Professional Services

What We Do

Medical Billing & Revenue Cycle Management

From claim submission through payment, we manage the billing process with a focus on accuracy and timely reimbursement. Our services include claim submission, payment posting, insurance follow-up, accounts receivable management, and identifying issues that may be delaying or reducing payment.

Coding & Documentation Review

Accurate coding and complete documentation are essential to proper reimbursement. We assist practices with CPT, ICD-10-CM, HCPCS, modifier usage, documentation requirements, and payer-specific billing guidelines to help ensure services are reported appropriately.

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Medical Auditing & Compliance

Our auditing services help identify documentation, coding, and billing concerns before they become larger problems. Reviews can be customized to your practice and may include E/M services, procedures, modifier usage, documentation support, payer requirements, and reimbursement trends.

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Consulting & Provider Education

Billing and coding success often begins with education. Receivable Solutions provides customized consulting and training for providers and staff on documentation, coding, billing, and reimbursement requirements.

Education can be tailored to the needs of your practice and may include E/M documentation and coding, procedures and modifiers, medical necessity, payer requirements, audit findings, and other areas affecting reimbursement.

Our goal is not simply to identify a problem, but to help your team understand why it occurred and how to prevent it from happening again.

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Denials, Appeals & Payer Issues

A denial should not automatically mean lost revenue. We investigate denied and underpaid claims, identify the reason for the payer's determination, and assist with reconsiderations and appeals when appropriate. We also research payer policies and reimbursement requirements when questions arise.

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Credentialing & Enrollment

We assist with provider credentialing, Medicare and commercial payer enrollment, revalidation, demographic changes, and other enrollment-related needs to help practices maintain accurate payer participation.

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Insurance Verification & Practice Support

Receivable Solutions can assist with insurance eligibility and benefit verification, authorization-related requirements, and other administrative functions that affect the billing process.

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We also provide practice-management support when billing, documentation, or payer issues require a more hands-on solution. A Personalized Approach

We are not a one-size-fits-all billing company. Our clients have direct access to experienced professionals who understand their practice, their specialty, and the reimbursement challenges they face.  Whether you need complete revenue-cycle management or assistance with a specific billing, coding, auditing, training, or payer issue, Receivable Solutions can develop a solution that fits your practice.