SERVICES
MEDICAL BILLING
These services may vary based on the specific needs of your practice and will differ for UC Affiliates.
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Charge entry and coding accuracy
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Claim creation and electronic submission
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Insurance verification and eligibility checks
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EMR/EHR billing integration
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Payment posting and reconciliation
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Denial management and appeals
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A/R follow-up on unpaid or underpaid claims
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Patient billing, statements, and support
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Soft collections
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Outside collections referrals
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Compliance with HIPAA and payer regulations
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Client and staff feedback and suggestions to reduce insurance denials and increase revenue.
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Insurance denial trends and denial management.
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Monthly reports depending on practices needs and if reports are available.
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Recovery of previous A/R.​​​
NEW PRACTICE SET-UP
We help reduce the paperwork and challenges involved in launching a new practice. Our support includes:
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New practice set-up evaluations and planning.
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Encounter, HIPAA, superbill and office templates.
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NPPES enrollment.
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Credit card processor enrollment.
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EHR and practice management software training and set-up through selected software. (excluding UC affiliates).
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Assistance with insurance credentialing and contracting.
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Clinical front desk workflow plans between clinic and billing office.
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Physician, Non-Physician Practitioner (NPP) and Medical Assistant (MA) coding and documentation training.
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Provider enrollment with commercial payers.
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Medicare and Medicaid enrollment and reassignment
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CAQH registration and maintenance
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Collecting, verifying, and submitting required documents
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Ongoing follow-up with payers until approval
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Recredentialing and updates (license renewals, DEA changes, address changes, adding locations, adding providers).
CREDENTIALING AND CONTRACTING
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By ensuring clean, compliant, and well-documented claims, coding reviews help reduce denials, shorten payment delays, and strengthen your overall revenue cycle.
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Detailed chart and documentation review
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Coding accuracy checks and code assignment
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E/M level validation
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Identifying missing, incomplete, or unclear documentation
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Auditing for payer compliance and regulatory standards
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Coding updates, corrections, and resubmissions
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Provider education to prevent recurring errors
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Coding resources
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Records and coding audits.