Billing & Claims Management

Routine exams often lead to missed procedures when charting. We identify and reroute claims where sequential or bundled services aren’t properly coded and need to go back to the provider or coder for corrections. Capturing these charges will increase your revenue for services that were provided and decrease denial for more complex services.

Our goal for you is clean claims that are accurately processed and reimbursed the first time they are submitted. With claims scrubbing we can flag issues instantly, prior to submission, to ensure claims get paid faster and denials are reduced.In addition, we track contract guidelines to ensure timely filing.

When claims are denied for invalid reasons or simply not paid, we will intervene with the third party insurance payers to make sure that your claim is properly adjudicated.

Payers often send payments in batches that need to be applied to multiple accounts. We’re experts at making sure the right funds go toward the right services, whether it’s the provider or the facility, and that the right patient’s account is credited with the right amount.

Our payer relations team works with the payer to make sure the guidelines are clear and applied correctly so claims are paid faster and with more accuracy.