Revenue Cycle Management

Expert solutions for efficient medical billing and revenue cycle management in the healthcare industry.

A vintage medical office with retro equipment, including old X-ray images displayed on a lightbox. The room has a checkered black and blue floor, a variety of medical devices, a telephone on a desk, and posters on the walls. Large windows let in natural light.

Insurance Eligibility & Pre-Authorization

We verify insurance coverage and secure pre-authorizations before services are rendered. Our team reduces the risk of claim rejections by confirming benefits, coverage limitations, and payer-specific requirements in real time.

Medical Coding & Charge Capture

Certified medical coders apply the most current ICD-10, CPT, and HCPCS codes to ensure accuracy and compliance. We optimize charge capture to reflect the full scope of services rendered, maximizing reimbursement while adhering to payer and regulatory guidelines.

Patient Scheduling & Registration

Accurate front-end processes are critical for clean claims. We assist healthcare providers in streamlining patient scheduling and registration workflows, ensuring complete demographic and insurance data is captured upfront—minimizing billing errors and delays.

Claims Submission & Payment Posting

We ensure timely and clean electronic claim submissions to all major U.S. payers. Our payment posting team reconciles payments accurately, applying EOBs/ERAs swiftly to maintain up-to-date accounts receivable and financial transparency.

Denial Management & Appeals

We proactively manage claim denials by identifying root causes, correcting issues, and submitting timely appeals. Our goal is to reduce denial rates and recover revenue quickly—ensuring no dollar is left behind.

A/R Follow-up & Patient Collections

Our accounts receivable specialists handle insurance and patient follow-ups with professionalism and persistence. We help accelerate cash flow while improving patient communication and increasing self-pay collections.

Reporting, Analytics & Compliance Support

We provide real-time analytics, customized dashboards, and in-depth reporting to monitor financial performance. Our compliance support ensures alignment with HIPAA, CMS, and payer guidelines—keeping your practice audit-ready and informed.

A medical imaging device with a monitor displaying a user interface featuring multiple icons and buttons. The device is labeled 3D OCT Maestro by Topcon. There is also a black adjustable arm and other medical supplies in the background.