RCM and Practice Management Services

We’ll customize a solution for your practice with the services below

FREE Practice Analysis & Code Review

Maximize Reimbursements with Accurate Coding & Billing

Timely reimbursements depend on proper coding and efficient claims processing. Using incorrect codes can lead to denials, underpayments, and cash flow delays, directly impacting your bottom line.


Get a Free Code Review

Send us your superbill or code list (CPT, HCPCS, or CDT), and we’ll provide a professional code analysis that includes:

✅ Status of each procedure code
✅ Identification of incorrect or outdated codes
✅ Financial summary showing potential revenue loss


Free Practice Analysis Report

We’ll also give you a Practice Analysis that breaks down the real cost of your current billing operations, helping you:

  • Identify inefficiencies

  • Reduce overhead

  • Evaluate if outsourcing is the smarter choice

Our report considers all related expenses, including:

  • Labor & benefits

  • Error correction costs

  • Admin & billing overhead

  • Office space and utilities

  • Software, hardware, forms, and postage

  • System maintenance

  • Time value of money


Ready to Improve Your Revenue? Contact us today for your free analysis, no strings attached.

We offer full Revenue Cycle Management and billing solutions.       Our services include:
  • Processing and following up on primary, secondary, and tertiary insurance claims.
  • Payment posting to insurance and patient accounts.
  • Tracking unpaid claims and providing additional documentation when necessary.
  • Notification regarding any “Incomplete Claims” that were unable to be processed.
  • Patient statements with online bill pay, payment plans, and autopay available.
  • Monthly and annual financial analysis and review of medical codes.
  • Comprehensive reports tracking claim status and showing productivity levels of your practice.
 
 
 

Your waiting room is full, and so is your A/R. With many patients uninsured or facing high deductibles, providers often leave significant money uncollected. Too much revenue sits 90+ days past due, with tens of thousands at risk of never being recovered.

Our payment processing solutions can include electronic patient statements, online bill pay, payment plans, and auto pay. Receive payment quickly and directly into your account! 

  • ELECTRONIC STATEMENTS
    No waiting for patients to receive a statement in the mail or write a check. Funds are deposited directly into your office’s bank account. No more excuses or late payments.
 
  • ONLINE BILL PAY
    Make it easy for patients to pay their statement with a variety of payment options.
 
  • STAY IN CONTROL
    Unpaid balances are identified and addressed. We can setup payment plans and autopay at your discretion to keep the revenue flowing while maintaining strong patient relationships.
 
  • SAFE AND SECURE
    Payments can be made safely and securely through online and on-site payment options.
 
  • AUTOMATIC & CONVENIENT
    Once everything is set up, the collection of funds becomes automated. Our processing center does all the work, and deposits go straight into your bank account.

Struggling with Unresolved Insurance Claims?

Even the best-run practices have a small percentage of claims that go unresolved,  often stuck in limbo for months despite repeated follow-ups. Traditional options aren’t ideal:

  • Write them off and lose revenue

  • Send to a collection agency, lose 35–50% of the claim, and possibly the patient


Our Solution: Close the Loop on Every Claim

We offer a specialized collection service just for those tough claims,  at a fraction of typical costs, and without damaging patient relationships.


What Makes Us Different?

✅ Recover Money Faster
Patients and insurers pay you directly;  not us.

✅ Lower Your Costs
Cut internal collection efforts by up to 30%, and reduce outside collection fees by up to 50%.

✅ Maintain Control & Patient Goodwill
You choose when to start, pause, or escalate activity;  and whether to take a diplomatic or intensive approach.


Don’t leave money on the table. Let us help you recover it; without losing patients in the process.

EHR Manager

Cloud-based, HIPAA compliant and ONC Certified complete EHR. EHR Manager offers total reliability, maximum security and top of the line performance being on one of the largest cloud networks on the planet, Microsoft Azure. 

