Charge Capture: We employ a meticulous approach to capture and document all services provided accurately. We optimize your reimbursement potential and minimize revenue leakage by ensuring proper charge capture.

Claims Editing and Processing: Our team reviews and edits claims with great attention to detail, eliminating errors and inconsistencies that can lead to claim denials or payment delays. We aim for higher acceptance rates and faster payment turnaround.

Electronic and Paper Claim Submission: Leveraging advanced technology, we prioritize electronic claim submissions for faster processing and reduced errors. However, we also accommodate paper claim submissions when necessary, ensuring a seamless transition between both methods.

Medical Coding: Our AHIMA or AAPC-certified medical coders are well-versed in the latest ICD-10 guidelines and updates. They ensure accurate coding, compliance with industry standards and minimize the risk of audits or claim rejections due to coding errors.

Patient Statement Billing and Follow-Up: We handle the entire patient billing process, from generating accurate statements to proactive follow-up. Our team is experienced in addressing patient inquiries, explaining billing details, and assisting with payment arrangements, ensuring patient satisfaction and prompt payment.

Payment Posting/Adjustments: Accurate payment posting and adjustments are crucial for maintaining an up-to-date accounts receivable ledger. Our team efficiently posts payments, identifies discrepancies, and manages adjustments to ensure accurate account reconciliation and financial transparency.

Denial Management/Appeals Process: Dealing with claim denials can be time-consuming and challenging. We specialize in denial management and appeals, conducting a thorough analysis, submitting well-prepared appeals, and working diligently to maximize revenue recovery and minimize loss.

Collections Management: Effective accounts receivable management is crucial for maintaining a healthy cash flow. We implement proven strategies to manage collections, reduce outstanding balances, improve cash flow, and maintain professionalism while preserving positive patient relationships.

Accounts Receivable Management: We take a proactive approach to managing your accounts receivable. Our team monitors outstanding balances, implements follow-up strategies, and streamlines revenue flow, reducing aging receivables and improving your financial performance.

At CPa Medical Billing, we take pride in becoming your trusted RCM solutions company. Our commitment to excellence, attention to detail, and focus on revenue optimization sets us apart. By providing you with comprehensive executive summary reports and insightful financial analyses, we empower you to make informed decisions that drive the success of your medical practice.