PRE-ADMISSION
Eligibility verification was done prior to the appointment to ensure insurance payment for services rendered.
CLAIMS MANAGEMENT
Demographic and charge entry and tracking with regular reporting to manage receivables.
DENIAL MANAGEMENT
Fast, accurate payment posting and reporting for improved cash flow and pursuit of payment from insurance companies and patients.
PAYMENT COLLECTIONS
Pursuit of full payment on all claims, resolution of underpaid claims, and submission of secondary claims.
COMPLIANCE
Analysis of RAC determinations, response preparation and oversight of appeals. Timely resolution of credit balances to meet any compliance requirements. Services include RAC Audit response and Credit Balance clean-up.
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