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Packages
Claim Submission
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Coding Edits Scrubbing
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EDI / Clearinghouse Edits
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UB-04 to 837I / 1500 835 Crosswalk clarification
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Assuring clean claims are out before the timely filing limits according to payer guidelines
Adjudication / Payment
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Insurance Company Payments
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Self-pay
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Collections
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Refunds
Denial Management
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Reconciliation
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RARC / CARC Information and What to Do to Resolve
Contract Management
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Provider Credentialing and Contracting
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Maintaining the Managed Care Enrollment
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Risk Assessment Management
Eligibility & Benefits
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Registration (Pre-, real time,-post)
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Appointment scheduling and time management
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Upfront Patient Estimates and Collections
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Proper front end forms and waivers
Data Entry
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Documentation / Orders
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Authorizations and Referrals
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Coding
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