Full-Service Revenue Cycle Management

Medical Billing Services & Solutions

Specialized coding accuracy, aggressive denial follow-ups, certified AAPC audits, and automated EHR integration to maximize your clinic revenue.

End-to-End Excellence

Full Revenue Cycle Management (RCM)

From patient pre-registration and insurance eligibility verification to charge entry, claim scrubbing, remittance posting, and patient invoicing. Our comprehensive RCM optimizes cash flow and guarantees 95%+ clean claims.

Real-time insurance eligibility checks and patient benefit verification

Automated claim scrubbing eliminating rejections prior to clearinghouse submission

Accurate electronic remittance advice (ERA) and manual payment posting

Transparent patient billing, statements, and multi-channel payment options

Zero Revenue Leakage

Denial Management & Accounts Receivable Recovery

Stop lost revenue in its tracks. Our specialized denial resolution team investigates root causes, appeals unjust rejections with medical documentation, and vigorously recovers aged AR balances (60, 90, 120+ days).

Immediate denial categorization, root-cause diagnostics, and timely appeal filings

Aggressive aged A/R clean-up recovering uncollected legacy balances across all payers

Payer-specific appeal workflows backed by clinical documentation and medical necessity

Preventative billing analytics to stop recurring denial trends at the provider level

Denial Management & Accounts Receivable Recovery

AAPC / AHIMA Certified

Certified Medical Coding & Chart Auditing

Stay audit-proof and compliant while maximizing legitimate practice revenue. Our certified coders assign precise ICD-10-CM, CPT, and HCPCS Level II codes, ensuring proper modifier usage (-25, -59, -51) without compliance exposure.

Certified CPC, COC, and CPMA coders across clinical and surgical subspecialties

2021/2023 E/M Medical Decision Making (MDM) guidelines and time-based optimization

Pre-bill and post-payment chart audit reviews protecting practices from payer audits

HIPAA and OIG compliant coding workflows reducing unbilled encounters

Certified Medical Coding & Chart Auditing

Specialty Excellence

Dermatology Medical Billing

Dermatology practices navigate unique billing hurdles ranging from modifier 25 distinctions on multiple lesion destructions to cosmetic vs. medically necessary excisions and Mohs micrographic surgery coding.

Accurate coding for biopsies, shaves, excisions, and pathology reviews

Proper modifier application (-25, -59, -79) preventing audit triggers

Prior authorization tracking for biologics and advanced therapies

Rapid charge capture and automated reconciliation for high-volume practices

Precision Coding

Ophthalmology & Optometry Billing

Ophthalmology billing demands deep expertise in bilateral surgical rules, complex diagnostic testing (OCT, visual fields, fundus photography), and split-billing between optical hardware and medical eye exams.

Comprehensive cataract and refractive surgery claim submissions

Distinction between routine vision plans (VSP, EyeMed) and major medical insurance

Bilateral procedure guidelines and global surgery period tracking

In-office intravitreal injection medication (J-codes) and administration coding

Podiatric Specialists

Foot and Ankle / Podiatry Billing

Podiatry and foot & ankle surgical billing requires thorough compliance documentation for routine foot care vs. diabetic neuropathic evaluations, DME orthotics, and reconstructive foot surgeries.

DME (Custom orthotics, AFO braces, surgical shoes, CAM boots) claim filings

Routine foot care qualification guidelines and medical necessity proof (Q-modifiers)

Debridement, bunionectomy, tenotomy, and osteotomy surgical coding

Immediate denial appeal workflows for non-covered service queries

Cardiovascular Precision

Cardiology Medical Billing & Diagnostic Coding

Cardiology practices handle high-value diagnostic and interventional procedures. We navigate complex cardiac catheterization, echocardiography, nuclear stress testing, and pacemaker telemetry rules.

Accurate coding for invasive, non-invasive, and peripheral vascular procedures

Multi-vessel and bilateral modifier compliance preventing major reimbursement cuts

Global surgical period and place-of-service (POS 11 vs. POS 22) split-billing optimization

Fast prior authorization workflows for advanced cardiac imaging and device implants

Cardiology Medical Billing & Diagnostic Coding

Behavioral Health RCM

Mental & Behavioral Health Billing

Behavioral healthcare providers face stringent parity laws, complex psychotherapy time thresholds, and recurring pre-authorizations. We ensure timely reimbursements for psychiatrists, psychologists, and therapists.

Exact time-based psychotherapy coding (90832, 90834, 90837) and add-on E/M codes

Pre-authorization and recurring session tracking preventing unexpected claim rejections

Multi-state telehealth parity guidelines and private payer reimbursement compliance

Intensive outpatient (IOP) and partial hospitalization program (PHP) billing

Primary Care RCM

General Medicine & Family Practice Billing

General medicine clinics balance high patient volumes with diverse clinical complaints. We streamline evaluation and management (E/M) code selection, chronic care management, and annual wellness visits.

Optimized 2021/2023 E/M medical decision-making (MDM) guidelines

Chronic Care Management (CCM) and Principal Care billing programs

Transitional Care Management (TCM) timely claim turnaround

Vaccine, preventive counseling, and telehealth multi-payer compliance

General Medicine & Family Practice Billing

Fast-Track Contracting

Physician Credentialing & Payer Enrollment

Avoid costly provider downtime when hiring new clinicians or establishing in-network status. We handle CAQH management, Medicare PECOS, Medicaid, and commercial insurer contracting from initial application to re-attestation.

CAQH profile setup, quarterly re-attestations, and complete document management

Medicare (PECOS / CMS-855) and State Medicaid provider enrollments across 50 states

Commercial payer contracting, fee schedule reviews, and panel re-opening appeals

Hospital privilege tracking and expiration monitoring for state licenses & DEA certificates

Physician Credentialing & Payer Enrollment

Turnkey Interoperability

EHR & Practice Management Integration

Work directly within your existing software without disruptive platform migrations. Our certified billing teams seamlessly operate across industry-leading EHRs, practice management suites, and clearinghouses.

Direct workflow integration with Kareo, AthenaHealth, AdvancedMD, eClinicalWorks, etc.

Automated charge capture, electronic encounter synchronization, and HL7 data feeds

Custom clearinghouse routing with Change Healthcare, Waystar, and Availity

Zero downtime transition and daily reconciliation reporting for practice managers

Standardized Excellence

Our Complete RCM Cycle

Eligibility & Intake

Real-time insurance verification and demographic precision.

Coding & Charge Entry

Certified AAPC coders review chart notes for maximum allowable reimbursement.

Scrubbing & Submission

Pre-claim electronic scrubbing reaching 95%+ first-pass clean acceptance.

AR & Denial Recovery

Persistent follow-up on unpaid claims within 14-21 days of filing.