Streamlining Healthcare Operations with Precision & Expertise
8+ Years of Dedicated Healthcare Solutions
SERVICES
Comprehensive Administrative Solutions
Full-cycle Revenue Cycle Management services to optimize your practice’s financial performance
Eligibility & Benefits Verification
IN-NETWORK & OUT-OF NETWORK BENEFITS CHECKING
- Improper eligibility checking is the #1 cause for claim rejections
- Retrieve scheduled appointments via Email/Fax/FTP
- Verify coverage from all Primary/Secondary Payers using websites, phone calls, and automated systems
- Provide detailed results including member/group IDs, coverage dates, copays, deductibles
- Obtain Pre-Authorization Numbers and PCP Referrals when needed
- Update scheduler with coverage details before patient arrival
Referral Submission & Pre-Authorization
COMPREHENSIVE HANDLING OF REFERRALS AND PRIOR AUTHORIZATIONS FOR SPECIALISTS.
- Retrieve patient demographics, insurance coverage and procedure details
- Handle both routine and emergency referrals as needed
- Track authorization status through approval
- Significantly reduces denials for non-authorized care
- Decreases bad debt through proper authorization
Denial Management
OUR DENIAL MANAGEMENT SERVICES HELPS RESOLVE COMPLEX AND TIME CONSUMING PAYERS ISSUES.
- Detailed analysis of every denial with proper tagging and tracking
- Dedicated resolutions team to fix denials before timely filing limits
- Evening customer service for patient correspondence on denials
- Proactive corrections to prevent future denials through workflow improvements
- Resubmission of corrected claims with medical records as needed
- Outcome tracking to measure resolution effectiveness
Payment Posting
EXPLANATION OF BENEFITS (EOB) PAYMENT POSTING IS DONE AS A SERVICE USING TWO METHODS:
- Manual Posting: EOBs are retrieved and posted in batches to ensure accurate accounting matching deposits
- Auto Posting: ERA files downloaded directly into PM system with secondary claims and patient statements processed as needed
- Patient balances identified and statements generated promptly
Demographics & Claim Entry
THE MOST IMPORTANT PROCESS POST PATIENT CARE IS CAPTURING PATIENT DATA CORRECTLY FOR CLEAN CLAIM PRODUCTION.
- Demographics entry and insurance verification from scanned documents or shipped packages
- Manual Claim Entry: Direct PM system entry with eligibility verification and coding validation
- Autogeneration: Automated claim creation from scheduler with ICD/CPT codes, modifiers and units pre-loaded
- Quality assurance ensures error-free coding and compliance with insurance requirements
Credentialing
COMPREHENSIVE CREDENTIALING SERVICES TO HELP PROVIDERS PARTICIPATE WITH COMMERCIAL AND GOVERNMENT INSURANCE PLANS.
- Application kit preparation and submission
- License and certification verification
- Education and training validation
- Insurance follow-up and status updates
- Provider/Group ID retrieval
- CAQH profile creation and maintenance
- Medicare/Medicaid enrollment assistance
- Plan-specific application processing
ABOUT US
Trusted Healthcare Partners
OUR EXPERIENCE
With over 8 years of dedicated service in healthcare administration, Centric Healthcare Solutions has established itself as a reliable partner for medical practices nationwide.
Our team of experts combines deep industry knowledge with cutting-edge technology to deliver efficient, client-focused solutions that streamline operations and maximize revenue.
WHY CHOOSE US?
- Increase in practice collections with reduced fixed costs
- Reduced Days in A/R
- Hassle-free billing leading to increased time in patient care
- Free trial for 30 days
- Proven Track Record - Consistent results for our clients
- Dedicated Team - Experienced professionals dedicated to optimizing your practice's workflow and revenue
COMPLIANCE
HIPAA Compliance
Protecting Patient Privacy with Rigorous Security
At Centric Healthcare Solutions, we strictly adhere to HIPAA guidelines, implementing robust security measures to safeguard protected health information (PHI).
Our comprehensive compliance program includes encrypted data transmission, secure storage solutions, and strict access controls to ensure patient confidentiality is never compromised.
- Data Encryption - All sensitive data is encrypted in transit and at rest
- Access Controls - Strict role-based access to protect patient information
CONTACT US
Let’s Work Together
Get in touch
Ready to streamline your healthcare operations? Contact us today to learn how we can help.
centrichealthcaresol@gmail.com
Address
30 N Gould St Ste R Sheridan, WY 82801 USA