Medical Billing & RCM

Overview

We run the revenue cycle so it stops leaking value: claims submitted clean, denials worked, receivables followed up, and performance you can actually see. Delivery is through the B2Cloud group; protected health information is handled only under a signed Business Associate Agreement, with access controls, encryption and least-privilege in place. We describe our controls plainly and do not claim certifications we do not hold.

What's included

• Charge entry, scrubbing and claim submission
• Payment posting (ERA/EOB) and adjustments
• Denial management and appeals
• AR follow-up by aging bucket
• Eligibility and benefits verification
• Coding support where included in the engagement scope
• Patient billing and statements
• Credentialing and payer enrolment

When it helps

• Rising denial rates and ageing receivables
• Small balances written off for lack of follow-up
• No visibility into days-in-AR or clean-claim rate
• Lapsed payer enrolments and credentialing gaps
• A practice that wants revenue-cycle reporting, not guesswork

How we deliver

• Baseline review of denials, days-in-AR and aging (no PHI required)
• Agreements and controls in place before any PHI access
• Run the cycle: submit, post, work denials, follow up AR
• Report monthly on the metrics that move collections

Honest by design

Offshore processing is disclosed and covered by a subcontractor agreement. We state controls, not certifications, and confirm fee permissibility per US state and Canadian province before quoting.