Services
Two Ways in: by Your Setting, or by the Work You Need
If you run an emergency department or an urgent care center, start with the setting. Those pages cover the whole cycle as it applies to you. If you already know which part of the cycle is the problem, go straight to the service.
By setting
Complete Revenue Cycle, Specialised
End-to-end engagements. Everything below, run as one relationship.
End-to-End Revenue Cycle Management
Every service we offer, run as one engagement, from registration through to disputes.
About End-to-End Revenue Cycle ManagementER Billing Services
Emergency department revenue cycle: high volume, high out-of-network exposure, unpredictable payer mix.
About ER Billing ServicesUrgent Care & Clinic Billing
Walk-in volume, mixed payers and thin admin capacity, billing built for how urgent care actually runs.
About Urgent Care & Clinic BillingHospital & Facility Billing
Revenue cycle support for hospital and facility billing operations.
About Hospital & Facility Billing
By service
Individual Services
Sold standalone or bundled: ER billing with full RCM, billing with coding and denial management, credentialing with contracting. IDR and NSA support can be either.
Medical Billing & Coding
Getting the claim right before it leaves: coding, charge entry, eligibility and submission.
- Medical Billing
Claim creation, scrubbing, submission and payer follow-up through payment.
- Medical Coding
CPT, ICD-10-CM and HCPCS coding based on clinical documentation, performed by CPC-certified coders.
- Eligibility & Benefits Verification
Verify coverage, benefits and network status to identify potential billing issues before they become avoidable denials.
- Payment Posting & Reconciliation
Accurate payment posting and reconciliation to identify discrepancies, underpayments and outstanding balances.
A/R & Denial Recovery
Working what has already been billed: denials, appeals, and aging accounts receivable.
- Denial Management & Appeals
Denials classified by CARC code and cause, then fixed at source or appealed on the record.
- A/R Follow-Up & Collections
Insurance A/R worked by age and value, oldest and largest first, with every payer contact documented.
Out-of-Network & Disputes
The federal IDR process and No Surprises Act support, run end to end for out-of-network claims.
- Federal IDR Services
End-to-end management of eligible federal IDR disputes: qualification, open negotiation, offer preparation, submission and determination tracking.
- No Surprises Act Support
Support with eligible surprise-billing requirements, including notice and consent considerations, claim handling and dispute workflows.
Credentialing & Contracting
Getting providers enrolled, keeping them enrolled, and improving the terms they are enrolled under.
- Provider Credentialing
Initial credentialing, CAQH maintenance and revalidation tracking, so enrolment never lapses unnoticed.
- Payer Enrollment & Revalidation
Enrolment, revalidation and participation maintenance across commercial and government payers.
- Payer Contracting
Contracting support to improve the terms you are enrolled under, once you can see what you are actually paid.
Practice & Back-Office Support
Front-office and back-office capacity: registration, scheduling and operational support.
- Front-Office & Patient Access
Registration, scheduling and patient contact, where clean claims actually start.
- Healthcare BPO & Back-Office Support
Operational back-office capacity, scoped to the specific work rather than sold as a block of hours.
Start With a Free Revenue Cycle Audit
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost. The report is yours whether or not you engage us.