SERVICES AND PROCESS

A Comprehensive Approach to Your Revenue Cycle

Our full suite of RCM services is designed to manage every stage of your revenue cycle with precision and expertise, from the moment a patient schedules an appointment to the final payment reconciliation.

Eligibility & Benefits Verification:

We ensure accuracy from the start by verifying patient insurance eligibility and benefits, preventing downstream denials.

Pre-Authorizations:

Medical Coding:

Our team expertly manages the pre-authorization process to secure approvals for necessary treatments and procedures without delay.

Claim Submission & Management:

We meticulously prepare and submit clean claims through the Nphies platform, ensuring a high first-pass acceptance rate.

We provide consistent follow-up on outstanding claims and deliver transparent, detailed reports on your financial performance.

Our specialists aggressively pursue all denied and underpaid claims, identifying root causes and managing the entire appeals process to recover due revenue.

Monthly Follow-up & Reporting:

Denial & Appeals Management:

Certified coders ensure that all services are coded accurately for maximum compliant reimbursement.