Revenue Cycle Management
Overview
Claims Management
Billing & Coding
We expertly manage the full spectrum of Revenue Cycle Management for tribal healthcare organizations. By encompassing billing, collections, and claims management, our approach maximizes revenue.
Billing & Coding
Claims Management
Billing & Coding
Our team is proficient in CMS and coding standards with a specialized emphasis on services funded under the 638 Program.
Claims Management
Claims Management
Compliance Management
We are adept at managing third-party insurance claims and ensure timely payments with minimized denials.
Compliance Management
Compliance Management
Compliance Management
We ensure compliance with federal, state, and tribal healthcare regulations. Including HIPAA and IHS guidelines.
KPI Monitoring
Compliance Management
KPI Monitoring
We regularly track key performance indicators, including days in accounts receivable, claims denials, and billing accuracy. Using KPI's to optimize the financial health of tribal healthcare organizations.