NUESTROS SERVICIOS

We provide consultation and training related to the revenue cycle management process for the services provided by our organization.

1) Obtaining Type 1, Type 2 NPI and PECOS 2) Creating a CAQH Profile 3) Implementation set up for credentialing & billing 4) Recommendations on EMR & Scheduling Systems

Effective and efficient billing and collection practices to facilitate reimbursement of claims to health plan funders.

1) Insurance Eligibility and Verification 2) Patient Demographics Entry 3) Charge/session Entry 4) Claims Submission 5) Payment Posting 6) Account Receivables Follow-up 7) Denial Management 8) Patient Statements

Full-service credentialing services to guide your agency through the process of becoming an in-network participating provider with national and state health insurance funders.

1) Individual Provider Credentialing 2) Group Provider Credentialing 3) Individual & Group Affiliation 4) Re-Credentialing and maintenance services