Follow

AR follow up

Our experienced AR specialists manage and follow up on all outstanding claims—both unpaid and underpaid—across all aging buckets to accelerate collections and reduce days in AR.
Custom Workflows by Payer Type : Tailored follow-up strategies for Medicare, Medicaid, and commercial insurers ensure efficient resolution based on specific payer rules and timelines.
Daily AR Productivity Tracking : We monitor team performance daily to maintain accountability, optimize efficiency, and ensure timely action on aging claims.
Escalation & Resolution for High-Value Claims : High-dollar or complex claims are prioritized with clear escalation paths to expedite resolution and protect revenue.

Planning and sketching

Modern and unique design practically point of view, it risks not meeting the huge expectations

Team working

Modern and unique design practically point of view, it risks not meeting the huge expectations

Flowchart and wireframe

Modern and unique design practically point of view, it risks not meeting the huge expectations

User experience Testing

Modern and unique design practically point of view, it risks not meeting the huge expectations

ACA Commercial Risk Adjustment Coding

We support accurate and compliant risk adjustment coding for Affordable Care Act (ACA) exchange-based plans by capturing all eligible diagnoses that impact a member’s Risk Adjustment Factor (RAF) score. Our certified coders conduct thorough medical record reviews and detailed abstraction to identify and document all relevant chronic and high-impact conditions. By aligning with HHS-HCC risk models and payer-specific requirements, we help health plans enhance RAF scores, ensure appropriate premium transfers, and maintain compliance with regulatory standards—ultimately supporting both financial performance and care quality.