Comprehensive Medical Billing Solutions
From claims management to revenue cycle optimization, we provide end-to-end medical billing services tailored to your practice needs.
Operational Support
You Care for Patients. We Manage the Paperwork.
Led by an experienced Registered Nurse, we bridge the gap between clinical care and back-office efficiency. We handle the critical front-end tasks that ensure you get paid later.
What We Handle:
Intake & Referrals: We process referrals immediately for a faster Start of Care.
Eligibility Verification: Deep insurance checks to ensure every patient is billable before admission.
Prior Authorizations: We manage initial requests and tracking so you never perform an unapproved visit.
OASIS Review: RN-led review to ensure clinical accuracy and PDGM compliance.
Order Tracking: We chase physician signatures (485s) to keep your charts audit-ready.
We function as your seamless back-office team, ensuring your operations move as fast as your clinicians.
Professional Service
Tailored to Your Needs
Professional Service
Tailored to Your Needs
Coding/QA and Oasis Review
Where Clinical Care Meets Reimbursement.
Under PDGM, accuracy is everything. One wrong checkbox on the OASIS or a missed comorbidity code changes your HHRG score and lowers your payment.
Because we are led by an RN, we don’t just look at codes; we look at the patient. We ensure the clinical story in the notes matches the data on the claim.
What We Deliver:
Precision ICD-10 Coding: We dig deep into the history to capture all relevant comorbidities (Comorbidity Adjustments). If the patient is complex, your coding should reflect that.
OASIS QA: We flag inconsistencies between your clinician’s visit notes and the OASIS assessment. If the documentation doesn’t support the answer, we catch it before you submit.
Audit Protection: We focus on clinical logic. By ensuring the “Face-to-Face” and Plan of Care align with the coding, we help protect you from ADRs.
Fast Turnaround: We complete reviews within 24-48 hours so your RAP is never delayed.
Get paid for the care you actually provide—no more, no less.
Billing and Collections
Sending the claim is easy. Getting paid is the hard part.
We manage the entire financial lifecycle of your agency. From scrubbing claims to sending patient invoices, we ensure nothing falls through the cracks.
What We Do:
Claims Management: We “scrub” every claim before submission to catch errors early. This ensures a high Clean Claim Rate and faster payment.
NOA Compliance: We ensure the Notice of Admission is submitted within the 5-day window to prevent automatic penalties.
Aggressive A/R Follow-up: We don’t let unpaid claims sit. We consistently call payers and track every dollar to keep your cash flow moving.
Patient Billing: We handle the awkward money conversations. We generate statements for co-pays/deductibles and answer patient billing questions directly.
Denial Management: We analyze rejections, correct the errors, and resubmit immediately. We don’t accept “no” for an answer.
Our goal is simple: Reduce your Days Sales Outstanding (DSO) and get cash in the bank.
Professional Service
Tailored to Your Needs
Professional Service
Tailored to Your Needs
Finance and Bookkeeping
Payment Posting & Financial Management
Your EMR should match your bank account. To the penny.
Bookkeeping for Home Health is unique. If your general ledger doesn’t align with your EMR data, your annual Medicare Cost Report will be a nightmare. We keep you synchronized all year long.
How We Help:
Precise Payment Posting: We post every ERA and check into your software line-by-line. No lump sums. We ensure patient balances are accurate.
Bank vs. EMR Reconciliation: We constantly cross-check your software’s deposit logs against your bank statement. If there’s a discrepancy, we find it.
Cost Report Preparation: We categorize your expenses correctly month-by-month, so your accountant has clean data for the annual Medicare Cost Report.
Payroll Support: We help track clinician visit counts against payroll to ensure you aren’t overpaying for services.
Stop scrambling at tax time. We keep your books clean every single month.
Payment Posting
Accurate and timely posting of payments, adjustments, and denials to maintain clean accounts receivable.
ERA and EOB posting
Payment reconciliation
Adjustment posting
Denial documentation
Patient payment processing
Professional Service
Tailored to Your Needs
Professional Service
Tailored to Your Needs
Patient Billing
Patient-friendly billing statements and support services that improve collections and patient satisfaction.
Patient statement generation
Payment plan setup
Patient inquiries handling
Online payment portal
Collection services
Ready to Optimize Your Revenue Cycle?
Let our team of experts help you streamline your billing process and maximize revenue.