We are located in Florida but we work Nationwide.

*PATIENT REGISTRATION: Demographic Information, Insurance Information, Guarantor Information and Financial Policy Acknowledgment. We will verify insurance eligibility and enter/review accurate data in the PM/EHR system.

*MEDICAL CLAIM ENTRY: Claim creation & coding support (CPT, ICD-10, HCPCS). We will review the claim prior to submission to catch for any errors.

*PAYMENTS POSTING: We will record payments manually or electronic from insurance payers and patients into the billing system to maintain accurate financial records.

*PROFESSIONAL ROUTINE REPORTS: We will generate a monthly report that will summarized all the charges and payments received in the month.

*ELECTRONIC & PAPER CLAIM SUBMISSIONS: We will submit claims electronically via the clearinghouse and when they are not accepted by the payer we will physically mail them.

*A/R FOLLOW UP: We track and manage outstanding payment from insurance companies and patients. We will call insurance companies to verify the claim status.

*PATIENT STATEMENTS: We offer patients statements submission, via the providers portal, email or mail, tailored to each practice needs.

*INSURANCE VERIFICATION: We perform insurance eligibility verification, confirming coverage details including deductible, copay, coinsurance to prevent billing issues and enhance patient care.

*MIPPS REPORTING: We code for quality measures. Accurate coding helps automatically capture MIPS data from claims.

* MINIMIZING AUDIT RISK: Ensure documentation and coding align with reported activities in case of a CMS audit.

*HIPAA COMPLIANCE: We follow all HIPAA compliance protocols, we understand confidentiality is a patient right. We are fully trained on HIPAA regulations and the best practices to stay informed on how to handle sensitive information and security requirements.