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Extending medical billing audit services for over a decade
Working with top specialties and providers with transparency
Working with insurance regulations across all 50 states
Audits reduce denials & increase collections
At Credex Healthcare, we believe in instituting precise checks that reduce any risks of denials and non-compliance.
Our team delivers actionable solutions in:
All maintenance and support activities with medical credentialing services
Providing practice consultation to help improve operational performance.
Supplementary assistance with enrollment and contract negotiation services
Complete support with all billing and collections for health care providers
Our team is going to conduct an in-depth review of your aging AR bucket and those on the threshold of being tagged as ‘delinquent.’ A detailed action plan on how to recover their accounts is then given, based on the 30-60-90-day rule.
Our team has the tools and expertise to quickly assess your outstanding balance and the current recovery status. Our team will be doing all the necessary activities with an aging AR bucket and will be employing strategies to improve collections.
We will conduct a complete check on the main reasons for claim denials and identify the root cause. Our team will also ensure that all the gaps in payment posting are audited, and the best practices guidelines are shared for book reconciliation.
We have the resources to conduct extensive research to understand the loopholes in the process. Our team will ensure that all details are reviewed, and the areas that are preventing you from getting paid will be identified.
Rejections mitigated with excellent first pass rate
Improve the overall compliance of your organization.
Claims are submitted cleanly and approved.
Consistent Collections
Tangible aging AR collections strategy.
Higher revenue collection leads to a delightful experience.
Experienced resources work as your guide towards eliminating errors.
Patients
You can treat your patients well, as audits are done by trusted experts.
You get more claims collections, and your staff is better allocated.
The audit report gives you strategic areas to target.
Multiple case studies are a testimony to our expertise.
Audit Support
HIPAA Compliance
AR Collection
First Pass Rate
Assured Profits
Director of Medical Records
Alicia,
CFO
Tom
Director of Operations
John
Director of Finance
Alex
Manager Quality Assurance
Rob,
Patient Demographics & Authorization
Extensive front-end verification, auth approvals, and entries support
Claims Submission
Error free submission of claims with coding and required billing mandates
AR & Denial Management
Complete support with aging accounts’ receivable collections
We will be offering our resources for billing auditing using our dedicated platform.
We will ensure completion of claims documentation to reduce denials.
Our team has helped achieve a 15% improvement in cash flow.
You can adopt a patient-centric model that improves engagement.
As a dynamic medical billing and audit company in the USA, we are equipped to manage any gaps in your existing process, identify them, and help you with strategic recommendations.
We have a robust action plan to share and help you gain financial dividends, improve the patient bases, and stay ahead of the competition with our dedicated assistance.
What is a Denial in Medical Billing? Denial is when an insurance payer does not
What Is a Contractual Adjustment in Medical Billing? A contractual adjustment in medical billing refers
Healthcare practices today face an impossible balancing act: delivering exceptional patient care while managing increasingly
Fill the form and someone from our team will get back to you. Or you can also call us on (833) 477-1261.
