Get paid faster • Reduce denials • Stay compliant

Stop losing revenue to slow follow-up, claim errors, and unpaid denials. We provide end-to-end Revenue Cycle Management (RCM), so your team can focus on patients—while we manage the back office.

What We Handle (Start-to-Finish RCM)

Eligibility & Benefits Verification

  • Real-time coverage checks, copays/coinsurance, deductibles, and authorizations.
  • Document benefits and patient responsibility
  • Set up new patient accounts for clean claim submission.
  • Flag out-of-network issues early

Billing & Claims Submission

  • Charge entry/claim creation (as agreed)
  • Claim scrubbing and electronic submission.
  • Timely filing and payer rule compliance
  • A/R follow-up and payer outreach

Coding Support

  • CPT/HCPCS/ICD-10 alignment and modifier review
  • Charge capture support
  • Documentation prompts to reduce denials and audit risk.

Payment Posting

  • ERA/EOB posting and reconciliation.
  • Adjustments and patient responsibility tracking
  • Secondary claims coordination
  • Patient statement support (optional)

Denials • Rejections • Appeals

  • Rejection corrections within 24–72 hours (target)
  • Denial categorization, appeal packets, and resubmissions
  • Trend reporting + prevention plan to reduce repeat denials.

Credentialing & Enrollment

  • CAQH setup/maintenance
  • Payer enrollment (commercial + Medicaid/Medicare where applicable)
  • Recredentialing, revalidation, and demographic updates

Results You Can Expect

  • Fewer claim errors and faster reimbursement
  • Reduced A/R through consistent follow-up
  • Clear reporting on collections, denials, and pipeline status
  • Stronger compliance and less revenue leakage

Connect With Us

Take the next step in optimizing your practice’s operations and revenue. Our team is dedicated to helping you streamline processes and achieve lasting results. Contact us today at 914-318-4686 to see how we can support your success.