SERVICES

Service 1

Patient Intake & Authorization Management

Efficient patient onboarding is critical for maintaining high care quality and operational cash flow. Our intake team manages patient registration, referral processing, insurance eligibility verification, and prior authorizations accurately and rapidly.

By taking charge of complex authorization requirements across Medicare, Medicaid, and commercial payors, we prevent coverage delays and keep care delivery on schedule.

  • Referral intake and document verification
  • Insurance eligibility and benefits verification
  • Prior authorization submission and tracking
  • Patient scheduling and physician order confirmation

Benefits: Eliminates intake bottlenecks, reduces authorization denials, and speeds up initial patient admission.

Service 2

Quality Assurance (QA) Nurse Chart Review

Navigating clinical documentation requirements demands experienced clinical oversight. Our QA team consists of licensed nurses who audit clinical records, care plans, and OASIS assessments for complete accuracy and regulatory compliance.

We identify documentation gaps, correct discrepancies, and ensure that every chart reflects the true acuity of the patient while adhering strictly to CMS guidelines.

  • Comprehensive OASIS and Plan of Care (485) reviews
  • Nurse chart audits for accuracy and completeness
  • Clinical documentation feedback and correction tracking
  • Pre-billing compliance verification

Benefits: Enhances regulatory audit readiness, improves quality scores, and prevents claim delays due to incomplete charting.

Service 3

ICD-10 Coding & OASIS Review

Accurate diagnosis coding is vital to proper care planning and appropriate reimbursement. Our certified medical coders review clinical notes to assign precise ICD-10 codes aligned with official coding directives and guidelines.

By combining coding accuracy with clinical context, we minimize submission errors, prevent audit penalties, and secure appropriate reimbursement for services rendered.

  • ICD-10-CM diagnosis coding and sequencing
  • Plan of Care alignment with physician notes
  • Document consistency checks across nursing and therapy notes
  • Coding audit reporting and trend analysis

Benefits: Maximizes coding precision, lowers claim rejection rates, and ensures full alignment with reimbursement rules.

Service 4

General Back-Office & Administrative Support

Day-to-day administrative burdens can overwhelm clinical and office staff. We provide dedicated back-office administrative management tailored specifically to medical businesses, DME suppliers, and clinics.

From physician signature follow-ups to order tracking and record management, our team keeps your back office running smoothly without adding local headcount.

  • Physician order tracking and signature retrieval (Face-to-Face documentation)
  • CMN (Certificate of Medical Necessity) tracking for DME
  • Medical records management and document indexing
  • Administrative phone and email support

Benefits: Reduces administrative labor overhead, improves staff efficiency, and keeps documentation compliant and organized.