Want to Improve your Practice Revenue with Enhanced Billing service?

New Practice Setup

Our process begins with a thorough audit of your current billing practices. We conduct a comprehensive review of your existing workflows, coding accuracy, and compliance with industry standards. By identifying gaps, inefficiencies, and potential areas for improvement, we create a tailored plan to optimize your revenue management. This initial audit sets the foundation for implementing best practices and ensuring that your billing processes are robust and effective, ultimately enhancing your financial performance.

Solo Practitioner Credentialing

We verify patient eligibility and accurately enter demographic information. This critical step involves checking insurance coverage details, confirming patient information, and ensuring all data is correctly recorded. By doing so, we minimize the risk of claim rejections and denials due to inaccurate or incomplete information. Accurate eligibility verification and demographics entry are essential to streamline the billing process, reduce administrative burdens, and ensure that claims are processed smoothly and efficiently from the outset.

Facility Enrollment

Our team of coding experts ensures precise and compliant coding practices. We meticulously apply the most up-to-date ICD-10 codes, ensuring each medical service and procedure is correctly coded. This attention to detail minimizes errors and avoids costly mistakes that can lead to claim denials or delays. Clean coding not only maximizes claim acceptance rates but also ensures compliance with regulatory requirements, protecting your practice from potential audits and penalties. Our expertise in coding helps to secure the reimbursements you deserve for the services you provide.

IPA/Delegated Credentialing

We handle the timely and accurate submission of claims to insurance providers. Our efficient claim filing process is designed to accelerate payment cycles and improve cash flow for your practice. By submitting claims promptly and ensuring they are correctly completed, we reduce the chances of delays and rejections. Our proactive approach to claims submission helps maintain a steady revenue stream and minimizes the administrative workload on your staff, allowing them to focus on patient care and other critical tasks within your practice.

DME Credentialing

Once payments are received, we promptly post them to your accounts. This step involves accurately recording all payments, adjustments, and denials in your practice management system. By maintaining precise financial records, we ensure that your revenue tracking is up-to-date and transparent. Prompt payment posting also enables you to quickly identify any discrepancies or issues, facilitating timely resolution. Our meticulous approach to payment posting helps you keep a clear view of your financial status, enhancing your ability to make informed business decisions.

DEA, CLIA & BOC Enrollment

We actively follow up on rejected and denied claims, working diligently to resolve any issues. Our denial management strategies include identifying the root causes of denials, correcting errors, and resubmitting claims for reconsideration. By addressing rejections and denials promptly, we reduce lost revenue and improve your overall reimbursement rates. Our proactive approach ensures that you receive the payments you've earned, enhancing your practice's financial stability and performance. With Thrive RCM handling rejections and denials, you can focus on delivering exceptional patient care without worrying about revenue loss.