Our Services

Complete Medical Billing Solutions

From initial coding through final payment, we manage every aspect of your revenue cycle with precision and transparency.

Revenue Cycle Management (RCM)

Our end-to-end RCM solution optimizes every step from patient scheduling and insurance verification through final payment posting. We identify bottlenecks, streamline workflows, and ensure maximum reimbursement.

Patient eligibility verification
Charge capture optimization
Payment posting & reconciliation
Financial reporting & KPIs

Medical Coding (ICD-10, CPT, HCPCS)

Our AAPC and AHIMA certified coders ensure accurate, compliant coding across all specialties. We stay current with coding updates to maximize reimbursements while minimizing audit risk.

ICD-10-CM/PCS coding
CPT & HCPCS Level II
Modifier assignment
Coding audit & compliance review

Claims Submission & Tracking

We submit clean claims electronically to all major payers within 24 hours. Real-time tracking gives you complete visibility into claim status from submission to payment.

Electronic & paper claim submission
Real-time claim status tracking
Payer-specific formatting
Secondary & tertiary billing

Denial Management & Appeals

Our proactive approach reduces denial rates by up to 50%. When denials occur, our specialized team handles appeals aggressively with a 90%+ overturn rate.

Root cause analysis
Automated denial tracking
Timely appeal filing
Denial trend reporting

Accounts Receivable (AR) Follow-up

Dedicated AR specialists follow up on aged claims to ensure nothing falls through the cracks. We target outstanding balances systematically to accelerate cash flow.

Aging bucket prioritization
Payer follow-up calls
AR reduction strategies
Collection rate optimization

Patient Billing & Statements

Clear, professional patient statements with multiple payment options increase collection rates. We handle patient inquiries with compassion and professionalism.

Clear itemized statements
Online payment portal
Payment plan setup
Patient balance follow-up

Provider Credentialing

We manage the entire credentialing process, from initial enrollment to re-credentialing, ensuring your providers are enrolled with all required payers and networks.

Initial payer enrollment
CAQH profile management
Re-credentialing tracking
Network participation audits

EHR/EMR Integration Support

Seamless integration with all major EHR/EMR systems. We work with your existing technology stack to create efficient, automated billing workflows.

Epic, Cerner, athenahealth
eClinicalWorks, NextGen
Custom API integrations
Data migration support

Reporting & Analytics

Data-driven insights with custom dashboards and detailed reports. Track KPIs, identify trends, and make informed decisions about your practice.

Custom financial dashboards
Monthly performance reports
Payer mix analysis
Benchmarking & trending

Compliance & Auditing

Stay compliant with ever-changing healthcare regulations. Our compliance team conducts regular audits and provides training to minimize risk.

HIPAA compliance audits
Coding accuracy audits
OIG exclusion screening
Compliance training

Let Us Handle Your Billing

Schedule a free consultation and see how OneCare Billing can transform your practice revenue.