- 818-850-3677
- info@elevatecareconcierge.com
The healthcare system is intentionally complex. We act as a professional bridge between providers, patients, and insurers, fighting for fair treatment and ensuring that policy obligations are met without compromise.
• 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 to guarantee medical necessity is established before treatment begins.
• Provider Credentialing: Efficiently handling enrollment and contracting to ensure you are properly recognized within insurance networks.
Accuracy is the foundation of a healthy practice. We provide end-to-end billing solutions designed to ensure claims are accepted on the first submission. By utilizing the latest coding standards (ICD-10, CPT, HCPCS), we maximize your reimbursements and stabilize your cash flow.
• Claim Submission: Error-free 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.
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.
Medical debt is a leading cause of patient stress. 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.
