Our certified coders ensure every CPT, ICD-10, and HCPCS code is applied with precision and backed by thorough documentation. From chronic ulcer management to excisional debridement and skin graft procedures, we minimize errors that cause denials and protect your revenue.

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We help manage the eligibility verification and prior authorization process, coordinating with payers to obtain necessary approvals before services are rendered. By coordinating with your team on these administrative tasks upfront, we help prevent treatment delays, avoid non-reimbursable claims, and allow your clinical team to focus on patient care.

• Coding and Fee Valuation

• Charge Entry

• Quality Assurance of Progress Notes

• Billing Records 

• Eligibility Verification

• Prior Authorization process

Our billing specialists handle end-to-end claims submission across Medicare, Medicaid, and commercial payers. In the event of a denial, we quickly identify the issue, submit appeals, and follow up until payment is secured.

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• Follow-Ups on Denied/Partially Paid/Underpaid Claims

• Appeals

• Insurance Overpayment/Recoupment Process 

• Patient Inquiries/Invoices/Payment Collections

• All Correspondence/Mail Scanning/Filing & Follow-Up

We review payer contracts and monitor claim payments to ensure you receive the highest allowable reimbursement. Our team identifies underpayments and takes immediate corrective action to recover lost revenue.

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• Accounts Receivable

• Advanced Analytics

From charge entry to collections, we deliver comprehensive revenue cycle management. Our focus is on increasing clean claim rates, reducing days in accounts receivable, and accelerating cash flow.

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• Payment Posting/Data Entry

• Bank Deposits for Paper Checks

• EDI/ERA/EFT Enrollment

We streamline the provider credentialing process with Medicare & Medicaid group/individual provider enrollment, as well as a wide range of insurance companies. We ensure your practice gains network participation efficiently. From application preparation to ongoing maintenance, we help you establish and maintain the credentials required for smooth reimbursement.

Our wound care billing services are audit-ready. We stay current with Medicare LCD guidelines and payer-specific policy changes, safeguarding your practice against compliance risks.

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• Industry Updates on all CMS guidelines/requirements

• Support with Audits from Payors, including Medicare ADR (Additional Documentation Request)

• Processing Medical Records requests