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Complimentary Claim Audits, No Obligations

Our Service Model

Back office work might not get the spotlight, but it’s the backbone that keeps organizations running smoothly.

Design

Every Business Comes with its own unique Challenges. We collaborate directly with our customers to design solutions tailored to solve their hardest problems and mitigate new ones.

Build

Using Human Centric Approach to develop
advanced solutions to
streamline the most
complex, entrenched
processes.

Deliver

Delivering end to end comprehensive solutions to any part of the world

Services We Offer

We cover the three essential pillars that form the operational backbone of most businesses – Resource optimization, Robust Process flows and Effective review mechanisms

Service End users

  1. Independent laboratories
  2. Physicians
  3. Clinics
  4. Cardio Pain Management Institutions
Get Healthcare Service

Provider Services

  1. Member Management
  2. Member Group Setup
  3. Billing and Payment Posting
  4. Member Calls
Get Healthcare Service

Member Services

  1. Member Management
  2. Member Group Setup
  3. Billing & Payment Posting
  4. Member Calls
Get Healthcare Service

Claims Administration

  1. Claims Intake / Processing / Adjudication
  2. Claims Adjustments / Payments
  3. Business Rules Configuration
  4. COB / Re – Pricing
Get Healthcare Service

Credentialing Services

  1. Provider Data Maintenance / Form Generation
  2. CAQH (Council for Affordable Qaulity Healthcare)
  3. NPPES (National Plan and Provider Enumeration system)
  4. NPI (National Provider Identifiers)
Get Healthcare Service

Eligibility and Insurance Verification

Enhance patient experience, cut costs, and prevent denial of claims
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Charge Entry and Audit

Designed to ensure accurate and efficient data capturing to avoid revenue leakage
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Payment Posting

Our payment posting services ensures Efficient and timely payment posting for quicker payments to maintain your financial health well

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Denial Management

To obtain a good cash flow, it’s important to have an effective denial management procedure in place.learnings from past denials are implemented in future claims to ensure denials are reduced

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AR Management

Rely on us to help you manage your AR backlogs and turn them into cash opportunities
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Revenue Integrity Services

Our Healthcare experts ensure revenue integrity and nullifying revenue leakage thereby ensuring dramatically improving your profits and revenues through a data driven approach

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Service End users

  1. Independent laboratories
  2. Physicians
  3. Clinics
  4. Cardio Pain Management Institutions
Get Healthcare Service

Provider Services

  1. Member Management
  2. Member Group Setup
  3. Billing and Payment Posting
  4. Member Calls
Get Healthcare Service

Member Services

  1. Member Management
  2. Member Group Setup
  3. Billing & Payment Posting
  4. Member Calls
Get Healthcare Service

Claims Administration

  1. Claims Intake / Processing / Adjudication
  2. Claims Adjustments / Payments
  3. Business Rules Configuration
  4. COB / Re – Pricing
  5. Claims Payment
Get Healthcare Service

Credentialing Services

  1. Provider Data Maintenance / Form Generation
  2. CAQH (Council for Affordable Qaulity Healthcare)
  3. NPPES (National Plan and Provider Enumeration system)
  4. NPI (National Provider Identifiers)
Get Healthcare Service

Advantages

Back office outsourcing brings about the obvious value to any industry that relies on high-volume data processing that is organized.
Collection rate
0 %
Claims Submission
0 hr
Coding Accuracy
0 %
HiPPA Compliance
0 %
Clean Claim Rates
0 %
Faster Reimbursements
0 %

Frequently Asked Questions (FAQ)

We identify the root causes of denials and fix them through accurate coding and payer-specific submission practices.
This improves first-pass acceptance and reduces rework for your team.

We manage the entire billing cycle, from patient registration to final payment and AR follow-ups.
You can also choose specific services based on your operational needs.

Most clients start seeing measurable improvements within the first 60 to 90 days.
Our structured processes help accelerate reimbursements and reduce outstanding AR.

Yes, our team is experienced with multiple billing platforms and EMR/EHR systems.
We integrate seamlessly without disrupting your current workflows.

