Streamline your revenue cycle with optimized processes that overcome staffing challenges and drive higher profit margins.
Risk Adjustment Coding Services
Our highly trained staff specialize in coding complex cases for risk adjustment—such as HCC coding—to ensure accurate RAF scores and appropriate reimbursement for patients with chronic conditions.
Facility Coding Services
Our coding team leverages dedicated coding software and custom-built workflow tools to ensure both accuracy and productivity.
Professional Fee Coding Services
Expert coders powered by proprietary workflow tools deliver smarter, faster, and more accurate coding.
Value-based care
We empower health plans to achieve compliant, accurate, and optimized financial outcomes through tailored risk adjustment and quality improvement strategies. Our solutions support all engagement models—prospective, concurrent, and retrospective—ensuring seamless integration across the care continuum..
Risk management
We deliver integrated risk management and quality improvement strategies that proactively identify potential issues, ensure regulatory compliance, and drive measurable improvements in patient outcomes. Leveraging analytics, evidence-based protocols, and continuous performance monitoring, Reduce variability, close care gaps.
Care Coordination
Our care coordination solutions bridge gaps across the healthcare continuum by facilitating timely, patient-centered interventions. Through integrated workflows, multidisciplinary collaboration, and real-time data sharing, we help health plans and providers manage complex care needs, reduce avoidable utilization
Provider & Member
Our communication strategies foster stronger relationships between payers, providers, and members through timely, personalized, and compliant outreach. Whether educating providers on coding accuracy or guiding members through care pathways and preventive services, we use omnichannel engagement, culturally competent messaging.
Efficiency, Precision, and Performance with RCM
Best Features in Revenue Cycle
Our services are designed to optimize your financial processes, ensuring that healthcare providers and organizations can focus on delivering high-quality care. Our end-to-end solutions encompass every aspect of the revenue cycle, from patient intake to final payment.
The key goals, priorities, needs of a high-functioning Patient Access and will ensure nothing is missed that will hold up your claims. We will identify missing information and confirm insurance details prior to the visit, reducing the risk of front-end denials.
By ensuring the proper management, accuracy, confidentiality and security of patient health data. We work closely with teams to support both administrative and clinical functions, thereby optimizing patient care, meeting regulatory requirements & improving operational efficiency.
Division within a healthcare facility responsible for managing the financial aspects of patient care, including billing, insurance verification, financial counseling, collections, and payment processing. Healthcare organizations are reimbursed for services provided, while also assisting patients
These services involve translating medical diagnoses, treatments, procedures, and other healthcare services into standardized codes used for billing, insurance claims, and medical records. Medical coding is integral to the healthcare revenue cycle, ensuring proper reimbursement,
Minimizing your administrative and financial stress.
Patient Financial Services
Ease your administrative and financial burdens through extended business office services.
Streamline claims submission, billing edits, and reconciliation for both professional and hospital billing — reducing backlogs and accelerating cash flow.
Revenue recovery and enhance financial performance by efficiently addressing denials and uncovering underpayments through streamlined denial remediation processes.
Ensure consistent and timely patient outreach through patient-friendly statements, proactive outbound collection calls, and efficient processing of patient payments.
Our team audits your accounts to promptly identify overpayments and initiate timely refunds, supported by clear documentation, communication, and reporting.
Enrolling in Electronic Data Interchange (EDI) can be a complex, resource-intensive process—especially in organizations relying on older, legacy systems.
Coding & Risk Adjustment
Risk Adjustment Documentation and coding review services enhance the accuracy of risk adjustment factor (RAF) scores by identifying, validating, and appropriately capturing chronic conditions.
We support compliance with CMS, HHS, chart reviews, coder education, and ongoing audit-readiness—delivered across prospective, concurrent. Navigating the complex world of risk adjustment with precision and confidence.
Our services ensure precise, efficient extraction of medical record data to support accurate measure reporting. Leveraging experienced abstractors, rigorous quality assurance protocols, and seamless integration with payer systems.
we help health plans improve STAR ratings, meet NCQA compliance, and close care gaps—driving better health outcomes and financial performance. standards with precision, speed, and accuracy.
Our Utilization Management services ensure that members receive the right care at the right time by evaluating medical necessity, appropriateness, and efficiency of healthcare services.
Through evidence-based guidelines, real-time decision support, and collaborative provider engagement, we help health plans reduce unnecessary costs, improve care quality, and support compliance with regulatory standards.
Efficient, Accurate, and Compliant Claims Processing.Our end-to-end claims administration solutions streamline the processing, adjudication, and payment of healthcare claims.
Leveraging automation, real-time data validation, and regulatory compliance tools, we help payers reduce errors, prevent fraud and abuse, and ensure timely reimbursement—supporting operational efficiency and member/provider satisfaction.
Accurate and comprehensive medical coding is essential for healthcare organizations to maintain a clear picture of each patient’s health. Proper coding ensures that..
Beyond the limits of traditional EHR reporting. Our advanced platform empowers you with real-time insights, visualizations, and analytics that go far beyond what conventional systems offer...
Unprocessed or unpaid claims in accounts receivable have become an all-too-common challenge in today’s healthcare landscape. This growing backlog doesn’t just impact the bottom line..
Beyond the limits of traditional EHR reporting. Our advanced platform empowers you with real-time insights, visualizations, and analytics that go far beyond what conventional systems offer.