Healthcare Business Consulting & Licensing

Medical Billing & Revenue Cycle Support

Most practices do not have a billing problem; they have a workflow problem that shows up in the AR report. We map the cycle from scheduling to posting and fix the steps that create denials.

Setup

  • Fee schedule build and payer allowable comparison
  • Clearinghouse and EHR billing configuration
  • Charge capture and coding workflow design
  • Eligibility verification and prior authorization process

Cleanup and recovery

  • Aged AR analysis by payer and denial reason
  • Denial root-cause report with corrective steps
  • Appeal letter templates and resubmission workflow
  • Monthly KPI dashboard: days in AR, clean claim rate, net collection rate

What you receive

  • Documented revenue cycle workflow
  • Configured fee schedule and clearinghouse
  • Denial and AR analysis report
  • KPI dashboard and monthly reporting cadence
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