credentialing & contracting

• Review and assist with insurance credentialing.

• Network negotiation and insurance contracts

• CMS/Medicare. Medicaid. Major insurance payers. Worker's compensation.

CODING - BILLING

• Code charges per ICD-9, CPT and HCPS guidelines.

• Scrub claims and submit via electronic clearinhouses.

• Electronic payment processing.

• Insurance denials and resolution.

• Patient statement processing.

audit / compliance

• Compliance program development.

• Documentation audit

• Training of physicians and clinical staff

• Review superbill / chargeslips for accuracy and completeness.

Accounting - payroll

• Bookkeeping

• Financial reporting and statements.

• Payroll processing.

• Tax filing.

• Attestation work