Single-Page Comprehensive Directory

All 12 Specialized Healthcare
RCM & Operations Offerings.

Explore our complete scope of services on this single page. From patient intake and benefit verification through charge entry, claim submission, denial recovery, and executive financial reporting.

98.5% First-Pass Clean Rate
< 32 Days Average AR
Top 5 EHRs: eClinicalWorks, Cerner, Epic, NextGen, Meditech
SERVICE 01 / 12 Core RCM Clean Intake Engine

Patient Registration Support

We eliminate typos and incomplete demographic records that lead to claim rejections. Our team handles new patient chart creation, scans and indexes ID cards, verifies address and subscriber data, and manages digital intake forms.

Core Scope of Work & Deliverables

Patient demographic data entry into EHR/PMS within 2 hours
Insurance card image indexing and OCR data extraction
Guarantor and relationship to subscriber validation
Patient portal account creation & invitation dispatch
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Patient registration coordinator entering EHR demographic charts and scanning ID cards
OCR Demographic Intake
Performance Benchmarks
< 2 Hrs
Intake Data Entry TAT
99.8%
Demographic Accuracy
100%
Guarantor Validation
Automating OCR extraction from patient insurance cards straight into your EHR master patient index.
SERVICE 02 / 12 Core RCM Front-End Denial Stopper

Insurance Eligibility & Benefits Verification

Up to 60% of billing denials originate at the front desk. We verify patient active coverage 48-72 hours before the scheduled appointment, confirm benefits, verify in-network status, and secure necessary prior authorization numbers.

Core Scope of Work & Deliverables

Primary, secondary, and tertiary coverage confirmation
Detailed breakdown of deductible, copay, coinsurance & OOP Max
Prior authorization acquisition & tracking with payers
Pre-service patient financial responsibility estimation
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Insurance eligibility coordinator verifying patient coverage and deductible breakdown
EDI 270/271 Verification
Performance Benchmarks
99.4%
Verification Accuracy Rate
0%
Eligibility Denials
48-72h
Pre-Visit Clearance SLA
Securing accurate patient coverage and prior auth clearance before the patient enters the clinic.
SERVICE 03 / 12 Core RCM Flagship End-to-End

Revenue Cycle Management (RCM)

Complete, unified revenue cycle ownership from pre-encounter intake and benefits verification through to final zero-balance settlement. Our dedicated RCM managers combine automated rule engines with credentialed billing specialists to eliminate revenue leakage at every touchpoint.

Core Scope of Work & Deliverables

Full lifecycle claim management from intake to zero balance
Clearinghouse rejection remediation within 4 hours
Denial root-cause prevention and clinical appeal pursuit
Weekly and monthly executive financial collection dashboards
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Revenue Cycle Management specialist working with EHR systems
End-to-End RCM
Performance Benchmarks
98.5%
First-Pass Clean Claim Rate
30%
Overhead Reduction
< 24h
Clean Transmission SLA
Certified Six-Sigma quality governance with dedicated billing teams and transparent financial reporting.
SERVICE 04 / 12 Specialty Billing CMS-1500 & UB-04 Precision

Physician & Hospital Billing

Complex outpatient and inpatient charge capture, DRG validation, modifier optimization (25, 59, 91), institutional UB-04 and professional CMS-1500 claims, ensuring strict payer guideline compliance and zero revenue leakage.

Core Scope of Work & Deliverables

Inpatient & outpatient clinical charge entry and review
Modifier 25, 59, 91 optimization & compliance checks
Hospital facility fee and professional fee billing synchronization
Secondary & tertiary crossover claim management
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Physician and hospital billing specialists reviewing clinical chart encounters
CMS-1500 & UB-04
Performance Benchmarks
24-48h
Encounter-to-Claim TAT
99.1%
Billing Accuracy Rate
100%
Timely Filing Compliance
Expert support covering solo private clinics, health systems, and high-volume specialty surgical centers.
SERVICE 05 / 12 Specialty Billing Dental & Medical Cross-Billing

Dental Billing & DSO Solutions

Dental billing requires dedicated CDT dental billing expertise, breakdown of maximum benefits, frequency limitation tracking, narrative attachments, and medical-dental cross-billing for oral surgery and sleep apnea procedures.

Core Scope of Work & Deliverables

Comprehensive dental insurance verification & history
Dental claim validation and clinical narrative attachment
Medical-dental cross-billing for oral surgery cases
Dentrix, Eaglesoft, Open Dental, and Curve Dental expertise
Supported Platforms: Dentrix, Eaglesoft, Open Dental, Curve Dental, plus Epic Wisdom & major dental PMS
Dental billing specialist verifying CDT codes and clinical X-rays
CDT & Cross-Billing
Performance Benchmarks
97.8%
Net Collection Ratio
100%
Pre-Auth Accuracy
Same-Day
Claim Scrub & Batching
Trusted by single-chair cosmetic clinics to nationwide multi-location DSO practices.
SERVICE 06 / 12 Claims & AR Zero Timely Filing Write-offs

Claims Processing & Follow-up

We don't wait for denials to happen. Our automated claim scrubbers catch missing NPIs, invalid policy numbers, and bundling conflicts prior to submission, while dedicated follow-up teams track claims from Day 14 onward.

