Experts in Healthcare Revenue Integrity & Compliance

We help providers with complex administrative burdens, reduce denials, and secure sustainable revenue — without the need for extra full-time staff. Our Key Services include opportunities in enhancing your operations:   

• Regulatory Compliance & Risk — 
  • Full reviews for HIPAA, Medicare/Medicaid, and federal/state rules; spot and fix risks in billing/documentation.
• Billing & Coding Audits — 
  • Verify ICD-10, CPT, HCPCS accuracy; audit claims; analyze denials to prevent repeats and recover revenue.
• Revenue Cycle Optimization — 
  • Improve charge capture, payments/reconciliation, A/R follow-up for faster cash flow and lower balances.
• Clinical Documentation Review — 
  • Ensure records are complete, accurate, support services, and prove medical necessity with valid orders.
• Controls & Fraud Prevention — 
  • Assess safeguards against errors/fraud; deliver targeted improvements.
• Care Standards & Outcomes — 
  • Align documentation with best practices and quality guidelines for better patient results.
• Staff Training & Improvement — 
  • Build effective programs, provide feedback, and support ongoing team competency.
• Audit Reports & Action Plans — 
  • Clear findings, actionable fixes, and follow-up strategies for lasting gains.