We offer comprehensive Revenue Cycle Management (RCM), credentialing and payer contracting, and consulting services customizable to your needs. Our goal is to help your practice increase collections and allow you the transparency into your billing health and improve overall efficiency within your practice-all while maintaining full transparency and compliance.
Unlike large, impersonal billing firms or the challenges of hiring in-house, we offer a flexible, hybrid model. We can fully manage your billing and credentialing or partner with your existing team to train and support them with proven workflows, tools and oversight. Our approach is customizable, meaning you get the benefit of industry expertise without giving up control of your operations. We focus on building long-term partnerships that align with your goals.
Credentialing is the process of enrolling and maintaining your status with insurance payers so you can receive reimbursement. We manage the entire process-from initial applications to ongoing maintenance, CAQH updates, and contract negotiations-so you don't have to worry about missed deadlines or delays in payments. Accurate and timely credentialing is critical to ensuring your practice gets paid for the services you provide.
One of our core strengths is ensuring that your billing database and electronic connections (EDI, ERA, EFT) are set up correctly from the start. If you have an established database, we will review the setup to correct any errors upon initiation of work to be completed. We perform a thorough review of your system's configuration, including provider setup, payer ID's, fee schedules, and claim formatting rules to avoid costly errors and delays. We also verify that all electronic connections to clearinghouses and payers are properly established and tested. This front-end accuracy is essential to minimizing rejections, reducing denials, and ensuring a smooth revenue cycle from day one.
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