Comprehensive implementation and transition support including contract analysis, existing patient benefit verification and cleanup, and preference configuration to ensure uninterrupted operations Quality assurance testing and thorough account preparation before handoff to the Operations Team, ensuring smooth management of your account Onboarding of your team to our practice management software for improved efficiency and accuracy

End-to-end authorization services for Nexa Digital Pro assessments and treatments (including Nexa Digital ProTherapy, speech, occupational and physical therapy), including managing appeals for denials Provider updates on payer-specific treatment plan guidelines to ensure proper reimbursement Proactive tracking of authorization usage and expiration dates with timely re-authorization to maintain continuity of care

Accelerate reimbursement with advanced payment processing systems Ensure full compliance with all payer-specific billing requirements Implement proactive claim monitoring to prevent revenue disruption

Establish automated ERA/EFT systems to streamline payment processing and eliminate paperwork Resolve reasons for payment denials including non-contractual adjustments, unexpected patient balances, and underpayments

Successfully overturn denials and collect payments that rightfully belong to you Leverage our knowledge of Nexa Digital Pro medical necessity policies for your benefit Determine payer-specific appeal policies and provide guidance on your behalf

Deliver exceptional patient experiences through compassionate interactions and tailored communication strategies Implement customized payment solutions with flexible options based on individual financial circumstances Optimize patient satisfaction and revenue collection through streamlined processes and superior customer service

Medical Billing

Billing

Streamlined Billing Solutions for Accurate and Efficient Payments

Our Billing Services ensure your business processes invoices, payments, and financial transactions accurately and efficiently. We help you manage all aspects of billing—from generating invoices to tracking payments—so you can maintain smooth cash flow and reduce administrative burdens. By implementing organized and automated billing systems, we make it easier for your business to stay on top of finances and provide a seamless experience for your clients.

Our Medical Billing Services

Implementation

Comprehensive implementation and transition support including contract analysis, existing patient benefit verification and cleanup, and preference configuration to ensure uninterrupted operations
Quality assurance testing and thorough account preparation before handoff to the Operations Team, ensuring smooth management of your account
Onboarding of your team to our practice management software for improved efficiency and accuracy

Credentialing & Contracting

Provider credentialing management including submission of clinician information to payers, securing discipline contracts, and tracking re-credentialing requirements
Ongoing contract administration including regular updates to ensure compliance with payer requirements
Maintenance of electronic remittance advice and electronic funds transfer (ERA/EFT) to ensure accurate payment processing and allocation

Eligibility & Benefits

Comprehensive verification of benefits to ensure compliance and appropriate use of applied behavior analysis (Nexa Digital Pro) codes
Expert guidance on patient intake documentation to meet Nexa Digital Proservice requirements
Optional patient communication services to explain benefit details including financial responsibilities (deductibles, copays, out-of-pocket maximums)

Pre-Authorization

End-to-end authorization services for Nexa Digital Pro assessments and treatments (including Nexa Digital ProTherapy, speech, occupational and physical therapy), including managing appeals for denials
Provider updates on payer-specific treatment plan guidelines to ensure proper reimbursement
Proactive tracking of authorization usage and expiration dates with timely re-authorization to maintain continuity of care

Claims Management

Remittance Posting

Accounts Receivable Follow-up

Appeals Management

Patient Billing

Deliver exceptional patient experiences through compassionate interactions and tailored communication strategies
Implement customized payment solutions with flexible options based on individual financial circumstances
Optimize patient satisfaction and revenue collection through streamlined processes and superior customer service

Our Popular Specialties

Urology

Cardiology

Urgent Care

Laboratory Billing

Behavioral Health

Orthopedics

ABA Therapy

DME

Sports Medicine

Family Medicine

Oral and Maxillofacial Surgery

General Practice

Surgery

Physical Therapy

Radiology

Ophthalmology

Key Features

Invoice creation and management

Automated billing and payment reminders

Payment tracking and reconciliation

Subscription and recurring billing setup

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Faq

Frequently Asked Questions

What is medical billing?

Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services provided by healthcare providers.

How does medical billing benefit my practice?

Efficient billing ensures timely reimbursement, reduces errors, improves cash flow, and frees up your staff to focus on patient care instead of paperwork.

What types of claims do you handle?

We manage government (Medicare/Medicaid), commercial, and private insurance claims, both electronic and paper-based, ensuring accuracy and compliance.

How do you handle denied claims?

Denied claims are actively reviewed, corrected, and resubmitted with proper follow-up to maximize reimbursement for your practice.

Do you provide patient statements and collections?

Yes, we generate patient statements, manage soft collections (up to 3 past-due notices), and handle patient inquiries professionally.

Will I have a dedicated contact for my account?

Absolutely! Each client is assigned a dedicated Account Manager who oversees your billing, provides customized reports, and ensures smooth communication.

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