Business Shaped Solutions
We are specialists in both economics and information technologies and we apply our full range of talent to creating the perfect solution for each client’s needs.
Billing and coding
Claim Processing
Change is opportunity. The challenges it presents may seem daunting, but we help you approach change with confidence, adapt with purpose and embrace.
Our results solution combines implementation support, capability building and state-of-the-art diagnostic and analytic tools so you can continually change.
Denial Management
Upon doing the A/R (Account Receivable) our expert finds the Denials occurred due to many reasons like, coding, billing, patient, or provider errors. We guarantee to work and address those denials within the time frame of 48 hours from the time of denial posted or received. With 10+ years of RCM experience, we follow industry-standard key performance metrics to measure success and integrate best practices, so that you get the value of our proven experience and expertise.
AR Follow Up
We specialize in Aging A/R recovery. Insurance accounts receivables is a common problem within all type of medical practices. This causes a reduction in cash flow and loss of revenue. We pursue every old claim by assigning our dedicated team of Aging A/R specialists. Even if you don’t want to outsource your entire billing, we can help you with your aging A/R. If your in-house billing team can’t keep up with Aging, we can help!!
Data Analytics
Change is opportunity. The challenges it presents may seem daunting, but we help you approach change with confidence, adapt with purpose and embrace. Our results solution combines implementation support, capability building and state-of-the-art diagnostic and analytic tools so you can continually change.
Provider Credentialing
Credentialing Process refers to the process of verifying the proven skills, training, and education of healthcare providers. Verification of the providers’ credentials is done by contacting the “Primary Source”, which has provided the license, training, and education. The credentialing process is used by healthcare facilities as part of their hiring process and by insurance companies to allow the provider to participate in their network. Credentialing is also the validation of a provider in a private health plan and the approval to join the network. It is very important to remember that in today’s world of health insurance and revenue cycles, improper credentialing can lead to delayed or denied reimbursement for services provided.
Few Reasons Why You Should Choose Us
We seamlessly merge two key components – economics and information technology.