One connected path from enrollment to payment.
Each step informs the next. When enrollment, front office work, and billing are connected, fewer claims stall.
OUR APPROACH
Each step informs the next.One connected path.Enrollment to payment.
When the steps connect,
fewer claims stall.
STEP 01
Payer enrollment
Prepare applications, coordinate practice and provider information, and follow up on enrollment status.
STEP 02
Eligibility and authorization
Review coverage and authorization requirements so the next steps are planned with the right information.
STEP 03
Coding and submission
Connect documentation, coding, and claim preparation, with submission through the agreed practice workflow.
STEP 04
Posting and follow up
Post payments, review denials, and work outstanding AR through corrections, appropriate appeals, and payer follow up.
STEP 05
Work the denials
Find the cause, fix it, appeal where appropriate, and stop repeat denials.
STEP 06
Keep balances current
Post ERA and EOB payments correctly, flag short pays, and follow up on what is still open.
STEP 07
Keep you informed
You know what is moving, what is stuck, and what happens next.
How we start working together.
We work inside your current EHR and practice management system. No system change is needed to start. We agree scope, responsibilities, and reporting before work begins.
- 01Free auditWe review denials, AR, and current workflow.
- 02PlanWe agree scope, systems, access, and reporting.
- 03TransitionWe start in your current EHR, with no interruption to billing.
- 04OngoingDaily billing, weekly follow up, monthly reporting.
Agreed scope and reporting
Coordination and follow through at each stage.
Know what is moving. Know what needs attention.
Agree on the work to be completed and the information you want to review. Discuss workflow, reporting, and access needs with our team as part of planning.
- Enrollment status and pending information
- Claims submitted and next steps
- Outstanding accounts receivable
- Denials and follow up actions
- Work completed and open priorities
- Enrollment status and pending informationTracked
- Claims submitted and next stepsNext steps
- Outstanding accounts receivableBy age
- Denials and follow up actionsBy reason
- Work completed and open prioritiesShared
Not sure where the money is stuck? Start with a free audit.
We review a sample of your denials, AR, and enrollment status, then show you what to fix first. No commitment.
Let's talk about what your practice needs next.
Start with your goals, your current workflow, and where your team needs support.
2125 Biscayne Blvd, Ste 204, Miami, FL 33137