What we handle Full Revenue Cycle Management

Credentialing & Enrollment All Insurances for new providers and locations. Charge Entry & CPT Coding Specialty-specific coding across orthopedic, urologic, podiatric, and wound-care claims, GI, Cardiology, Nephrology, and others. Prior Authorization Procedure and infusion authorizations secured before the date of service. Insurance & Benefits Verification Eligibility and benefits verified against every scheduled visit and procedure. Claims Submission & Payment Posting Clean-claim submission, reconciled against every remit that comes back. Denial Management & Appeals NCCI bundling review, modifier strategy, and payer-specific appeal drafting. Workers’ Comp Negotiation Single case agreements and utilization-review disputes with WC carriers and their auditors. Accounts Receivable Management Aging follow-up and underpayment recovery on every open claim, not just the easy ones. Phone Services Dedicated phone coverage for patient billing questions, payer callbacks, and front-office overflow. Fax Monitoring Incoming referral, order, and payer fax queues monitored and routed the same day. Practice Operations & Expansion Support Billing and back-office operations for practices opening new locations.