Our billing and coding leadership team is comprised of individuals with over 150 years of collective experience in the health field. We have experience in all sectors including; private practice, tribal, grant funded, and government. We have the capacity to collaborate with individuals, sites, practices, and clinics to design programs that enhance care, increase capacity and generate sources for financial sovereignty.
- Expertise inclusive of third party payor agreements, State and Federal plans, including Medicare, Medicaid (CHIP/Managed Care Plans), Medicare Advantage Plans, Self-Funded Plans, Commercial Payors, Community Cares Programs, etc.
- Ability to match patients with best insurance coverage to ensure maximum reimbursement.
- Maximize Purchased and Referred Care dollars through alternate resources and Medicare Like Rates (MLR).
- Revenue Cycle Management:
- Charge Posting
- Claims Submission
- Claims Reconciliation
- Work Rejections
- Post Payments
- Work Denials
- Statements and Collection Letters
- Field Patient Calls
- Accounts Receivable consultation
- Clinical Workflow audit
- Data analysis and metric performance audit
- Payor contract analysis
- Fee schedule analysis
- Dedicated team with ongoing communication and transparency
- Services can be customized to practice need
- Utilization of third party revenue for program sustainability and infrastructure development