Medical Revenue Management

Our Services Include 

Audits & Consulting:  Our seasoned professionals conduct thorough audits and provide insightful consulting services to streamline your financial operations, ensure regulatory compliance, and identify opportunities for revenue enhancement.

•   AR analysis and statistics (per doctor, office, payer)

•   Denials and rejection analysis

•   Claims aging statistics

•   Incomplete claim analysis

•   Credentialing analysis

•   EDI analysis (ERA/EFT enrollment)

Credentialing with Insurances & EFT Enrollments:  Seamlessly navigate the credentialing process with insurance providers like Medicare, Commercial Payers, and Workers comp and expedite reimbursements by enrolling in electronic funds transfer (EFT) systems, simplifying financial interactions and enhancing cash flow. 

• Billing & Claim Management:  From accurate claim processing to strategic negotiations and meticulous appeals, we manage your billing and claims to maximize reimbursements, minimize delays, and optimize revenue generation for your practice. We work with different types of payers including Medicare, Workers Comp, No-Fault, and Commercial payers. Our team has comprehensive knowledge of In-network and Out-of-Network billing and claims management, as well as negotiations with a wide range of third parties such as MARS, Multiplan, Zelis, Omniclaim, and others. We use the most up-to-date industry information in our negotiations under the NSA  provision for the best possible output.