We bring in 10 years of billing and credentialing experience. We comply with HIPAA HITECH, and CMS regulations. We customize Medical Billing, AR Management to meet the practice needs.

Medical Coding

Our coding team works in accordance with coding guidelines from AMA CPT.
Our billers receive superbills with diagnostic notes with or without codes. If codes are already provided on the superbill, they are validated by our coding team to check and prevent any coding discrepancies to avoid denials / rejections.

Charge entry

All the codes from the superbills are entered into the practice management system.
Our medical billers ensure that the fee for each CPT code is entered as per the fee schedule in the provider’s contract.

Claims submission

Our medical billers ensure that the coded claims are scrubbed and submitted electronically within a 24-hour window to the insurance via a clearing house. Paper claims are submitted to insurances, which do not accept electronic claims.

Payment Posting

Our medical billers post and reconcile ERA / EOB to the practice management system on a daily basis.

Account Receivables Follow-up

We provide a unique follow-up on a weekly, bi-weekly, and/or monthly basis through preferred method of communication depending on the filing limits and buckets of aging.

Denials Management

After a detailed analysis on denials, Account Receivable team calls payers to follow-up on denied, underpaid, pending and any other incorrectly processed claims.

Notes are posted / documented in the practice management system on each account to analyze trends in payments and denials.

Our expert team also work on secondary / tertiary / paper claims and follow-ups.

Appeals Team appeals on denials once a reply is received from the payers.