Great Features

  • Patient Portal
  • Interactive Online Scheduling 
  • Batch Eligibility Verification
  • Customizable Charting
  • Complete Electronic Medical Records
  • E-prescribe
  • Electronic Lab Procedures
  • Clinical Rules
  • Multi-user Support
  • Integration with MedOffice Medical Billing software
  • Powerful Reporting

Maximum Security

EHR Manager offers four nested levels of security:

  • Cloud Network – Microsoft’s Azure network.
  • Operating System – secure Linux operating system.
  • Application – user groups and security privileges.
  • SSL – encrypts the entire communication pipeline.

Data ownership

With EHR Manager, you have true and complete data ownership over your patients’ records. Using the backup option in your application administrative dashboard, you can download a complete copy of your EHR database to your hard drive for as many times as you want, for free, in addition to automated remote backup.

DentOffice®

Complete Dental Practice Management software. Download on-premises to your computer network or host on our cloud.

Features

  • Easy Scheduling
  • Chart & Prescribe
  • Treatment Plans
  • Insurance & Patient Billing
  • Scan, Import, and Store Images
  • Robust Reporting
  • Secure Messaging
  • HIPAA Compliance

Intuitive & Attractive Interface

 

In times of uncertainty your patients need to be certain they will always be taken care of.

Enjoy a telehealth system that was built with both your practice and your patients’ needs in mind. We believe that by helping you achieve your financial and managerial goals we help you provide the best patient outcomes possible.

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Most businesses put their livelihood on the line every night and don’t realize it. With businesses depending more on the data stored in their computers, proper backups are becoming more critical.

Our Remote Backup service adds redundancy and security by backing up your data to an off-site location.  Never worry again about a hardware failure, software issues, natural disasters, or theft causing you to lose your data.  Backups run automatically on your desired schedule and can also be done on demand, any time.

Our Backup System addresses three critical issues to successful offsite backup:

TimeOur RBS system ‘compresses’ the data prior to transfer.
ExpenseOur system leverages your existing Internet connection. A small annual fee will secure your files and put your mind at ease.
SecurityOur system utilizes multiple layers of access encryption and validation triggers.

Are you frustrated with credentialing or too busy to do it yourself? Let us help you get it done right.

We are here to ensure your practice obtains its insurance credentials quickly and correctly. We have the experience and knowledge you need to get through the process with the least amount of worry and at a competitive rate.

We take care of everything for you. Your office simply fills out one application; then leave the work to us!

  • Our staff of professionals handles every detail for you.
  • We update you regularly on progress until the process is over.
  • We track all applications submitted and maintain accurate records.
  • We guarantee complete security, confidentiality and accuracy.
 

We know how important credentialing is to your practice. Don’t waste your valuable time navigating through the maze of requirements. We care about each of our clients, and we would be happy to help you.

We are able to perform credentialing for all medical plans, specialties, hospitals and other facility privileges.

CodeMAXX manages your medical coding in accordance with the national standards (ICD, CPT, CMS, and HCPCS). CodeMAXX offers you peace of mind. Although medical staff may be trained on coding standards, the fact is, the codes are often changed or modified, or the requirements for using a specific code can differ from year to year. This jeopardizes not only your compliance but also your revenues because if a diagnosis or procedure code has been incorrectly assigned, you might end up with a denied claim or a decreased payment.

CODEMAXX SERVICES

CodeMAXX is a service that provides busy medical practices with access to certified professional coders who will code your encounter notes. CodeMAXX also provides you with the most up-to-date diagnosis codes (ICD), procedure codes (CPTs & HCPCS) and modifiers to insert into your billing software. Only by having the correct codes can you be sure that the insurance companies will pay you in a timely manner.

We provides medical transcription & data entry services to diverse healthcare providers; individual physicians, nursing homes, small and large hospitals. Our transcription process is secure and provides a quick & high-quality service while minimizing costs. We are committed to providing value and building a relationship of mutual benefit with our clients.

