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Our Services

// OUR RCM SERVICES

Precision, and Compliance: Full-Suite Revenue Cycle Management Tailored to Your Practice Needs

Medical Billing

Complete charge capture, claim generation, payment tracking, and billing operations for maximum practice collections.

  • Charge Entry & Submission
  • Payment Posting & Posting Audits
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Medical Coding

Certified ICD-10, CPT, and HCPCS compliance coding to prevent claim errors and guarantee clean claim rates.

  • Certified Coding Audits
  • HCC Risk Adjustment Coding
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Insurance Verification

Real-time patient eligibility verification, copay checks, and benefit audits before patient appointments.

  • Eligibility Auditing
  • Coverage & Deductible Checks
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Denial Management

Backend denial analysis, appeal writing, claim correction, and proactive denial prevention rules.

  • Appeal Formulations
  • Payer Dispute Resolution
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Accounts Receivable (A/R) Recovery

Aggressive follow-up on outstanding insurance claims and legacy A/R recovery to maximize collection rates.

  • Aging Claims Resolution
  • Payer Collections & Follow-up
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Prior Authorization

Securing pre-authorization approvals from insurance plans to guarantee treatment reimbursement.

  • Pre-Auth Submissions
  • Clinical Documentation Reviews
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Audit & Process Optimization

Detailed RCM workflow audits to detect leakages, process errors, and compliance gaps.

  • Revenue Leakage Audits
  • Compliance & Coding Checks
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Provider Credentialing

Payer enrollment, credentialing maintenance, and contract negotiation to secure in-network reimbursements.

  • Payer Enrollment & Setup
  • Contract Negotiation & Review
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Patient Billing & Support

Clear statement printing, inbound billing support, and payment plan setups for high patient satisfaction.

  • Patient Statement Dispatch
  • Inbound Billing Helpdesk
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