Our Way to Provide You with Solutions
Our teams are efficient and perform step by step to ensure you are delivered with maximum revenue. Our work starts when the patient calls the provider’s office for an appointment, and the front office staff captures the patient’s demographics and insurance information.
This Is How We Do It
Pre-Visit Activities
- Keep Track of Provider’s Schedule
- Perform Prior Eligibility
- Determine Plan Coverage
- Obtain Prior Authorization/Referrals
- Calculate Patient’s Responsibility in Advance (Co-pay, Co-ins, Deductible)
- Set Alerts for Front Office and Provider Regarding Billing Issues
Post-Visit Activities
- Claim Scrubbing (Validating ICD, CPT, Modifiers & LCD)
- Applying Plan-Specific Rules
- Attaching Required Documentation with Claims
- Best Turnaround Time
- Aggressive Follow-ups
Additional Activities
- Reporting
- Efficient Support (Dedicated Email Group – Support Over Phone)
- Ad-hoc Reporting Upon Request
- EDI Enrollments
- Credentialing
- Regular QA Audits
We Take Pride in Doing Each Task at Our Back Office
Back Office Outsourcing
Our back-office teams work with the front-office staff/team in a real-time environment using telephone, chat, and email tools. This combination of front and back-office services allows an organization to reduce costs and improve productivity.