Core Medical Billing Services

• Patient Registration & Demographic Entry: Capturing patient data for accurate billing.

• Eligibility & Benefits Verification: Confirming coverage before services are rendered.

• Prior Authorization: Obtaining necessary approvals from insurance payers.

• Medical Coding: Translating services into ICD-10, CPT, and HCPCS codes for compliance.

• Charge Entry & Submission: Submitting electronic or paper claims to primary and secondary payers.

• Payment Posting: Recording payments from insurance companies and patients.

• Denial Management & Appeals: Analyzing and appealing denied or rejected claims.

• Accounts Receivable (A/R) Follow-Up: Following up on unpaid claims to reduce A/R days.​

 

Administrative & Strategic Services

• Provider Credentialing & Enrollment: Managing enrollment with insurance networks.

• Practice Management Consulting: Optimizing workflows and financial performance.

• Reporting & Analytics: Providing custom financial reports (KPIs, revenue dashboards).

• Telehealth Billing: Specialized billing for virtual visits.