- 818-850-3677
- info@elevatecareconcierge.com
The healthcare system wasn’t built to be easy. We act as your professional bridge between providers, patients, and insurers, fighting for fair treatment and making sure policy obligations are met, no exceptions.
• Policy Analysis: Comprehensive reviews of insurance plans to provide patients with clear, upfront expectations of out-of-pocket costs.
• Complex Appeals: Managing the entire secondary and tertiary appeal process for high-value claims that have been unfairly denied.
• Prior Authorizations: Streamlining the pre-approval process so medical necessity is properly established before treatment begins.
A clean claim is a paid claim. We provide end-to-end billing solutions built to get claims accepted on the first submission, using the latest coding standards (ICD-10, CPT, HCPCS) to maximize reimbursements and stabilize your cash flow.
• Claim Submission: Accurate electronic and paper claim filing processed within 24-48 hours of service.
• Coding Audits: Rigorous review of medical codes to ensure full compliance while preventing revenue loss from under-coding.
• Payment Posting: Precise reconciliation of ERAs and EOBs to keep your financial records transparent and up to date.
• A/R Follow-up: Proactive management of accounts receivable to drastically reduce the “Days in AR” for your practice.
• Provider Credentialing: Efficiently handling enrollment and contracting to ensure you are properly recognized within insurance networks.
A denied claim is not “lost money”—it is a puzzle to be solved. We analyze the root cause of every rejection and implement systems that prevent these costly errors from recurring in the future.
• Denial Tracking: Categorizing rejections (e.g., eligibility, missing data, medical necessity) to identify and fix systemic leaks.
• Re-submission Strategy: Expertly correcting and re-filing claims with necessary clinical documentation to secure approval.
• Underpayment Review: Auditing insurance payments against contracted rates to recover funds when insurers pay less than agreed.
• Clinical Staff Education: Providing feedback loops to your team to improve front-end documentation and reduce administrative friction.
Nobody should be afraid to open a medical bill. We guide your patients through their financial responsibilities with empathy and clarity, improving your practice’s reputation and patient retention rates.
• Bill Clarification: Translating confusing medical jargon and line items into simple, transparent language for patients.
• Customized Payment Plans: Designing sustainable payment structures for patients with high deductibles or limited immediate funds.
• Financial Assistance Identification: Locating state, federal, or non-profit programs that can help eligible patients cover their medical costs.
• Dispute Mediation: Acting as a neutral party to resolve billing discrepancies quickly between patients and administrative departments.
Stop being just another account number with large firms. Let’s work together, whether that means advocating for the care you deserve or securing the financial health of your practice.
