Option A

Medical Coding, Billing & RCM

  • Medical Coding by Certified Specialty-specific Coders
  • Claim Transfer within 48 hours
  • Payment Posting within 48 hours
  • Denial Management via Bliss Tool Capture, Track, Correct and Resubmission within 48 hours
  • Patient Statement Mailing
  • Patient Phone Support - Bilingual Staff
  • Daily/Weekly/Monthly RCM Progress Reporting
  • 10 KPI Reports via Bliss Tool
  • MIPS/MACRA Consultation Support
  • Clinical Documentation Improvement by Certified Specialists
  • Schedule Workflow Demo

Option B

Coding Audit, Medical Billing & RCM

  • Medical Coding Audit by Certified Specialty-specific Coders
  • Claim Transfer within 48 hours
  • Payment Posting within 48 hours
  • Denial Management via Bliss Tool Capture, Track, Correct and Resubmission within 48 hours
  • Patient Statement Mailing
  • Patient Phone Support - Bilingual Staff
  • Daily/Weekly/Monthly RCM Progress Reporting
  • 10 KPI Reports via Bliss Tool
  • MIPS/MACRA Consultation Support
  • Clinical Documentation Improvement by Certified Specialists
  • Schedule Workflow Demo

Option C

Medical Billing & RCM

  • Claim Transfer within 48 hours
  • Payment Posting within 48 hours
  • Denial Management via Bliss Tool Capture, Track, Correct and Resubmission within 48 hours
  • Patient Statement Mailing
  • Patient Phone Support - Bilingual Staff
  • Daily/Weekly/Monthly RCM Progress Reporting
  • 10 KPI Reports via Bliss Too
  • MIPS/MACRA Consultation Support
  • Schedule Workflow Demo

MIPS/MACRA

  • MIPS/MACRA Consultation by Certified MIPS Specialists
  • Assistance with positive incentive from CMS
  • Measure Submission & Consultation Support
  • Schedule a Call

Coding & Medical Record

  • Medical Record Audit by AAPC Certified Clinical Documentation Improvement Specialists - with Government and Commerical Payor Audit experience
  • Meet Payor Compliance and Documentation guidelines
  • Consultation & Support
  • TAT: 1 Week
  • Schedule a Call

Revenue Cycle

  • Revenue Cycle Gap Analysis Audit
  • Figure out the gaps that cause Revenue Loss
  • Consultation
  • TAT: 1 Week
  • Schedule a Call

Old AR Recovery

  • Pursuit of claims 120+ and over (Unpaid/Denied)
  • Denial Management
  • Correcting and Appealing/Resubmitting denied/unpaid claims
  • Schedule Workflow Demo

Patient Eligibility & Benefit Verification

  • Verification of Benefits 2 days before DOS
  • Educating patients on their out-of-pocket expenses
  • Avoid suprising patients with balances via mailing statements
  • Schedule Workflow Demo

Provider Credentialing & Contracting

  • 15 years experienced resources
  • CredentialingStar - Tool to track Credentialing Status & Paperwork Archival
  • Weekly Credentialing Progress Report
  • Schedule Workflow Demo