Reliable medical billing solutions across California
We verify patient demographics, coverage details, and payer eligibility before services are provided. This proactive step reduces claim rejections, prevents billing errors, improves upfront collections, and ensures accurate financial responsibility, helping California practices avoid unnecessary denials and payment delays.
Our certified coding specialists assign correct ICD-10, CPT, and HCPCS codes based on provider documentation. Accurate coding ensures compliance with California regulations, minimizes audit risks, prevents undercoding or overcoding, and supports maximum reimbursement across Medicare, Medi-Cal, and commercial insurance plans.
We prepare and submit clean, compliant claims electronically to all major California payers. Our team monitors claim status closely, resolves rejections quickly, and ensures timely resubmissions, improving first-pass acceptance rates and accelerating payment cycles for healthcare providers.
Denied claims are carefully analyzed to identify root causes such as coding errors, authorization issues, or missing documentation. We correct and resubmit claims promptly, file appeals when necessary, and implement preventive strategies to reduce recurring denials and revenue loss.
We accurately post payments using EOBs and ERAs while reconciling payer payments and patient balances. Our A/R specialists follow up on unpaid and underpaid claims, reduce aging accounts, and maintain steady cash flow for California practices.
Our billing processes follow HIPAA guidelines and California payer regulations to protect patient data. We provide detailed financial reports, denial trends, and performance insights, enabling practices to track revenue, identify improvement areas, and make informed operational decisions.