Patient Registration / Demographics

Accurate demographic capture prevents denials. We validate legal name, gender, address, phone, SSN, insurance details, guarantor info, and special requirements to boost clean-claim rates.

Charge Entry & Charge Audit

  • Capture DOS, providers, POS, CPT/ICD-10, units, modifiers
  • Import from EMR with pre-billing review
  • Audit for order validity, correct modifiers, duplicates
  • Verify against updated fee schedules

Medical Coding

  • Ensure ICD-10 compliance
  • Reduce A/R backlogs & DNFB
  • Improve documentation quality
  • Faster turnaround & reliable reporting

Remittance Processing

  • ERA posting with exception handling
  • Manual EOB line-by-line posting
  • Denial posting with ANSI/remark codes
  • Patient payment posting & credit balance resolution

Accounts Receivable (A/R)

  • Review current A/R for measurable improvements
  • Holistic approach to prevent backlogs
  • Technology for transparency & faster resolution

Denial Management

  • Root-cause focus and denial prevention
  • Systematic, hands-on methodology
  • Faster collections and fewer write-offs

Credit Balance

  • Timely, professional refund handling
  • Prevention through root-cause fixes
  • Maintain strong payer & patient relationships