Services/Solutions

  • Medical Coding
  • Claim scrubbing
  • Charge entry
  • Claims transmission
  • Edits/ Rejections
  • Payment posting
  • Refunds/ Chargebacks
  • Provider enrollment/ Credentialing
  • Denial management
  • Accounts Receivable
  • Patient statements and calling
A2O ONLINE SERVICES

Our Services

 

Our Team expertise in the following specialties in multi-states:

  • Acupuncturist
  • Allergists
  • Anesthesiology
  • Audiologists
  • Cardiology
  • Chiropractic
  • Dentists
  • Dermatology
  • Dietitians
  • Emergency Medicine
  • Ear, Nose & Throat Specialists
  • Endocrinology
  • Endodontists
  • Family practice
  • Gastroenterology
  • General Practice
  • General Surgery
  • Geriatric Medicine
  • Hand Surgeon
  • Hearing Specialists
  • Home Health
  • Obstetrics & Gynecology
  • Infectious Disease 
  • Infertility Specialists
  • Internal Medicine
  • Internists
  • Naturopathic Doctors
  • Nephrology
  • Neurology
  • Nurse Practitioners
  • Nutritionists
  • Hematology & Oncology
  • Ophthalmology
  • Optometrists
  • Oral Surgeons 
  • Orthodontists
  • Orthopedic Surgery
  • Otolaryngology
  • Pain Management
  • Pathology
  • Pediatric Dentists
  • Pediatric Medicine
  • Physical Medicine and Rehabilitation
  • Plastic and Reconstructive
  • Podiatry
  • Preventive Medicine
  • Psychiatry
  • Pulmonary Disease
  • Radiology
  • Rheumatology
  • Sleep Medicine Specialists
  • Sports Medicine Specialists
  • Telehealth
  • Urgent Care
  • Urologists

 

Charge Entry/Claims Transmission:

 The revenue cycle starts with patient registration. Accurate most up to date information is crucial for every visit for all of your patients. Just as important as ensuring all services provided are documented appropriately and captured into your Practice Management System. Once received our experts will ensure all pertinent information has been accurately included in each claim usually within 24-48 hours. A clean claim equals faster turn-around, using our expertise and experience with insurance for decreased denial rate.

Edits & Rejections :

We work very closely with your clearinghouses and ensure that your Practice Management system meets the specific requirements in order to have a successful transmission.

Our team addresses rejections within 24-48 hours and submits the corrected claim after review to prevent future Rejections. Maintaining a high level of timely claim turnaround for clean claim submission.

Denial Management:

Our highly knowledgeable team is well versed on the different type of denial reasons from various payers and are able to address and resolve any issue by providing corrective solutions and working with the provider on a denial prevention plan when necessary.

Our holistic approach in this process not only addresses the individual denial, instead identifies trends resulting in faster reimbursements.

We categorize denials, payer, doctor and specialty. Analyze and identify the root cause then initiate necessary action.

Provider Enrollment/Credentialing:
  • Medicare & Medicaid Provider Enrollment and Credentialing
  • Medicare & Medicaid Re-validation
  • Commercial Insurance Provider Enrollment and Credentialing
  • PECOS
  • CAQH Registration
  • NPI Registration (Type I and Type II)
  • Hospital Privileging
  • EDI/ERA Setup
Payment Posting:
  • Our team will ensure timely posting of all Payer & Patient payments to the accounts.
  • Turn around time to post all the payments is within 24-48 hours.
  • Payments are tracked on a daily basis and reconciled against the remittance, scanned or electronically received (ERA).”
  • Upon request, the received payments reconciled against Providers bank statement report at end of month.
Account Receivable:
  • Quad Health Partners RCM closely monitors all the past due collections. Our process is to address all the outstanding collections at once rather than concentrating on a particular bucket or payer.
  • Quad Health Partners RCM sets it’s own benchmark at 10-12% in the 90+ bucket.
  • We achieve the above through Regular and Effective follow-up.

Reach us today to maximixe your reimbursement !!!