01

Medical Billing & Coding

Accurate charge capture, claims scrubbing, and submission across payers, with denial follow-up built into every cycle.

  • Certified coding across ICD-10, CPT, and HCPCS
  • Pre-submission claims scrubbing to reduce rejections
  • Ongoing denial follow-up built into the billing cycle
02

Revenue Cycle Management

End-to-end oversight from eligibility checks through final payment posting, with reporting your team can actually read.

  • Eligibility verification and prior authorization support
  • Payment posting and reconciliation
  • Monthly performance reporting in plain language
03

NSA / IDR Arbitration

Prevailing-offer preparation, QPA analysis, and full representation through the federal Independent Dispute Resolution process.

  • Qualifying Payment Amount (QPA) benchmarking
  • Open negotiation management within the 30-day window
  • Full IDR filing and arbitrator representation
04

Denial Management

Root-cause tracking and appeals that recover revenue other vendors write off.

  • Root-cause categorization of every denial
  • Timely, evidence-backed appeals
  • Trend reporting to prevent repeat denials
05

Payer Contract Analysis

Rate benchmarking and negotiation support so contracted rates reflect actual market value.

  • Market-rate benchmarking by specialty and region
  • Contract language review
  • Negotiation support at renewal
06

Compliance & Reporting

HIPAA-aligned processes and clear monthly reporting on what was billed, disputed, and collected.

  • HIPAA-aligned operational workflows
  • Clear monthly reporting on billed, disputed, and collected amounts
  • Audit-ready documentation

Let's see what your out-of-network claims are actually worth.

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