Prescription claims are processed and submitted correctly at the right time to minimize denials and monitor timely reimbursements.
The identification of the client’s insurance status, entitlements, and deductibles to avoid issues relating to rejected claims due to wrong information fed into the system.
Evaluating the prior authorization workflow to facilitate timely reappraisal and claim approvals while minimizing interference with patient care.
Management of denied or rejected claims for quick action and appeals to regain lost revenues.
Offering written and documented submissions for pharmacies’ audits to ensure you meet legal requirements and do not face fines.
Continuous support in the different stages of the revenue cycle, from claim submission, claim payment, invoicing, account receivables, and payment posting.
We process the proper filing of prescription drug claims, particularly in accordance with current coding protocols.
We work with a variety of insurance companies, Medicare, and third-party providers to ensure that they render payments promptly.
Government-specific billing services to help practices meet Medicare Part D and Medicaid guidelines.
Government-specific billing services to help practices meet Medicare Part D and Medicaid guidelines.
Billing for compound medication specifically for precise coding, which helps in avoiding denial of the billing.
Complete billing services of those pharmacies that offer DME to patients and help in adherence to DME billing rules.
Professionally executing the claims processing of specialty drugs and associated complicated billing for expensive therapies.
We are responsible for the prior authorization process to avoid delays and confirm coverage before services are rendered.
Maintenance of submitted claims with constant oversight, as well as the management of denied or underpaid claims.
Improved cash flow due to shortened reimbursement cycles and decreased chance of claim rejections.
Knowledge and experience in the various code requirements of pharmacy billing regulations.
Fewer claims’ errors and rejections in the first place, and improved overall claim submissions.
Saving time on paperwork and other clerical needs so that there are more hours in the week to spend with patients.
Reduced average time to collect payments with integrated, efficient invoicing and payment tracking mechanisms.
Effective denial identification and appeals to help the medical practitioners reclaim their lost revenue.
Enhanced compliance with Medicare, Medicaid, and private insurance requirements.
100% open book policy with fully documented accounts and tracing of all expenses.
Consulting services that depend on the individual requirements of your pharmacy.
We specialize in meeting the complex billing requirements associated with both in-center and home dialysis treatments and ensure all services are coded accurately and submitted on time, reducing claim denial risk while optimizing reimbursements.
Chronic kidney disease requires ongoing care that requires precise billing. Our services ensure every aspect of CKD management, from routine check-ups to specialty treatments, is invoiced appropriately so you get full compensation for the services rendered.
Billing for renal transplants can be complex, involving various steps and providers. Our experienced team oversees every aspect of billing a transplant, from pre-transplant evaluations through postoperative care, to ensure all services provided by providers are captured and reimbursed efficiently.
We specialize in billing for end-stage renal disease treatments such as dialysis and other necessary services relating to end-stage renal disease, adhering to all relevant regulations with precision.
Our team is well versed in nephrology-specific coding, guaranteeing all procedures from biopsies to vascular access management are coded accurately—this reduces errors and increases chances of full reimbursement.
Our services are designed to grow with your practice, whether that means adding new providers, expanding services, or increasing patient volume—provide seamless integration into practice management systems to maintain continuity and efficiency while your practice evolves.
Our comprehensive RCM services encompass every stage of the billing process, from patient registration to collection of final payments. Our focus is optimizing revenue cycles while ensuring timely payments for maximum financial health for your practice.
Nephrology billing must comply with stringent regulations, so we stay current with changes to healthcare laws to ensure your billing practices are fully compliant and protect you against legal risks.
Accurate billing for cardiovascular diagnostics and procedures.
Sophisticated billing for endocrine disorders with comprehensive treatment plans.
Precise billing of all gastroenterological procedures with exceptional care plans.
Offers expert billing for respiratory care and chronic lung conditions.
handles dialysis management and kidney disease management.
Covers comprehensive billing for autoimmune disorder care as well as arthritis management.
Customized billing tailored specifically to the care of elderly patients.
Utilizing specific billing services dedicated to treating and diagnosing infectious disease conditions.