Billing and revenue cycle
Credentialing gets you approved. Billing gets you paid. We set up billing so claims go out right the first time, then manage the monthly cycle or clean up balances that have fallen behind.
Billing setup
For new practices and programs, or anyone changing systems.
- Billing assessment of how things work today
- Payer setup in your billing or EHR system
- Electronic payment (EFT) and remittance (ERA) enrollment
- Claim workflow from visit to payment
Monthly management
We run the cycle every month.
- Claims submitted and tracked
- Payments posted
- Denials worked and appealed
- Monthly reporting on what was billed and collected
Clean-up
For balances that have been sitting.
- Review of unpaid and aging claims
- Rebilling and corrected claims
- Appeals where they're worth pursuing
- A plan to keep it from building up again
Why billing starts with credentialing
Most denied claims for new practices aren't coding problems. They come from a provider who isn't linked to the group yet, an address that doesn't match the payer's file, or an effective date that hasn't started. Because we also handle credentialing, we catch those before the claim goes out.
Protecting patient information
Billing work involves patient information, so every billing client signs a Business Associate Agreement with us before work begins, as HIPAA requires.
Please don't send patient information through this website. We'll set up a secure way to share it once an agreement is in place.
Tell us how billing works today.
In-house, another company, or not billing yet: each one starts differently.