Revenue Cycle Management Solutions

Services are offered in our revenue cycle solutions suite

• Patient Registration & Demographics entry

• Insurance Eligibility Verification

• Electronic claims submission / EDI set-up

• Accounts Receivable Management

• Charge Entry Services

• Medical Coding

• Payment Posting

• Denial Management

Insurance Eligibility Verification

• The importance of insurance eligibility verification

• Help Increase Revenue

• Minimize delays and denials

• Improve collections by reducing write-offs

Physician Credentialing Services

• Handling Provider letter 

• New provider affiliations and Group Credentialing

• Facility Credentialing 

• Preparation and submission of online applications

• Maintain and update specific Provider information 

• Resolve enrollment issues

• Track Managed Care contracts

• Preparation of contracting documents

• Prepare, maintain and monitor Managed Care Summaries 

• Monitoring Expiry dates 

• Handling Re-Credentialing 

PA - Prior Authorization Services

Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.