Our Services

Here’s a few services our company offer.

  • Eligibility Verification
  • Medical Billing
  • Coding Appeal
  • Collections
  • Accounts Receivable Management
  • Invoice
  • Report Project
  • Audit Management (DRG Review to ensuring charts are accurate and compliant)
  • HIPPA Compliant Management
  • Credentialing and Contracting
  • Consulting Management
  •  Revenue Cycle Management
  •  Out of Network Negotiation
  •  Online and In-person Training

Three Teir Billing Package

Basic Package Premium Package Platinum Package
Insurance Verification X X X
Coding Verification X X X
Claim Submission X X X
Accounts Receivable x x x
Virtual Payment Processing X X X
Private Pay (Patient) X X
Appeal X X
Report X X X
Third Party Negotiation X
Contract Negotiation X
Provider Enrollment X
Additional Service Offered X X X

 1st Package

(Provider Q & A)

Focus on providers that would like assistance with completing their paneling application/ provider enrollment application.

Process:

  • 1-3 hour session (over zoom, phone, or in-person) to discuss problematic areas.
  • Follow-up (provides research data and implementation tactics.
  • 3-month check-in.


2nd Package

(Provider Enrollment and Credentialing Package)

Focus on providers that are interested in joining an insurance network. Assist providers in compiling the necessary information to complete enrollment application, credentialing/paneling application, EFT & ERA portal application, clearinghouse setup and more.

Process:

  • Network research (analyze insurance payers in prospected area).
  • File short and long provider/panel enrollment application.
  • Follow-up with insurance on credentialing process.
  • Negotiate payer rates.
  • Re-credential providers that would like to stay with their current payers.

3rd Package

(Reconstructing Revenue Cycle)

Focus on providers that are interested in reconstructing their entire revenue cycle process. Incorporates MPA Billing model “D.P.I.O.”

Process:

  • Review present billing process.
  • Pull reports to analyze problematic areas in billing process.
  • Incorporate billing model that focus on department needs.
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