Engage us for a single service or entrust us with managing the full revenue cycle – our flexible approach fits your unique requirements.
Insurance-related issues are one of the most common reasons claims get denied or delayed—and it often starts before the visit even happens. Our team takes care of insurance eligibility checks and prior authorizations upfront, so your staff doesn’t waste time chasing paperwork after the fact. We confirm patient coverage, identify plan requirements, and obtain necessary pre-approvals before services are rendered. This reduces risk, keeps your schedule moving, and sets the stage for faster reimbursement.
Precise charge capture and accurate medical coding are the backbone of clean claims and timely reimbursements. Ourcertified coders work closely with your clinical documentation to ensure every service, procedure, and diagnosis is correctly translated into compliant medical codes. We don’t just code—we nterpret, clarify, and catch missed opportunities to maximize your revenue while reducing audit risks. Because coding needs vary by specialty, we align our process to reflect the unique procedures, documentation habits, and billing rules specific to your field—ensuring each claim is accurate, justified, and payer-ready.
Efficient data entry and timely claim submission are essential to keeping your revenue cycle moving. We ensure that every billed service is accurately recorded in your system, with the correct diagnoses, procedure codes, and modifiers attached. Our team reviews claims for completeness, flags issues before they reach the payer, and submits them electronically through secure, compliant channels. Whether you’re using in-house software or a cloud-based platform, we integrate with your workflow to reduce rejections, improve first-pass rates, and keep reimbursements flowing without interruption.
Unpaid claims can quietly erode your revenue if they’re not followed up with consistency and strategy. Our Accounts Receivable (AR) team actively monitors every outstanding claim, working claim by claim to ensure timely reimbursements and a steady cash flow. We categorize, prioritize, and pursue each aging bucket— following up with insurance companies, resubmitting claims when necessary, and flagging trends that may signal deeper issues. With our support, your practice doesn’t lose track of money that’s still on the table.
Denied claims don’t have to mean lost revenue. Our Denial Management team takes a hands-on approach to identifying why claims are being rejected—and more importantly, what to do about it. We investigate each denial, correct any coding or documentation issues, and resubmit or appeal promptly within payer deadlines. Beyond recovery, we analyze trends to help reduce future denials and improve your overall claim success rate. With LucraMed Health on your side, denied claims turn into opportunities to strengthen your revenue cycle, not slow it down.
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.
Data is only valuable if it gives you insight – and we make sure it does. Our reporting and analytics services turn raw billing and payment data into actionable information you can use to drive performance. From denial trends to payer turnaround times to collection rates, we provide detailed, easy-to-read reports tailored to your priorities. Whether you want a high-level view of your revenue cycle or a deep dive into problem areas, we’ll give you the clarity to make smarter, faster decisions.
It only takes 2 minutes to complete