Enhance Patient experience, Cut costs, and Avoid Claim Denials

Don’t settle for costly billing errors and frustrating claim denials. We understand that medical practices of all sizes need customized solutions to ensure accurate and efficient eligibility verification processes. Our extensive experience in working with both government insurance and commercial insurance companies such as BCBS, UHC, Aetna, and GHI enables us to provide comprehensive support for all medical specialties. As we strive towards excellence daily by providing customized solutions that align perfectly with our client’s needs.

Improved Patient experience

Accelerated self-pay revenue

Increase cash flow

Experience team of professionals

Enhance Revenue Accuracy and Compliance with Our Comprehensive Charge Entry and Audit Solutions

Failing to properly document care-related information can cause significant monetary losses. To ensure reimbursement, charge capture is required. This involves assigning a financial value to patient accounts based on the corresponding medical codes and the prices set by the fee schedule. Accuracy is paramount, as miscalculations may mean denials of claims. Our Workflow solutions are designed to reduce issues associated with lost revenue while optimizing charge capture processes.
Our team of charge entry specialists delivers unmatched accuracy, streamlines processing costs, and speeds up cash flow. Trust us to handle your high-volume transactions with ease and precision. Join the ranks of healthcare professionals who have already taken their revenue cycle to the next level

Improved efficiency & profitability

Reduced claim rejections or denials

Reduced operational complexities

Dashboard with real-time reporting

Track denials with ease and file claim faster

Responsive customer support team

Transform your revenue cycle Payment Posting Services

Health care continues to evolve, as do the challenges that come with it. A major pain point for healthcare providers is payment posting and medical billing. It can be tedious, time-consuming, and prone to errors. By outsourcing this task to a professional service provider, healthcare staff have more time to devote to treating patients and providing high-quality care.
Boost processing accuracy and maximize collections effectiveness for your healthcare practice. With our simplified payment posting process, you’ll gain clarity into the condition of your revenue cycle like never before.

Delivery with over 97% accuracy

24-48 hrs Turn Around Time

Improved patient care and financial performance

Processing of Denials and Follow-up with Payers

Put an End to Denials and Increase your Cash Flow

Denial management is a necessary part of maintaining a profitable cash flow and effective revenue cycle management. Claim denials may stem from several steps in the revenue cycle process. Healthcare organizations should take claims rejection and lost income seriously. Our denial management approach supplies insight into the claim’s problems, as well as the chance to rectify them.

Utilize our tried-and-true methodology for better revenue cycle management, including denial management. Benefit from our knowledge to understand why claims are denied and how to steer clear of future denials and receive payment quicker. We follow a specific organized approach with well-defined tactics, which ensure the best outcomes and streamline collection procedures.

Reduced Claim Denials

Quick Turn Around Time

Increase the cash flow

Better Revenue Cycle Management

Measure success with AR reports and denial analytics

Say goodbye to AR backlog woes!

Managing accounts receivables in healthcare organizations has become increasingly challenging due to rigorous federal regulations. Thus, it’s crucial to ensure that your accounts receivables (AR) process is top-notch. Fortunately, we can help you tackle this with the right assistance and systematic approach. Let’s help you stay compliant with federal regulations and get the money you’re owed.
Reduced Claim Denials

Customized A/R workflow management system

Boosts collection rate by 7%

Reduced write-offs

Improved cash flow

Continuous follow-up with insurance companies

Quick Turn Around Time

Enhance Revenue, Minimize Risks, and Boost Profits.

Data-Driven Strategy to Enhance Revenue
The beginning point of setting up a revenue integrity plan is auditing and identifying the primary sources of income loss. Our revenue integrity experts can provide assistance in attaining revolutionary outcomes in terms of improved financial results and increased profits.
Structured Revenue Integrity Program
Our services and technology allow us to enhance coding precision, facilitate clinical documentation, minimize DNFB, ensure charge accuracy, and implement quality assurance processes and procedures for greater compliance.
Payment Variance Analysis
We analyse denied and underpaid claims to manage appeals processes and ensure proper reimbursement. Moreover, we perform root cause analysis to address related matters in the front office and mid-revenue cycle.
Reduced Claim Denials

Improved efficiency & profitability

Reduced claim rejections or denials

Reduced operational complexities

Dashboard with real-time reporting

Track denials with ease and file claim faster