Our Services
Comprehensive Revenue Cycle Solutions
End-to-end medical billing services designed to maximize your revenue while eliminating administrative burden.
Full-Service Billing
Everything Your Practice Needs
From claim submission to payment posting, we handle every aspect of your revenue cycle with precision and care.
Insurance Claims Management
Our comprehensive claims management service handles every aspect of your insurance billing process. From initial claim submission to final payment, we ensure accurate coding, proper documentation, and maximum reimbursement from all payers including Medicare, Medicaid, and commercial insurance.
What’s Included:
- Complete CPT & ICD-10 coding with certified specialists
- Claims submission to all major payers and clearinghouses
- Payment posting and reconciliation
- Insurance follow-up and appeals
- Patient billing and collections
- ERA processing and automated posting
✓ 95% First-Pass Approval Rate
Our meticulous coding process ensures most claims are approved the first time, accelerating your cash flow.
Denial Management & Recovery
Our dedicated denial management team doesn’t just appeal denials—we prevent them. We identify root causes, implement corrective actions, and recover revenue you thought was lost forever. In 2023 alone, we recovered $2.4 million in denied claims for our clients.
Our Approach:
- Root cause analysis of all denials
- Strategic appeals preparation and submission
- Denial prevention consulting and staff training
- Regular denial trend reporting
- Payer-specific denial pattern tracking
- Documentation improvement recommendations
✓ Average Recovery: $47K in First 90 Days
Most clients see significant recovered revenue within the first quarter of partnering with us.
Eligibility Verification
Verify patient coverage before services are rendered to prevent claim denials and reduce billing surprises. Our real-time eligibility verification ensures you know exactly what benefits are available, what copays apply, and what prior authorizations are needed.
Benefits:
- Real-time benefit verification
- Copay and deductible tracking
- Prior authorization alerts
- Out-of-network notifications
- Referral requirement checking
Payment Posting & Reconciliation
Accurate payment posting is critical to maintaining clean books and understanding your practice’s true financial health. We post all payments, adjustments, and write-offs with detailed explanations, giving you a crystal-clear picture of your revenue.
Services Include:
- ERA/EOB processing and posting
- Payment reconciliation and verification
- Contractual adjustment calculation
- Patient payment processing
- Deposit verification
Accounts Receivable Follow-Up
Our dedicated AR team follows up on all unpaid claims, working directly with insurance companies and patients to ensure timely payment. We pursue aging claims aggressively to reduce your days in AR and accelerate cash flow. Our average client maintains just 32 days in AR—well below industry standard.
Our Process:
- Systematic aging report review
- Insurance company follow-up calls
- Claim status verification
- Payment discrepancy resolution
- Patient balance collection
✓ 32-Day Average AR
Industry average is 45+ days. Our proactive approach keeps your cash flowing.
Provider Credentialing Services
Getting credentialed with payers is complex and time-consuming. We handle the entire process so your providers can start seeing patients faster. Our credentialing services include Medicare, Medicaid, and all major commercial payers.
We Handle:
- Initial credentialing applications
- Re-credentialing and renewals
- CAQH profile management
- Payer enrollment
- Hospital privilege applications
Practice Analytics & Reporting
Data-driven insights help you make informed decisions about your practice. Our comprehensive analytics platform provides real-time visibility into your revenue cycle performance, identifying opportunities for improvement and tracking KPIs that matter most.
Reports Include:
- Revenue cycle dashboard
- Collection rate analysis
- Denial trend reports
- Provider productivity metrics
- Payer performance comparison
- Monthly executive summaries
✓ Real-Time Dashboard Access
Monitor your practice’s financial health anytime, anywhere with our cloud-based platform.
Simple, Transparent Pricing
No Hidden Fees. No Surprises.
We believe in straightforward pricing that aligns our incentives with yours. We succeed when you succeed.
4-7%
of monthly collections
- ✓ No setup fees
- ✓ No long-term contracts
- ✓ Cancel anytime with 30-day notice
- ✓ Dedicated account manager included
- ✓ All services included in one rate
Ready to Transform Your Revenue Cycle?
Schedule a free consultation to discuss your practice’s unique needs.
or email: info@clearviewrcm.com