, including insurance verification, front-desk collections, and collecting patient demographics


Charge capture for services

Assigning medical procedure and diagnosis codes for the encounter


Billing

Creating clean claims to receive reimbursement from insurers and provide bills for patients


Denial management

Regularly reviewing denial reason codes to determine why a claim was denied and making corrections to prevent denials in the future


Accounts receivable (A/R) follow-up

Identifying and following up on unpaid charges



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