Our process begins with a comprehensive assessment of your current billing operations. Our experts analyze your existing setup to identify:

• Current EHR system capabilities and limitations
• Documentation workflows and efficiency
• Key performance indicators and benchmarks
• Payer mix and contract terms
• Common denial patterns and revenue leaks

This data-driven approach allows us to develop a tailored implementation plan that addresses your specific challenges and goals, establishing a strategic foundation for revenue optimization.

Based on our assessment findings, we configure our systems to integrate seamlessly with your practice. Our configuration process includes:

• Establishing secure, bidirectional integration with your EHR
• Mapping data fields to ensure complete information transfer
• Setting up specialty-specific rules and protocols
• Configuring payer-specific requirements and rules
• Customizing workflows to match your practice patterns

Our team works closely with your staff during this phase to ensure that the transition is smooth and all stakeholders are comfortable with the new processes.

Our claim submission process leverages advanced technology to ensure clean, accurate claims that get paid the first time:

• Multi-level scrubbing with over 250 validation rules
• Automated coding validation against LCD/NCD policies
• Real-time eligibility verification before submission
• Electronic submission to all major payers and clearinghouses
• 24-hour submission window for 100% of all claims

We identify and correct potential issues before submission, significantly reducing denial rates and accelerating payments.

We accelerate your payment processing through efficient handling of Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) documents:

• Daily electronic retrieval of ERAs from all connected payers
• Optical character recognition for paper EOBs with 99.8% accuracy
• Automated payment reconciliation against submitted claims
• Systematic identification of underpayments based on contract terms
• Immediate flagging of denials for rapid remediation

Our streamlined ERA/EOB processing ensures that payments are processed quickly and accurately, reducing days in A/R and improving cash flow predictability.

Our dedicated denial management team specializes in recovering revenue that would otherwise be lost:

• Root cause analysis of all denials to identify patterns
• Specialized appeals teams organized by denial type
• Automated tracking of appeal deadlines and status
• Custom appeal letter templates for common denial scenarios
• Systematic follow-up protocol for pending appeals

Rather than simply working denials, we focus on analyzing patterns to implement preventive measures that reduce future denials, creating an ongoing cycle of improvement.

Our payment posting process ensures accurate financial records and transparent patient billing:

• Daily payment posting to maintain current financial data
• Line-item reconciliation for complete accuracy
• Precise application of contractual adjustments
• Automated calculation of patient responsibility
• Detailed transaction records for audit compliance

Our meticulous approach to payment posting provides complete visibility into your practice's financial performance and ensures that patients receive accurate bills reflecting their true responsibility.

Our commitment to excellence doesn't end with implementation. We continuously refine our processes to maximize your revenue:

• Monthly performance analysis against key metrics
• Quarterly business reviews with actionable insights
• Ongoing payer policy monitoring to adjust billing strategies
• Staff education on documentation improvements
• Workflow adjustments based on performance data

This continuous improvement cycle ensures that your revenue cycle management evolves with changing regulations, payer policies, and practice needs, preventing revenue stagnation.