Services We Offer
Council for Affordable Quality Healthcare, Inc. Refers to the process of practitioners self-reporting demographic, education and training, work history, malpractice history, and other relevant credentialing information to create an online credentialing profile for insurance companies to access.
National Provider Identifier. Here are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics.
Individual health care providers and groups, must enroll in the Medicare Program to get paid for providing covered services to Medicare patients.
You must be enrolled in the Medicaid program before obtaining healthcare information about members or submitting claims and service authorizations online or electronically.
Provider Enrollment or Payer Enrollment; refers to the process of applying to health insurance networks for inclusion in their provider panels. For Commercial Insurance networks, this process involves two steps: 1)
Credentialing and 2) Contracting.
Our insurance eligibility empowers patient financial experiences & prevents payment delays.
The formal definition of medical coding is the transformation of healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. Is our responsibility to make sure the right code is used every single time. It’s the only way to ensure the insurance companies are billed properly.
Is the process of submitting health insurance claims on behalf of the patient to various health insurance payers for the purpose of acquiring payment for services rendered in a medical facility.
Payment posting refers to the viewing of the payments and the financial picture of medical
practice. It also refers to the logging of payments into the medical billing software. It provides a view on insurance payments in EOBs, payments from patients, and insurance checks from ERAs. Getting an overview of the financials is essential in determining revenue leaks and solve it immediately.