Clean Billing, Faster Payments

Our medical billing experts help you reduce revenue loss and improve collections with minimal disruption to your workflow.

Charge Entry

Getting paid starts with getting the charges right. Our team carefully enters CPT, ICD-10, and modifier codes based on your documentation, ensuring that every billable service is captured and linked to the right diagnosis. We work closely with your coding and clinical notes to avoid mismatches that could cause rejections later. The result? Accurate claims that reflect the care you’ve provided—and revenue you’ve earned.

What We Do:

  • Review clinical documentation for complete charge capture
  • Enter CPT/ICD-10 codes, modifiers, and units into your system
  • Match diagnoses to procedures per payer rules
  • Flag missing or unclear documentation before submission
  • Coordinate with your team for any clarifications

Claim Scrubbing & Validation

Before a claim goes out the door, we run it through a thorough validation process
to catch anything that could trigger a denial. From NPI mismatches to invalid
modifiers or missing demographics, we fix issues upfront so you don’t lose time
(or money) on corrections later. Clean claims = faster payments.

What We Do:

  • Verify coding, modifiers, and claim structure
  • Check for payer-specific rules and billing edits
  • Identify and fix demographic or insurance info gaps
  • Use clearinghouse tools and internal audits to reduce errors
  • Maintain a high clean-claim rate on first submission
    documentation

Electronic Claim Submission

We take care of getting your claims out quickly, correctly, and through the right channels. Whether it’s through a clearinghouse or direct-to-payer submission, our team ensures timely delivery and monitors every claim until it’s acknowledged. No delays, no guesswork.

What We Do:

  • Submit professional (CMS-1500) and institutional (UB-04) claims
  • Route claims through clearinghouses or direct payer portals
  • Track batch acknowledgments and rejections
  • Resubmit failed claims promptly
  • Keep submission schedules consistent to support steady cash flow

Payment Posting

Once payments come in, we match them to the corresponding charges, adjust accounts as needed, and flag any discrepancies. Whether it’s an ERA or a paper EOB, we handle it all with accuracy so you know exactly what’s been paid, what’s pending, and what needs follow-up.

What We Do:

  • Post insurance and patient payments into your billing system
  • Apply adjustments, write-offs, and secondary balances accurately
  • Process ERAs and paper EOBs
  • Flag underpayments and denials for further review
  • Reconcile payments against bank deposits or daily logs

Basic Insurance Follow-Up

If a claim sits unpaid, we don’t just let it linger. Our billing team follows up with payers to resolve pending issues, check claim status, and nudge things along. This light-touch follow-up ensures you’re not losing revenue to silence—and keeps claims moving forward.

What We Do:

  • Monitor unpaid or aging claims
  • Call or check portals for claim status updates
  • Re-submit or correct simple claim issues
  • Note payer responses in the billing system
  • Identify claims needing escalation or appeals

Patient Statement Generation

After insurance has paid their share, we generate professional, easy-to-read patient statements that explain what’s owed and how to pay. We can also offer flexible formats and frequencies, based on your preference. It’s a simple but important part of getting patient balances collected without confusion.

What We Do:

  • Generate and send patient bills after insurance processing
  • Customize statement format and language per your preferences
  • Include payment instructions and contact info
  • Initiate follow-up statements on a set schedule
  • Coordinate with your team for balance updates or billing holds

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