Utilizing experience and integrity, we provide efficient and effective medical billing services and consulting that enable our clients to achieve greater revenue and profits.
For our clients, we shall treat them with respect and dignity. It is our responsibility to service our clients with C.A.R.E. (Customers Are Really Everything) Let's face it, we would not have a business without our clients. All clients are important. Educating our clients is very essential to our success. We want our clients to succeed in their billing and documentation. We are committed to helping our clients achieve their financial and business goals. Our Core Values need to be demonstrated in all that we do. Our Core Values are:
Respect Integrity Competency HumilityWe post payments utilizing Electronic Remittance and received EOB's. All checks and paper EOB'S will be delivered to your office, however we will ease your burden of payment posting. The Electronic Remittance will be delivered and posted automatically.
If your office needs scheduling and registration, our system will not only meet those needs, in addition, your patient demographics will be the same for our billing. Your staff can enter the patient information, and immediately, that information will be available to process charges. Imagine, no more double entry and less paperwork!
The fantastic part of our billing model is you have access to your patient information anytime, anywhere. Management Reports are available at all times using your login and password. Example: You need to know if an insurance is paying on time. Just a few clicks away and you will know who your good paying insurance is and which one is not.
Patient Statements are mailed monthly. Postage is excluded in the service fee. If the patient does not pay after the 90 day statement is due, she will receive another letter which at that time will begin a process of collection.
We bill all claims electronically, unless the insurance does not accept this type. The electronic billing has several levels of checking the claim. With each level, we are able to correct a problem before it gets denied at the insurance company, saving valuable time and money. Demographics, zip codes, diagnosis codes and many other data entry checks are done.
With sufficient prior notification, we will verify patient benefits and or eligibility from insurance companies prior to appointment time. We deliver (via secure email or fax) a patient benefit verification sheet with pertinent data to you.
With sufficient prior notification, we can obtain patient pre-authorizations from insurance companies prior to appointment time. We deliver (via secure email or fax) a pre-authorization form with all pertinent data to you.
Do you work in an office that offer your patients the capability to pay you by credit card, through your secure portal to receive credit card payments at the time of service for co-pays, deductibles or other outstanding balances, we do include this services of resolving their queries & than making their payment on to your credit card portal.
We understand that every rejection case is unique. We correct invalid or incorrect medical codes, provide supporting clinical documents, appeal any denial of prior authorization, and understand any true denials so that the responsibility can be transferred to patients for effective follow-up. Before resubmission, we will re-verify all clinical information.
We provide end-to-end medical billing services for hospitals, medical group practitioners and independent doctors. We have the knowledge, technology and experience to optimize the performance of your business. Our certified medical billing and AR staff will carefully track and trace each claim until payment is received. We have dedicated AR managers working with health insurance payers and patients.
At your request, we can prepare applications and required paperwork for managed care companies.
We are experts in the most popular electronic medical records and practice management systems. The following is a list of examples of system management practices, we use electronic medical records. If you don’t see your software here, please do not worry because we know the subject & processes of RCM remains the same just colors & views here & there. we will be able to handle any type of Software's.
Innovation. Discipline. Talent.
Given the challenges facing the healthcare delivery system, hospitals need a partner that cares for their business the way they care for patients. Our Hospital RCM is uniquely positioned to help anticipate the new normal.
Strategic outsourcing solutions designed to reshape and optimize revenue cycle operations
Our Hospital & Health System point solutions offer strategic expertise in Patient Access & Experience, Clinical Revenue Integrity and A/R Management.
Achieve sustainable performance across your front-end, mid-cycle, and back-end revenue cycle functions
Provide complete and accurate clinical documentation and coding to enhance revenue capture and reduce leakage
Leverage industry-leading expertise and automation to increase cash flow, decrease denials and reduce cycle time
Strategic outsourcing solutions designed to improve and optimize practice revenue cycle operations. Beyond managing existing workflows, our Physician RCM transforms the revenue cycle with a total focus on mitigating denials, reducing the cost to collect and maximizing reimbursement. Our Physician Practice solutions balance completeness, correctness and promptness of payment with a drive to deliver an exceptional patient experience.
Focus on front-end performance to prevent downstream challenges
Focus on front-end performance to prevent downstream challenges
Increase cash and net collections with insightful business support
5000 Birch St Ste 3000
Newport Beach CA 92660-2140