Solutions

 

 

Billing

  • Full billing services
      • Submitting electronic and printing paper claims
      • Submitting secondary claims
      • Rejections management
      • Denials management
      • Unpaid claims follow-up
      • Monthly patient statement
      • Posting payments
      • Monthly Reports
  • Processing billing services
      • Claims filling only
  • Partial billing services
      • Any area of the full billing services
      • Aging projects
      • Recoupments
      • Medicare or Medicaid claims projects
      • Commercial insurance claims projects

Coding

  • Complete coding capture for services rendered
  • Claims coding validation
  • Coding for HEDIS 
  • Clinical Documentation Improving (CDI) education

Risk Adjustment services

  • HCC coding capture
  • Completing Insurance companies risk adjustment programs
  • Clinical Documentation Improving (CDI) education

 

Medical Audits

The billing code offers you an external medical audit service that provides an objective analysis to maintain compliance. 

  • Focus audit
  • Random audit
  • Prospective audit
  • Retrospective audit