Credentialing & Provider Enrollment

Assisting healthcare providers with insurance panel enrollment. Managing provider credentialing and re-credentialing. Ensuring providers are properly set up to receive payments.

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Patient Registration, Eligibility & Benefits Verification

Collecting and verifying patient demographics and insurance information. Checking insurance eligibility and benefits before appointments. Ensuring accurate data entry to avoid claim denials.

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Prior Authorization

Obtaining prior authorizations for procedures and treatments. Verifying insurance requirements for pre-authorizations. Reducing delays in patient care and claim processing.

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Medical Coding

Assigning accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. Conducting regular coding audits to ensure compliance and accuracy. Staying updated with coding changes and regulations.

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Charge Capture

Ensuring all services rendered are accurately captured and billed. Preventing underbilling or missed charges. Integrating charge capture with electronic health records (EHR).

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Clearinghouse Services

Using clearinghouses to validate claims before submission. Reducing errors and improving claim acceptance rates. Tracking claim status through clearinghouse tools.

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34

Brands Helped

145

Ongoing Task

437

Projects Done

375

Satisfied Clients

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