A LA CARTE SOLUTIONS

CUSTOM CARE FOR YOUR PRACTICE’S BOTTOM LINE

You don’t need to commit to a full suite of services, including credentialing, billing and coding, RCM, and claims denial management. We offer A La Carte Solutions, allowing you to select the specific service that best meets your needs. You can choose one service or all from the following options to improve efficiency and accuracy without committing to the entire package.

  1. Claims Scrubbing: Ensuring accuracy and efficiency in your billing process. Claims scrubbing is the process of reviewing and cleaning up medical or service claims before they are submitted to insurance companies for reimbursement. This process helps identify errors, discrepancies, and inconsistencies in claims that could lead to denials, delays, or incorrect payments. With our Claims Scrubbing services, healthcare providers are ensured that claims are accurate, compliant, and properly formatted before they are sent to insurance carriers or payers. This results in fewer denials, faster payments, and an increase in cash flow.
  2. Old A/R Recovery: Recovering past-due revenue for your business. If you are having a backlog and losing money on denied claims, outsource it to CMM.  We can help you recover the revenue, reduce the administrative burden and improve cash flow. As claims age, they become harder to collect, so outsourcing A/ R recovery to CMM allows our experts to focus on recovering these payments while you can concentrate on current billing and patient care. By using our structured recovery process, you can minimize write-offs and maximize Profitability.
  3. Payment Posting: Streamlining your revenue cycle. If you are behind on payment posting and experiencing a low cash flow, we can help you catch up with the backlogs.  Our payment posting services ensure that your payments are processed efficiently, reducing errors and accelerating revenue recognition.  Our Payment Posting services include:
    • Electronic & Manual Payment Posting – Accurately process Electronic Remittance Advice (ERA) and Explanation of Benefits (EOBs).
    • Patient Payment Posting – Ensure accurate posting of co-pays, deductibles, and self-payments.
    • Reconciliation & Reporting – Match payments with bank deposits and provide financial reports.
    • Integration with EHR & PM Systems – Seamlessly connect with your existing healthcare systems.
  4. Financial Reports Analysis: Empowering healthcare providers with clear, data-driven financial insights for sustainable growth. Financial reports analysis provides valuable insight into the patterns and growth of your practice by tracking revenue trends, payment cycles, claim denials, and patient collections. We provide financial report analysis so you can identify strengths, address inefficiencies, and make data-driven decisions to improve financial health and long-term success.”
  5. Account Reconciliation: Ensuring financial accuracy and seamless operations through expert account reconciliation. With the increasing complexity of medical billing and insurance payments, errors in reconciliation can lead to revenue loss, compliance issues, and financial inefficiencies. Accurate account reconciliation is critical for maintaining financial integrity in healthcare organizations. We ensure that your accounts remain balanced, accurate, transparent and ensure a seamless revenue cycle. Our Account Reconciliation service includes:
    • Payment Matching & Verification – Reconcile payments against claims, remittance advice, and EOBs.
    • Bank Reconciliation – Ensure all payments received align with bank deposits and accounting records.
    • Data Integrity Checks – Cross-verify transactions between EHR, practice management, and financial systems.
    • Custom Financial Reports – Gain access to detailed reports for better decision-making.
  6. Credentialing Management: Streamlining credentialing for healthcare providers, ensuring compliance and confidence. We offer comprehensive Credentialing Management Services designed to streamline and simplify the credentialing process for healthcare professionals, organizations, and facilities. Our goal is to ensure that providers are properly credentialed and timely re-credentialed to maintain active status with all major insurers and health systems, so they can focus on delivering excellent care without administrative distractions.
  7. Staff Training: Empowering healthcare providers with comprehensive staff training for excellence in care. A well-trained staff is the backbone of successful practice.  Proper staff training is an investment ensuring that employees understand their roles, comply with industry regulations, and provide high quality patient care. Our Staff Training program outlines key area of training necessary for a successful practice:
    • Onboarding and Orientation
    • Patient interaction & customer service
    • Billing & insurance training
    • Performance improvement and ongoing training
  8. Electronic Data Interchange (EDI) enrollment: Seamless EDI enrollment for faster, more efficient healthcare transactions. EDI eliminates manual paperwork, reduces errors, and accelerates reimbursements. However, navigating the enrollment process can be complex and time-consuming. Our experts ensure fast, accurate, and hassle-free EDI enrollment, so you can submit claims electronically, eliminate manual data entry and paperwork, reduce claim delays and speed up reimbursement and focus on patient care. Our EDI Enrollment services include:
    • Payer Enrollment & Setup – Register with Medicare, Medicaid, and commercial payers. EDI Transactions Support – Assistance with 837 (claims), 835 (remittances), 270/271 (eligibility), 276/277 (claim status), and 278 (authorizations).
    • Clearinghouse Coordination – Setup and integration with clearinghouses for seamless data exchange.
    • EDI Testing & Compliance – Ensure transactions meet payer and HIPAA requirements.
    • Ongoing Support & Maintenance – Assistance with re-enrollments, updates, and troubleshooting.
  9. Electronic Funds Transfer (EFT) enrollment: Simplify payment with electronic funds transfer, increase cash flow and reduce payment posting errors. With our EFT service, you would be assured of prompt and secure payment processing. It will enable you to receive payments directly into your bank account, reducing the time and effort needed to manage checks and streamline your financial workflow
  10. Lockbox Arrangement: Streamline your payment process with lockbox services. In the fast-paced world of healthcare, managing payments efficiently is essential for maintaining smooth operations. Lockbox services offer an ideal solution for healthcare providers who wish to simplify the receipt and processing of patient payments, insurance reimbursements, and other financial transactions. With a lockbox arrangement, you can reduce the time spent on manual processing, speed up cash flow, and enhance security.
  11. Medical License Application Processing and Renewal: Ensure continuous practice with a smooth license renewal process. Maintaining an active medical license is crucial for healthcare professionals to provide legal and ethical care. The medical license renewal process ensures that physicians, nurses, and other healthcare providers continue to meet the necessary qualifications, professional standards, and legal requirements to practice safely and effectively. With our Medical License Registration and Renewal service, stay on top of your renewal deadlines and avoid unnecessary disruptions to your practice.
  12. Drug Enforcement Administration (DEA) Registration and Renewal: Stay compliant with your DEA registration. As a healthcare provider, maintaining active and valid DEA registration is critical for prescribing, dispensing, and handling controlled substances. Whether you’re applying for your initial DEA registration or renewing an existing one, it’s important to follow the correct process to ensure that you remain compliant with federal regulations and provide safe care to your patients.
  13. Malpractice Liability Insurance and Renewal: Protect your practice from lawsuits and litigation. Malpractice insurance, also known as professional liability insurance, is a critical safeguard for professionals across various industries, especially healthcare providers, attorneys, and financial experts. This type of insurance protects professionals against claims of negligence, errors, or omissions in the services they provide. In today’s increasingly litigious society, malpractice insurance provides essential coverage that ensures both your business and personal assets are protected from legal and financial
  14. Fee Schedule Development and Maintenance: Ensuring proper compensation for your services. An Insurance Reimbursement Fee Schedule outlines the rates your practice charges for services provided to patients who use insurance for payment. It aligns your fees with insurance company reimbursement rates, ensuring you are compensated fairly for the care you provide. A well-structured fee schedule helps streamline billing, minimize disputes, and ensure your practice receives appropriate compensation from insurance Carriers.

Contact us and start saving with our customized services-Maximize Your Savings.