Medical Billing & Revenue Cycle Management Services
Every phase of your revenue cycle directly influences practice health. ManosCare delivers comprehensive, transparent, and HIPAA-compliant billing solutions tailored to your specialty.
Medical Billing
Clean claims, higher reimbursements.Comprehensive claim scrubbing, timely submissions, and thorough follow-up to maximize reimbursements and accelerate your practice cash flow.
Core Deliverables:
- Rigorous claim scrubbing prior to electronic submission
- Direct integration with major clearinghouses and EHRs
- Immediate tracking of electronic data interchange (EDI) rejections
- Patient statement generation and balance management
Medical Coding
Accurate. Compliant. Efficient.Certified AAPC & AHIMA coders ensuring precise ICD-10, CPT, and HCPCS code assignment for compliant billing and maximum allowable reimbursement.
Core Deliverables:
- Certified AAPC & AHIMA professional coders
- Thorough review of clinical documentation and operative notes
- Specialty-specific coding rules and modifier application
- Quarterly compliance and documentation audits
Patient Eligibility Verification
Confirm coverage, reduce denials.Proactive verification of insurance coverage, copays, deductibles, and benefits before patient appointments to prevent front-end denials.
Core Deliverables:
- Real-time coverage and benefit verification (24-48 hours ahead)
- Detailed copay, coinsurance, and deductible breakdown
- Coordination of benefits (COB) determination
- Direct updates in your practice management software
Denial Management
Identify, appeal, and recover revenue.Root-cause denial analysis, fast appeals generation, and revenue recovery to protect your bottom line from payer write-offs.
Core Deliverables:
- Root-cause categorization using CARC and RARC codes
- Custom appeals backed by medical records and payer policy citations
- Continuous feedback loop to correct front-end operational errors
- Aggressive pursuit of underpaid and inappropriately denied claims
Provider Credentialing
Get in network, stay compliant.End-to-end payer enrollment, CAQH management, and re-credentialing tracking to ensure your providers stay active and billable.
Core Deliverables:
- New provider enrollment with Medicare, Medicaid, and commercial plans
- CAQH profile setup, quarterly attestations, and maintenance
- Hospital privilege application coordination
- Automated expiration tracking for licenses, DEA, and board certifications
AR Follow-Up
Get paid what you're owed.Tenacious tracking and resolution of outstanding insurance claims older than 30, 60, 90, and 120+ days to capture every rightful dollar.
Core Deliverables:
- Systematic aging bucket prioritization (30, 60, 90, 120+ days)
- Direct payer phone outreach and online portal resolution
- Timely filing deadline monitoring and compliance
- Transparent reporting on recovered aging balances
Payment Posting & Reconciliation
Complete and accurate financials.Daily posting of electronic remittance advices (ERAs) and paper EOBs with rigorous daily reconciliation to bank deposits.
Core Deliverables:
- Electronic (ERA) and manual paper (EOB) payment posting within 24 hours
- Accurate contractual adjustment and write-off processing
- Daily balance matching against practice bank deposit receipts
- Immediate secondary billing trigger upon primary payment posting
All Services Conducted Under Strict HIPAA & BAA Guidelines
We sign standard Business Associate Agreements before initiating any billing service, guaranteeing end-to-end data encryption, continuous audit logging, and PHI isolation.
Let's Make Your Billing Process Work Better.
Whether you're looking to improve your current billing workflow or need dependable support for your practice, ManosCare is ready to help.
Speak directly with an RCM advisor: (239) 564-6947