Medical Billing

Charge capture, coding review, claim scrubbing, and daily submissions with a documented denial-prevention protocol on every account.

✔  Daily claim submission

✔  Coding and modifier review

✔  Patient statements & support desk

✔  Payment posting and reconciliation

Revenue Cycle Management

Full ownership of the revenue cycle from eligibility through zero balance, with monthly Practice Health Reports and a sub-5% aging target.

✔  Eligibility and benefits verification

✔  Prior authorization lifecycle

✔  Denial root-cause analysis

✔  A/R recovery and cleanup

Medical Credentialing

Enrollment and contracting across commercial and government payers, with a maintained revalidation calendar so no provider ever falls out of network.

✔  Initial and group enrollment

✔  CAQH build and attestation

✔  Contract and fee schedule review

✔  Revalidations and renewals

Healthcare Consulting & Training

Executive advisory for practice owners: financial diagnostics, workflow redesign, staffing models, and payer strategy grounded in operating experience.

✔  Revenue cycle assessment

✔  Workflow and staffing design 

✔  How to incorporate AI

✔  Payer mix and contract strategy

✔  Compliance readiness review