Transcription Services Provided:

  • Emergency room transcription
  • Acute care transcription
  • Admission note transcription
  • Surgical report transcription
  • Discharge summary transcription

Our Transcriptionists Handle Diverse Reports:

  • Progress reports
  • Physical examination reports
  • Pathology reports
  • Radiology reports
  • Autopsy reports
  • Labor and delivery reports

Benefits of Outsourcing Transcription:

  • Increased Focus on Core Health Care Areas
  • Secure Service
  • Lower Personnel Costs
  • More Business Focus on Higher Priority Issues
  • Increased Productivity and Efficiency
  • Free Up Management Time
  • Quality Assurance
  • HIPAA-Compliant 
  • Files Are Delivered in a Variety of Formats – DOC, RTF, HTML, XML and PDF
  • Highly Trained personnel

Scanning and Storing Historical Records – Get rid of the old medical records that are costing you money to keep stored. We scan these documents and store them on digital media for our clients to access and retrieve easily any time.

Here are a few benefits of this service:

  • Avoids the expense of excessive storage space
  • Speed up the process of finding records
  • More efficient way of filing
  • We can scan and archive your medical records daily
  • We can teach you how to scan, archive, and manage your own records in-house.

As a well-care service provider, we manage your outreach program to help maintain communication with your patients. Our public relations service is designed to increase patient loyalty and promote referrals. Our service consists of letters, postcards, and emails to remind patients of their need for various services, such as check-ups, testing, immunizations, etc. We can also send greeting and birthday cards. We maintain a positive relationship with your clients that goes beyond treatment in your office.

The program provides the following benefits:

  • Promotes and Maintains Patient Relationships
  • Keeps Office Staff Focused on Helping Care For Patients
  • Builds the Medical Practice and Increases Profits
  • Complements Any Existing Customer Care Programs
  • Pays For Itself As Patients Respond To The Program
  • Gives The Doctor More Time To Be A Doctor 

The federal government’s Recovery Audit Contract (RAC) program uses private auditors to identify fraudulent or improper medical claims. These audits apply to any provider billing Medicare, Medicaid, or commercial insurance across all 50 states.

Audits check for evidence of fraud by examining three common indicators:

1) coding inconsistencies
2) documentation to support the medical necessity of the services provided; and
3) overpayments or underpayments to providers.

Protect Your Practice from Costly RAC Audits

RAC audits are serious; if your claims or records show any inconsistencies, you’ll owe repayment plus interest. Appeals rarely succeed, and auditors may return every 45 days until your records are clear.

The RAC program has already recovered billions in overpayments nationwide.

Why take a risk in your practice? Begin using our MD Audit Shield services to eliminate the chances of an audit proving inconsistencies in your billing. While nothing will keep the government from auditing your practice, our MD Audit Shield service will protect your practice in several ways. 

  • It reviews 50 records at random from your billing to check if any improper coding and non-compliance issues with Medicare/Medicaid appear.
  • It specifies what corrective actions are needed to comply with codes.
  • It performs any necessary changes to put you in compliance.
  • It stands behind you with assistance in the event you are audited.
 

Contact us today to prepare for RAC auditing. Our services are professional and affordable!

How Does HIPAA Affect Your Practice? How to Become Compliant?

As a health care provider it is important to implement HIPAA standards and keep policies current, as well as provide annual training to employees. It is advisable that you create forms informing your patients about office policies in regard to their medical information. 

Such forms should include:

  • Where their files are stored
  • Who has access to their files
  • Name, address, and contact information of your billing service
  • Name of the healthcare clearinghouse claims are processed through
  • Method of transmission of claims

Our company can help you establish HIPAA Compliance:

  • Create Employee and Patient Forms
  • Establish Employee Computer Policy
  • Disaster Recovery Plan
  • Off Site Data Backup
  • Contingency Operations Plan
  • Annual HIPAA Training
  • Employee Computer Monitoring Software

Please contact our office for information on HIPAA compliance.

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