We handle the entire revenue cycle process, including claims creation, submission, denial management, and payment posting. Our team verifies eligibility and benefits for Medicaid, managed care, and commercial payors, and manages prior authorizations and continued-stay requests to ensure timely reimbursements. Additionally, we provide policy-compliant coding support and prepare your practice for audits.

Navigating NC Medicaid and LME/MCO systems can be complex. We support enrollment, paneling, and onboarding of specialized services such as 1915(i) programs. Our consulting ensures alignment with service definitions, utilization management strategies, and outcomes tracking for better program effectiveness and compliance.

Preparing for CARF, TJC, or COA accreditation? We offer gap analyses, SOP development, and mock surveys to help you succeed. Our compliance services also include HIPAA/privacy program implementation, incident reporting frameworks, and quality assurance plans complemented by staff training toolkits.

We assist with practice start-ups by managing NPI and taxonomy selection, payor enrollment, and policy manual creation. Workflow optimization, including scheduling and intake processes, plus KPI dashboards for clean-claim rates, denial rates, and net collections, help you run your practice efficiently.