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Comprehensive Revenue Cycle Solutions

All Services Overview

End-to-End Revenue Cycle Lifecycle

Explore our 9 dedicated services categorized by front-end intake, mid-cycle coding & billing, and back-end liquidation.

Front-End RCM

Insurance Verification & Eligibility

Real-time patient eligibility confirmation, copay/deductible discovery, and prior authorization clearance before clinical care is rendered.

  • 99.4% verification accuracy
  • Urgent checks in under 2 hours
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Mid-Cycle RCM

Medical Coding & Documentation

Certified AAPC/AHIMA coders ensuring precise ICD-10, CPT, and HCPCS code assignment to maximize legal reimbursement and protect compliance.

  • 98.5% coding accuracy
  • NCCI edit resolution & audits
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Mid-Cycle RCM

Precision Charge Entry

Rapid, zero-defect charge entry across superbills, EMR exports, and encounter tickets with double-level quality assurance checks.

  • 24 to 48-hr turnaround
  • 100% batch reconciliation
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Mid-Cycle RCM

Electronic Claims Submission

Automated ANSI 837 claim transmission through clearinghouses with multi-level rule scrubbing to guarantee clean claim acceptance.

  • 99.2% clean claim rate
  • Instant 277 acknowledgement
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Back-End RCM

Payment Posting & Reconciliation

Prompt line-item ERA 835 and manual EOB posting, deposit reconciliation, contractual adjustment auditing, and patient billing transfers.

  • 24-hr posting turnaround
  • Zero unapplied cash guarantee
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Back-End RCM

Denial & Rejection Management

Systematic root-cause analytics and aggressive appeal workflows. We overturn up to 82% of denied claims and prevent recurring rejections.

  • 82% denial overturn rate
  • < 7 days average appeal turnaround
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Back-End RCM

Accounts Receivable (A/R) Follow-Up

Relentless follow-up on aged balances (30, 60, 90, 120+ days). We drive down Days Sales Outstanding (DSO) to under 30 days.

  • Average DSO under 30 days
  • 65% reduction in >90 day A/R
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Compliance

Credit Balance Resolution

Protect your practice against compliance fines. We investigate overpayments, reconcile credit balances, and process audit-ready refunds.

  • 100% CMS compliance assurance
  • Payer takeback reconciliation
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Full Outsourcing

Turnkey Medical Billing Services

Comprehensive practice outsourcing. Dedicated account billing teams, practice health scorecards, and a proven 15% to 25% revenue lift.

  • Dedicated billing account manager
  • Real-time client reporting dashboard
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