Complete Medical Billing & Revenue Cycle Services
From patient intake to final bank reconciliation, we oversee every touchpoint of your billing workflow across complex Workers' Comp, Personal Injury liens, and standard insurance.
Our Standard Billing Process
Intake & Eligibility Verification
Real-time 270/271 electronic eligibility checks verify active coverage, deductible limits, co-insurance percentages, and out-of-pocket maximums before treatment commences.
Prior Authorizations & UR Clearances
We manage pre-authorizations and statutory Workers' Comp Requests for Authorization (RFA). Direct liaison with clinical UR nurses ensures procedures are formally approved before surgery.
AAPC-Certified Coding & Charge Entry
Certified Professional Coders (CPC) review operative notes to assign accurate CPT/HCPCS codes, primary ICD-10 medical necessity pairings, and correct modifiers (25, 59, RT/LT, GP, SG).
Medical Lien Management & LOP
Comprehensive defense of personal injury liens. We register statutory filings (WCAB/DOR), maintain Letter of Protection (LOP) legal trails, and counter arbitrary reduction cuts.
Denial Appeals & Second Reviews (SBR)
Every denial or underpayment is contested within 48 hours. We handle statutory Second Bill Reviews (SBR) and trigger Independent Bill Review (IBR) against unlawful fee reductions.
Posting, Aged A/R & Reconciliation
Daily electronic remittance posting (ERA/835), bank deposit reconciliation, patient billing statements, and aggressive recovery of aged 30/60/90/120+ day balances.
Specialties We Service Across All 12 Divisions
General & Specialty Medicine
Primary care, cardiology, neurology, oncology, endocrinology, nephrology, pulmonology, and pediatrics.
Surgical & Procedural Care
Orthopedics, neurosurgery, cardiovascular surgery, urology, ophthalmology, ENT, and general surgery.
Women's Health
OB/GYN, maternal-fetal medicine, fertility, IVF, midwifery, and reproductive endocrinology.
Diagnostics & Laboratories
Radiology, imaging centers, pathology, clinical lab tests, genetics, and electrodiagnostics (EEG/EMG).
Rehabilitation & Therapy
PT, OT, speech therapy, chiropractic manipulation, acupuncture, and vestibular rehabilitation.
Behavioral Health
Psychiatry, psychology, psychotherapy, ABA therapy, autism care, and addiction treatment programs.
Dental, Vision & Hearing
General and specialty dentistry, oral surgery trauma, optometry, and audiology services.
Nursing & Advanced Practice
Nurse practitioners, physician assistants, CRNAs, nurse midwives, and allied clinical staff.
Medication & Equipment
Pharmacies, infusion centers, specialty pharmaceuticals, DME, prosthetics, and orthotics.
Hospitals & Facilities
Ambulatory Surgery Centers (ASCs), inpatient/outpatient hospitals, SNFs, and rehab centers.
Injury & Lien Management
Workers' compensation, personal injury, occupational clinics, QME, AME, and disability exams.
Other Healthcare Services
Emergency ambulance transportation (ALS/BLS), home health, remote patient monitoring, and telehealth.
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