FAQs

Frequently Asked Questions

Billing Insights & Answers

Find clear answers to common questions about our medical billing, coding, and credentialing services.

We offer end-to-end Revenue Cycle Management (RCM) as well as specialized individual solutions for healthcare providers. Our services span the entire billing lifecycle, including Benefits Verification, Prior Authorization, Claim Submission, Claim Scrubbing, Payment Posting, Denial Management, AR Follow-Up, AR Recovery, Patient Billing, Patient Call Handling, Virtual Medical Assistants, Medical Coding, Provider Credentialing, and Enrollment Services.

We tackle denials proactively from two angles: pre-submission prevention and post-submission resolution. Before claims go out, we perform rigorous claim scrubbing, NCCI edit auditing, and eligibility verification. If a denial does occur, our Denial Management team immediately conducts root-cause analysis and submits tailored, evidence-based appeals to overturn unpaid claims.

Yes. Our team is platform-agnostic and seamlessly integrates with all major EHR and Practice Management software systems (including Kareo, eClinicalWorks, AdvancedMD, AthenaHealth, Epic, and more). You do not need to switch your software to work with us.

Our structured Enrollment and Onboarding pipeline typically takes 7 to 14 business days. We handle all necessary EDI, ERA, and EFT setups behind the scenes to ensure a smooth transition with zero interruption to your active patient care or daily practice cash flow.

We provide end-to-end patient billing support designed to increase self-pay collections while maintaining compassionate patient relationships. This includes sending clear, easy-to-read e-statements, setting up online payment portals, offering flexible payment plans, and providing dedicated Patient Call Handling where our HIPAA-compliant representatives resolve billing questions directly over the phone.

Absolutely. Our AR Recovery and AR Follow-Up services are specifically designed to audit historical accounts receivable past 90, 120, and 180+ days. We prioritize high-value claims, correct legacy errors, and aggressively re-submit or appeal stale claims to extract hidden revenue sitting on your books.

Yes. Our team consists of certified medical coders specializing in ICD-10-CM, CPT, and HCPCS Level II coding. We perform operative report auditing, modifier optimization, and continuous compliance reviews to ensure your practice receives accurate reimbursement while staying protected from audit risks.

Provider Credentialing focuses on primary source verification, background checks, and securing approval for individual clinicians to join insurance panels and maintain active status (including CAQH maintenance). Enrollment Services focus on technical infrastructure—linking your practice's Tax ID, NPI, clearinghouse routing, and setting up EDI/ERA/EFT connections so electronic payments deposit directly into your bank account.

We serve healthcare providers across all clinical settings in the United States, ranging from solo medical practices and multi-specialty group clinics to outpatient facilities, surgical centers, and hospital billing environments.

Getting started is simple! Contact us to schedule a free, no-obligation Revenue & Billing Audit. Our specialists will review your current workflow, identify billing bottlenecks and revenue leaks, and present a customized plan to optimize your revenue cycle.

Got Anymore Questions?

Professional Medical Billing Solutions.

Medical Billing

We accelerate your reimbursement with precise claim processing and denial management.
24/7 Billing Support

347-315-4610

Compliance Focus

Ensuring every claim adheres to the latest industry regulations and coding standards.