Core Scope of Work & Deliverables

Pre-submission scrub against 10,000+ custom payer rules
Clearinghouse rejection remediation within 4 hours
Proactive live-agent and automated IVR payer follow-up
Timely filing guarantee on all primary & secondary claims
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Electronic claim scrubbing and clearinghouse EDI 837 transmission dashboard
Clearinghouse EDI 837
Performance Benchmarks
0
Filing Write-offs
4-Hr TAT
Rejection Resolution SLA
99.2%
Clean Transmission Rate
Direct clearinghouse connections with real-time 277 claim acknowledgment tracking.
SERVICE 07 / 12 Claims & AR 100% Financial Balancing

Payment Posting & Reconciliation

Accurate financial books start with flawless payment posting. We process electronic remittance advices (835 ERA) and paper EOBs, verify contractual allowances, identify copay/deductible shifts, and perform daily bank balance reconciliations.

Core Scope of Work & Deliverables

Automated and manual 835/EOB posting within 24 hours
Secondary billing triggers immediately upon primary post
Contractual fee schedule adjustment verification
Daily bank deposit vs PMS cash reconciliation reports
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Payment posting specialist reconciling electronic ERA 835 remittance with bank statements
ERA 835 Balancing
Performance Benchmarks
24-Hr
ERA/EOB Posting TAT
99.9%
Ledger Balancing Accuracy
0 Leakage
Zero Unallocated Balances
Every dollar accounted for down to the cent with automated electronic secondary crossovers.
SERVICE 08 / 12 Claims & AR Rapid Overturn Engine

Denial Management & Appeals

Denials are not write-offs. Our denial experts categorize every rejection into clinical, technical, or administrative buckets, author evidence-backed appeal letters with clinical documentation, and fix the root causes in front-desk and billing workflows.

Core Scope of Work & Deliverables

Detailed CARC & RARC code root-cause classification
Clinical medical necessity appeal letters with medical records
Re-submission of corrected claims within 48 hours
Monthly Denial Trend Heatmap and front-end coaching
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Denial management appeal specialists analyzing clinical documentation and CARC codes
CARC & RARC Engine
Performance Benchmarks
68%
Denied Claim Overturn Rate
45%
Denial Rate Reduction
48-Hr
Appeal Filing SLA
Recovering lost revenue with rigorous payer policy knowledge across Medicare, Medicaid, and Commercial plans.
SERVICE 09 / 12 Claims & AR Cash Velocity Engine

Accounts Receivable (AR) Management

We systematically audit aged receivables, eliminate uncollected backlogs, resolve stalled insurance claims, and establish ethical, patient-friendly balance resolution workflows that protect patient relationships while accelerating cash flow.

Core Scope of Work & Deliverables

Exhaustive bucket aging analysis (30-60-90-120+ days)
High-dollar and high-priority claim triage for immediate cash impact
Payer escalation to dedicated provider relations representatives
Bad-debt mitigation and compliant write-off policy reviews
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Accounts receivable aging review and healthcare financial ledger audit
AR Recovery & Aging
Performance Benchmarks
< 32 Days
Average Days in AR (DAR)
+25%
Cash Velocity Boost
< 8%
AR Aging > 90 Days
Persistent, compliant insurance aging triage and clean account resolution strategies.
SERVICE 10 / 12 Audits & Quality Revenue Integrity Governance

Quality Assurance & Process Audits

Our dedicated QA audit department performs continuous sampling of charge charts, billed claims, and financial postings against CMS guidelines, HIPAA regulations, and commercial payer contracts to ensure revenue integrity and compliance.

Core Scope of Work & Deliverables

Random and targeted billing accuracy audits across specialties
Documentation improvement recommendations for clinicians
HIPAA, SOC 2, and OIG billing compliance reviews
Root-cause error correction matrix & continuous staff training
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Quality assurance auditors reviewing healthcare compliance and billing accuracy standards
Six-Sigma Governance
Performance Benchmarks
99.8%
Audit Sampling Reliability
100%
OIG & HIPAA Alignment
Six-Sigma
Quality Standardization
Protecting practices from compliance exposure while identifying under-coded revenue opportunities.
SERVICE 11 / 12 Audits & Quality Executive BI Intelligence

RCM Reporting & Analytics

Transform raw billing data into strategic growth insights. We provide customizable executive dashboards featuring key performance indicators: Net Collection Rate, Days in AR, First-Pass Yield, Denial Distribution, and Provider RVU Productivity.

Core Scope of Work & Deliverables

Interactive 24/7 web-based BI financial dashboards
Monthly executive review meetings with RCM strategists
Payer turnaround time and contract reimbursement comparison
Provider RVU and specialty productivity metrics
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
Healthcare executive BI dashboard displaying RCM collection analytics and cash velocity metrics
Executive BI Insights
Performance Benchmarks
100%
Real-Time Visibility
Monthly
Strategy Briefings
Predictive
Cash Flow Forecasting
Clear, unvarnished financial intelligence powering board-level healthcare decision making.
SERVICE 12 / 12 BPO & Operations 24/7 Overnight Processing

Data Processing & Healthcare BPO

We transform paper and unstructured electronic medical records into organized, searchable, and compliant digital data. With 24/7 global delivery centers, we process high-volume health records overnight with strict data privacy.

Core Scope of Work & Deliverables

Medical record indexing & electronic document filing
E-fax, referral, and lab result routing into patient charts
Historical paper chart digitization and OCR processing
Scalable overnight processing for next-morning readiness
Supported Platforms: eClinicalWorks, Cerner, Epic, NextGen Healthcare, Meditech (and majority of EPMs)
24/7 global operations center indexing electronic health records and lab results
24/7 Global Delivery
Performance Benchmarks
12-Hr TAT
Overnight Indexing SLA
99.9%
Data Fidelity & Accuracy
24/7/365
Global Operational Hub
Eliminating clerical backlogs so clinicians find vital records organized the moment they start their day.