We act as an extension of your practice!

We Offer:

CLAIM SUBMISSION

Our staff is certified in ICD-10 and CPT-4 and all the current health care industry changes. We will check all superbills or encounter forms for correct coding, and will send claims electronically or via paper when necessary. We also submit to secondary and tertiary insurances.

CLAIMs Follow-Up

Claims follow-up is one of our strongest services. Our staff is very diligent in tracking every claim and making sure reimbursement is exactly what it should be!

Remember, WE DON'T GET PAID unless WE GET YOU PAID!

PATIENT AND INSURANCE PAYMENT POSTING

We post all patient and insurance payments. Simply send us a copy of the EOB's and checks.

APPEALS

We appeal any claim that has been improperly paid or denied.

REVENUE RECOVERY

We spend the time it takes to get you paid on "old" claims

REFERRAL TRACKING

We keep track of the number of visits a patient has left on his/her referral so you don't have to!

HIPAA MANUALS

Let us develop your HIPAA Policy and Procedure and Compliance Manual. We have over 40 procedural forms and logs  to customize your office.

FULL SERVICE CREDENTIALING

Completion of credentialing applications for insurance carriers and hospitals.

We will also do all necessary follow up with insurance carriers and track the application through to the approval stage.

MAINTAIN CREDENTIALING DOCUMENTATION

We maintain all pertinent credentialing documentation (e.g. DEA, CDS, Medical Licenses, Board Certificates, Malpractice Insurance Face Sheets, CME's etc.

DISTRIBUTION OF RENEWED DOCUMENTATION

We distribute all renewed documents, including DEA, CDS, Malpractice Insurance Face Sheets, Medical Licenses, updated CME's etc., to insurance carriers and the hospitals.

DOCUMENT TRACKING

We track and provide advanced notification of expiring licenses, DEA, CDS, etc. 

We function as the liaison between the practice and the insurance carriers and hospitals with all matters relating to the credentialing/re-credentialing process.

 eligibility verification system

We will provide your office with an insurance verification which lists the individual physician, each insurance carrier and the physician's status with the plan, Personal Identification Number, and effective date with the insurance plan. Insurance will be updated each time there is a change in status.