Pricing-Billing

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Pricing-Billing

Medical Coding, Billing, and RCM

Prior Eligibility & Benefit Verification
Medical Coding by Certified Professional Coders
Claims Transfer & Payment Posting by Speciality-specific Professional Billers
Denial Management
Insurance AR Follow-up
Patient Statement Mail-out
Patient Phone Support
Patient AR Follow-up
15+ KPI Reports benchmarked with MGMA numbers
Provider Coding Eductation
MIPS/MACRA Consultation

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Virtual Medical Scribe

Live Documentation of patient charts, which includes HPI, ROS, P/E, etc.
Capturing of ICD/CPT codes
Capturing eRx
Ordering Labs
To shorten Revenue Cycle.
Updating Lab Report to the Charts.
Processing Referral Letters and Operative Notes

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Insurance Credentialing

Provider Credentialing & Contracting
Facility Credentialing & Contracting
Medicare Initial Applications - 855B, 855I and 855S
Medicare - CMS 460 and CMS 588
Medicare Revalidation/Reactivation - 855B, 855I and 855S
Medicare Revalidation/Reactivation - CMS 460 and CMS 588
Medicaid/Medi-Cal Individual Enrollment
Medicaid/Medi-Cal Group Enrollment
Address Change and Tax ID Change
Annual Credentialing & Contracting Maintenance

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Audit and Consultation Service

MIPS/MACRA

MIPS/MACRA Consultation by Certified MIPS Specialists
Assistance with positive incentive from CMS
Measure Submission & Consultation Support

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Coding & Medical Record

Medical Record Audit by AAPC Certified Clinical Documentation Improvement Specialists - with Government and Commerical Payor Audit experience
Meet Payor Compliance and Documentation guidelines
Consultation & Support
TAT: 1 Week

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Revenue Cycle

Revenue Cycle Gap Analysis Audit
Figure out the gaps that cause Revenue Loss
Consultation
TAT: 1 Week

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