Turn Revenue Leakage into
Predictable Cash Flow

Our certified coders apply CPT, ICD-10, and HCPCS codes supported by Clinical Documentation Improvement (CDI) with specialty-specific precision and complete charge capture to avert revenue losses.

Before claims submission, we verify patient coverage and real-time eligibility through payer portals and clearinghouses to confirm patient deductibles and co-pays.

Our automated claim scrubbing engine applies payer-based compliance and edit restrictions to clean claims that are highly competitive for first-pass acceptance.

We maximize reimbursement recovery by analyzing denial codes, identifying recurring systemic problems, and strategically structuring appeals to lower the incidence of denials.

To shorten Receivable (AR) cycles, our Accounts Receivable (AR) Recovery Specialists aggressively invoice high-value claims while monitoring payers' follow-up aging reports.

We automate ERA/EOB posting, reconcile payments against payer contracts, and flag underpayments for immediate recovery—ensuring financial accuracy and cash flow integrity.

The team proactively claims and processes high-value treatments and procedures through authorization workflow management to tackle revenue loss.

To streamline the process, we manage CAQH and assist in managing administrative tasks by integrating processes to build the workflow document for optimally compliant claim submissions.

We analyze the revenue MCD for payments and case-weighted reimbursement annually to enhance the profit margin for better fee contracts and reimbursement policies.

We adhere to HIPAA, CMS and payer-specific regulations through rigorous audits and documentation reviews while also supporting MIPS, MACRA and value-based care reporting.

We provide clear patient statements, digital payment options, and financial counseling to improve collection rates while keeping patient satisfaction intact.

With custom dashboards, denial trend analysis, AR forecasting, and easy EHR/EMR integration with Epic, Kareo, Athenahealth, and AdvancedMD, we automate data flows and predict revenue cycle for real-time decision-making.

We equip workflows with relevant telehealth modifiers (95, GT, etc.) and payer-specific telehealth visit billing rules to enable compliance and reimbursement for virtual visits.