Coding Management
Accurate coding ensures proper reimbursement and compliance with payer guidelines.
· Medical record documentation review
· CPT, ICD-10 and HCPCS coding support
· Coding accuracy audits
· Provider coding guidance
· Compliance and coding best practices and support
Prior Authorization Management:
We support healthcare providers by managing the pharmaceutical prior authorization process from submission to approval.
Services include:
· Insurance eligibility verification
· Prior authorizations submissions
· Documentation coordination with providers
· Authorization status tracking and follow up
· Peer to Peer coordination support
· Denial review and resubmission
· Appeals preparation
Denials & Appeals
We assist providers in recovering revenue lost due to denied prior authorizations and claims.
Services include:
· Denial analysis and review
· Appeals preparation and submission
· Supporting documentation coordination
· Payer communication and follow up