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