The cycle, named as separate pieces of work.

32 shown

• Revenue cycle

  End-to-End Revenue Cycle Management

  Proposed end-to-end revenue cycle management for US practices, from eligibility and coding through denials, patient balances, and reporting.

• Revenue cycle

  Medical Billing Services

  Professional claim work from the signed encounter through submission, posting, and the follow-up that still has an owner.

• Patient access

  Insurance Eligibility and Benefits Verification

  Electronic and manual insurance eligibility checks so practices know coverage status, copay, deductible, and common benefit limits before they bill.

• Patient access

  Prior Authorization Support

  Prior authorization tracking for procedures, imaging, and other services payers require to be approved before a professional claim is submitted.

• Patient access

  Virtual Assistant Services

  Scheduling, registration, eligibility, and referral calls handled off the front desk, with clinical advice left in the practice.

• Patient access

  Provider Credentialing and Enrollment

  Initial enrollment, re-credentialing, and separate commercial, Medicare, and Medicaid applications, tracked to an effective date.

• Patient access

  Payer Contracting Support

  Support for reading, organizing, and following up on payer contract terms that affect professional reimbursement. Not legal advice.

• Coding and claims

  Medical Coding Services

  Professional coding from clinical documentation using ICD-10-CM, CPT, and HCPCS, with queries when the note does not support the code.

• Coding and claims

  Charge Capture and Charge Entry

  Reconciliation of scheduled and completed encounters to entered charges so visits and procedures are not left unbilled.

• Coding and claims

  Claims Scrubbing and Electronic Claims Submission

  Pre-submission claim edits and electronic 837 submission, with acknowledgement review so rejections are corrected before they age.

• Coding and claims

  Telehealth Billing

  Billing support for telehealth visits, including place of service, modality, and payer-specific rules that change more often than office-visit rules.

• Coding and claims

  Workers' Compensation Billing

  Billing support for workers' compensation claims, including claim numbers, state-form habits, and documentation of causal relationship to the injury.

• Coding and claims

  Medicare and Medicaid Billing

  Professional billing support for Medicare and Medicaid rules, including enrollment, ABN situations, and payer-specific modifiers. Not a legal opinion.

• Coding and claims

  Out-of-Network Billing Support

  Support for out-of-network professional claims, patient cost conversations, and surprise-billing boundaries. Not legal advice.

• Coding and claims

  Value-Based Care Billing Support

  Operational support for care-management and quality-program billing that sits beside fee-for-service claims. No quality-score guarantees.

• Payments and A/R

  Payment Posting and Reconciliation

  Posting of payer and patient payments with reconciliation to the deposit, so contractual adjustments are not chased as unpaid claims.

• Payments and A/R

  ERA and EOB Processing

  Reading electronic remittance advice and paper or portal explanations of benefits so payments, adjustments, and denials are coded correctly.

• Payments and A/R

  Denial Management and Appeals

  Denial categorization, corrected claims, and appeals with root-cause feedback so the same preventable denial does not return next month.

• Payments and A/R

  Accounts Receivable Follow-Up

  Structured follow-up on open professional claims and balances, ordered by filing risk and reason, not only by the largest dollar amount.

• Payments and A/R

  Aging A/R Recovery

  A defined project to sort aged professional balances into payable, appealable, patient, and write-off groups. Recovery is not guaranteed.

• Payments and A/R

  Patient Billing and Statements

  Patient statements and balance explanations that follow the remit, with estimates labeled as estimates and no collection of clinical details on this website.

• Payments and A/R

  Patient Collections Support

  Respectful follow-up on overdue patient balances under the practice's policy, with a clear stop before outside collections. Not a debt buyer.

• Payments and A/R

  Revenue Cycle Auditing

  Focused reviews of coding, charge capture, posting, and denial handling. Findings are teaching tools, not a certified audit opinion.

• Payments and A/R

  Billing Compliance Support

  Practical billing-compliance support: documentation queries, refund handling, and workforce habits. Not a certification and not legal advice.

• Payments and A/R

  Financial Analytics and Reporting

  Revenue-cycle reporting that defines each measure, reconciles to the billing system, and separates activity from outcomes.

• Technology and operations

  Practice Management Services

  Operational support for the administrative settings that make billing possible: fee schedules, provider files, claim rules, and work queues.

• Technology and operations

  EHR and EMR Integration Support

  Practical support for getting charges, documents, and remits to move between the systems a practice already uses. No named vendor partnership is claimed.

• Technology and operations

  Clearinghouse Coordination

  Setup and daily coordination with the practice's clearinghouse for 837 submission, acknowledgements, eligibility, and 835 remits.

• Technology and operations

  RCM Automation and Workflow Optimization

  Selective automation of repetitive billing steps, with a person responsible for exceptions. Automation is proposed only where a rule is stable.

• Technology and operations

  AI-Assisted Billing Operations

  A proposed assistive model for sorting billing work, with human review, privacy limits, and no claim that an unattended model submits claims.

• Patient access

  State Licensing Services

  Board applications, endorsements, and renewals for the license a clinician needs before payer enrollment can use it.

• Technology and operations

  Medical Scribing Services

  Real-time documentation in the practice EMR during the visit, reviewed and signed by the provider before coding.