Revenue Cycle Management
We offer extensive RCM services including coding, charge entry, claim submission, denial management, payment posting, and revenue cycle analytics.
Claim Submission
- Dental and Medical Coding: Dental and medical coding can be complicated and require regular training to stay on top of any updates and changes by insurance companies. Our trained billers enter the correct procedure codes and modifiers for services provided by your staff so that you can receive maximum reimbursement for all your hard work.
- Charge Entry: Our billing team makes sure that all the information entered is correct. We create superbills for Claim Submission and in some cases patient’s out of pocket expenses.
- Claim Submission: Our billing team submits the claims before the end of each day and makes sure that all the required documentation is attached so that you can get your money fast.
- Scrubbing: Our billing team stays on top of any error that might be caught by clearinghouses or by insurance companies and resubmits those claims in a timely manner.
Account Receivable A/R
- Insurance A/R: Our billing teams stay on top of your insurance and patient A/R. We reach out to insurance on a daily basis if A/R is not paid within the expected timeframe. Our goals are to keep all our clients’ A/R within 0-30 days cycle.
- Payment Posting: We post all payments in a timely manner on a daily basis. It includes posting payment via Electronic Remittance Advice (ERA) and/or paper Explanation of Benefits (EOB) or going to insurance websites or their designated payment system.
Denial Management
Our billing team takes all measures at the front-end and back-end so that none of your practice claims are denied. We check claims status on a regular basis, staying on top of denied claims, fixing and resubmitting them.
Patient Statements
We generate accurate patient statements and answer all your staff- and patient-related questions.