Medical Billing Contracts
- Patient Demographics & Data Entry Accurate input and maintenance of patient information for smooth claim processing.
- Charge Entry Detailed entry of billable services with correct coding to ensure timely claims.
- Claim Submission Prompt electronic and paper claim submissions to all major payers.
- Payment Posting Accurate posting of insurance and patient payments, adjustments, and denials.
- Denial Management & Insurance Appeals Fast and effective handling of claim denials, including detailed appeals to insurance carriers.
- Accounts Receivable (A/R) Follow-Up Aggressive and consistent follow-up on unpaid claims to improve your cash flow.
- Patient Billing & Statement Services Generation and mailing of easy-to-understand patient statements with clear instructions for payment.
- Patient Phone Support & Payment Collection We handle inbound patient billing calls and collect payments over the phone to ease the burden on your front office.
- Collections Coordination While we do not perform collections ourselves, we assist by identifying delinquent accounts and forwarding them to your preferred collections agency. We also coordinate with the agency as needed to ensure a smooth and efficient process.
- Custom Financial Reporting & Analytics Monthly performance reports and dashboards tailored to your needs, helping you make data-driven decisions.
- Telehealth Billing Support Billing for virtual visits using the latest payer guidelines, codes, and modifiers.
- EHR/EMR Integration Services We work seamlessly with your existing practice management system or EHR to streamline workflows.
Medical Coding Contracts
- Reviewing provider documentation to ensure billing accuracy
- Identifying missing or incomplete codes that may delay claim processing
- Verifying CPT, ICD-10, and HCPCS codes for billing accuracy
- Flagging potential coding errors that could lead to denials or audits
- Clarifying code usage with providers to support clean claims
- Staying current on coding guideline updates to inform billing practices
- Supporting charge entry with proper code associations
- Educating providers on documentation improvement for accurate coding
- Auditing billing records to ensure they align with coding best practices
- Communicating with coders or practices when coding clarification is needed
Credentialing/Contracting Contracts
Billing Services for Non-Medical Businesses
- Initial Provider Credentialing
Submitting applications and required documents to insurance payers for new providers. - Recredentialing & Maintenance
Keeping provider credentials up to date and submitting recredentialing applications as needed. - CAQH Profile Assistance & Maintenance
While we do not create CAQH profiles from scratch, we assist providers with setup guidance and ensure their profiles are regularly updated and maintained to meet payer requirements. - NPI Registration & Updates
Assisting with NPI (Type 1 & 2) applications, updates, and management. - Payer Enrollment Services
Enrolling providers with Medicare, Medicaid, and commercial insurance companies. - Credentialing Follow-Up & Tracking
Monitoring application statuses and following up with payers to avoid delays. - Provider Roster Management
Maintaining accurate rosters for group practices and ensuring payer records match. - Group & Facility Contracting
Supporting the enrollment and contracting of group practices and healthcare facilities.
Billing Services for Non-Medical Businesses
Billing Services for Non-Medical Businesses
- Client Billing & Invoicing
Creating and sending accurate invoices to clients based on services or products provided. - Accounts Receivable Management
Tracking outstanding invoices, following up on overdue payments, and managing collections. - Payment Processing & Reconciliation
Handling payment transactions, processing credit card payments, and reconciling accounts. - Subscription Billing
Setting up and managing recurring billing for subscription-based businesses, including renewals and cancellations. - Billing Dispute Resolution
Addressing billing inquiries or disputes from clients and working to resolve issues promptly. - Custom Billing Solutions
Tailoring billing processes to fit the specific needs of your business, including tiered pricing, discounts, and promotional billing. - Financial Reporting
Generating detailed financial reports for clients, such as revenue breakdowns, aging reports, and payment history. - Late Fee Management
Implementing and managing late fee policies on overdue invoices to encourage timely payments. - Payment Plan Setup
Assisting with the setup and management of payment plans for clients with large balances.
