Services > Revenue optimisation
Healthcare Revenue Solutions
Revenue Optimization
Enhancing Financial Performance with Accredited Billing and Consulting
Helping Healthcare Providers Build Sustainable Financial Practices, Optimize Operations, and Reduce Loss of Revenue.
Accredited Billing and Consulting specializes in revenue optimization services to help healthcare providers receive more reimbursement, reduce claim denials, and improve cash flow. Our experienced team analyzes your full revenue cycle, implements proven billing strategies, and ensures compliance with all payer requirements. We establish predictable growth for medical practices by optimizing each step of the billing process, allowing providers to shift their focus back to their primary purpose—delivering superior patient care.
Our Approach to Revenue Growth
Pre-Submission Claim Audits
Our team performs a thorough medical billing audit before a claim is submitted, to check patient demographics, coding, insurance, and pre-authorizations to prevent claims errors and denials, and delays to claims payments.
Efficient and Compliant Claim Submission
Claims are submitted accurately, either electronically through EDI, or on paper per each payer's guidelines, compliant with each payer's policies, preventing rejections and results in better acceptances for claims and payments.
Claims Tracking and Real-Time Follow-Up
We follow medical billings claims in real-time to determine if they are successful or rejected, denied claims are corrected and resubmitted, and pending or delayed payments are followed up.
Denial Management and Appeals
Not only do we identify denials, we also examine trends for repeat denials, take corrective corrective action to avoid repeating issues, and file a form of denials appeals to get properly paid, and obtain reimbursement for under-payment claims.
Payment Accuracy and Revenue Recovery
We conduct payment audits to ensure correct reimbursements, identify underpayments, reconcile discrepancies, file appeals when necessary, and verify payments match contracted rates with insurers.
Insurance Eligibility and Pre-Authorizations
Our team collects patient eligibility and insurance benefit data before services are rendered; confirms pre-authorized treatments were required; and is conscious of each payer-specific claims process and policies, to avoid clams audit potential; repayments; and other claim denials.
Accounts Receivable (AR) Management
Our AR specialists will monitor aging reports, ensure follow-up on unpaid claims, address billing disputes directly with payers, and minimize clients' outstanding balance to support cash flow and stability.
Revenue Cycle Analytics and Performance Reporting
We publish detailed medical billing analytics and key performance indicators (KPIs) for financial performance monitoring, to understand inefficiencies, enhance collections, and outline data-driven decisions to support sustained growth.
Why US
Why Choose Accredited Billing and Consulting for Revenue Optimization?
Maximize Your Revenue
Optimize billing processes for faster reimbursements, higher claim approvals, and improved cash flow.
Actionable Insights
Utilize data-driven analytics to track financial performance, identify inefficiencies, and boost profitability.
Compliance & Accuracy
Ensure HIPAA compliance with precise coding, regulatory adherence, and minimized billing errors.
Seamless Workflow
Streamline scheduling, billing, and coding processes for increased efficiency and reduced administrative burdens.