Pre- and Post-Claims Services
Our Reimbursement HUB provides end-to-end support across the revenue cycle—focusing on the critical pre- and post-claims activities that drive timely reimbursement and minimize revenue leakage. From patient registration to denial management, our team ensures every case is properly documented, verified, and tracked to support a smooth reimbursement process.
Front-End Revenue Cycle Support
We start by ensuring data accuracy before claims are even submitted. Our specialists verify patient demographics and insurance eligibility, confirm benefits, and flag any missing or incorrect information for correction. We also manage prior authorization from start to finish – identifying required authorizations, initiating requests, tracking progress, and communicating status updates to keep providers informed and compliant.
Back-End Revenue Cycle Support
Our team reviews charge capture documentation to confirm that CPT and ICD-10 codes are accurate and complete. When denials occur, we analyze the root cause—whether due to coding, medical necessity, or process gaps—and prepare detailed, evidence-based appeals. By tracking and following up on each appeal, we help maximize recoveries and reduce future denial rates.
Pre- and Post-Claims Optimization
We collaborate closely with clients to ensure missing pre-authorization documentation is resolved quickly and every case receives full follow-through. After claims submission, we manage payer inquiries, conduct reconciliation reviews, and provide actionable insights from claim and denial trends. This proactive approach supports faster payment cycles and continuous improvement in billing accuracy and financial performance.