Unlocking Your Practice's Potential

Credentialing & Recredentialing:

• Streamlined CAQH registration and NPI enrollment for each provider.

• Regular updates and maintenance of NPPES, Medicare PECOS, Medicaid, Tricare, and commercial payer profiles.

• Efficient enrollment in ERA/EFT systems for group NPIs.

• Seamless creation of provider portals on Availity, NaviNet, Noridian/Novitas, and other payer platforms.

Additional Applications:

• Facilitated IPA applications, where applicable, for each provider.

• Timely completion of Medicare revalidations and updates.

• Address changes, provider directory updates, and annual re-credentialing with payers.

Verification of Benefits:

• Thorough verification of Eligibility, benefits, and Authorization processes.

• Proactive initiation and follow-up on authorizations to ensure seamless patient care.

Medical Coding:

• Expertise in Complex Coding Cases

• Proficiency in ICD and CPT Coding

• Comprehensive Documentation Review

• Adherence to Regulatory Guidelines

• Customized Coding Solutions

• Commitment to Continuous Education

Billing & Collection:

• Comprehensive scrubbing and creation of error-free claims.

• Swift resolution of rejections and expert denial management.

• Revenue Maximization Through A/R Follow-Up

• Timely payment posting and meticulous credit balance handling.

• Accurate reporting of patient balances and setup of patient statements.

Customized Reports:

• Regular provision of weekly Key Performance Indicator (KPI) reports.

• In-depth financial analysis to drive strategic decision-making.

• Detailed reports on Evaluation and Management (E/M) code utilization and CPT frequency analysis.

• Tailored reporting to meet specific client needs, providing actionable insights for practice growth and success.