Coding/charge capture Electronic Billing to Medicare & Medicaid Electronic Billing to Commercial Insurances Encounter claims HMO Capitated claims Self Pay Patient claims

We provide HEDIS coding services to help insurers meet NCQA quality goals.

Focused chart review HCC validation through RADV audit Chart audit summary reports Report of missing/embedded/suspect codes

Payment Posting Monthly Aging Reports Follow ups on pending claims over 60 days Payer/insurance follow-up Self-pay follow-up Receivables analysis Denials management Ongoing monitoring and reporting of receivables risk exposure Collections management Medicare accounts receivable services

Medicare & Medicaid Issues ICD 10 Coding CPT Coding HCPS Coding Insurance guidelines and regulations Superbills upon request And much more!

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