At Phoenix Consulting Group Inc., we offer a full suite of medical billing and claims services designed to streamline your revenue cycle, reduce denials, and ensure maximum reimbursement. Our specialized approach caters to a wide range of medical specialties.
Core Billing & Claim Services
Medical Coding:
The cornerstone of accurate billing, we meticulously translate medical diagnoses, treatments, and procedures into standardized codes (ICD-10, CPT, and HCPCS). Our certified coders ensure precision to avoid denials and optimize reimbursement.
Claims Submission and Scrubbing:
We prepare and submit clean, error-free claims to all insurance payers electronically. Our advanced software "scrubs" claims for inconsistencies and potential issues before submission, significantly reducing denial rates and accelerating payments.
Charge Entry and Payment Posting:
After services are rendered, our team accurately inputs service codes and fees into your billing system. We then meticulously record, reconcile, and post all payments received from insurance companies and patients, ensuring your financial records are always up-to-date and transparent.
Denial Management and Appeals:
Denied claims can significantly impact your revenue. Our experts proactively identify the root cause of denials, correct errors efficiently, and strategically resubmit or appeal claims, fighting to recover every dollar your practice deserves.
Accounts Receivable (A/R) Follow-Up:
Our dedicated team systematically tracks and pursues unpaid or underpaid claims from insurance companies. We maintain consistent follow-up to ensure timely reimbursement and minimize aging A/R.
Staffing:
We assist in recruiting and staffing for your practice to ensure you have the right team in place. From frontline administrative roles to clinical staff, we can help you find qualified candidates who fit your practice's culture and needs.
Patient Collections Cleanup:
Our "collection cleanup" services help individuals resolve past-due medical bills and repair credit damaged by unpaid medical collections. We work directly with patients and providers to find fair and manageable solutions.
