Patient Registration & Insurance Verification
Accurate capture of demographics, insurances, prior-authorizations and eligibility before service.
End-to-end hospital revenue cycle services — accurate registration, complete charge capture, UB-04 coding, denial management, and performance dashboards for hospital leadership.
Accurate capture of demographics, insurances, prior-authorizations and eligibility before service.
Complete capture of all billable services, procedures, supplies, labs and diagnostics, aligned with hospital chargemaster standards.
Certified coding, coding audits, modifier application, compliance with payer and regulatory rules.
Electronic & paper claim filing, follow-up, remittance processing, and ERA reconciliation.
Accurate posting of payments, adjustments, patient balances, and credit-balance resolution.
Investigation, correction, resubmission or appeal of denied or rejected claims to maximize collections.
Proactive follow-up on outstanding claims, aging analysis, patient collections, and AR dashboards.
Identify overpayments or patient credits, correct balances, and manage refunds or write-offs.
Comprehensive financial reporting, denial trend analysis, claim cycle metrics, cash-flow forecasting and performance dashboards.
Verify insurance, benefits, prior-authorization requirements before admission or service.
Capture all required patient information and payer details accurately.
Document all services, procedures, supplies, diagnostics — code accurately using ICD-10, CPT, UB-04.
Submit claims electronically or via paper; track through adjudication.
Post payer remittances, patient payments, adjustments, balances.
Analyze denials, correct documentation or codes, resubmit or appeal to recover payment.
Monitor outstanding AR, follow-up, refund credits, and close out accounts.
Provide dashboards and KPIs — cash flow, days in AR, denial rate, revenue capture, and forecast.