Revenue Cycle Management Services

Meet the Owner

Karen Ciriaco, CPB

I enjoy working with providers and medical practices to help grow and maximize insurance reimbursements. My goal is to help implement systems to allow providers to focus primarily on patient care. With the rising costs of healthcare and everything else, it is very important we utilize insurance coverage!

I have years of experience in Integrated Medical, Internal Medicine, and Chiropractic offices, however, I am not limited to these specialties.

I offer multiple services and work with providers' offices based on the needs of the practice. Whether you are a new provider, starting a practice, or established, I can help!

Interested? Please contact me for a complimentary 30-minute phone consultation.

Services

Medical Revenue Cycle Management

Accounts Receivable Management & Recovery

The primary objective of accounts receivable management is to improve cash flow and minimize the risk of bad debts. By effectively managing accounts receivable, businesses can ensure the timely collection of payments, reduce the average collection period, and maintain healthy relationships with their customers and payers.

Credentialing

The credentialing process is essential to ensure that professionals meet specific standards and requirements set by regulatory bodies, professional associations, or employers. Credentialing plays a critical role in ensuring the credibility, competence, and professionalism of individuals or entities.

Fee Schedule Analysis

A thorough fee schedule analysis helps healthcare providers ensure that their fees are reasonable, competitive, and financially sustainable. It also aids in maintaining transparency, aligning with industry standards, and facilitating appropriate reimbursement from insurance companies and other payers.

Authorizations & Eligibility Verifications

Authorizations and insurance verifications are essential for medical offices to ensure patient coverage, mitigate financial risks, improve the patient experience, streamline administrative processes, comply with payer requirements, and optimize resource utilization. By proactively verifying insurance and obtaining necessary authorizations, medical offices can operate more efficiently and effectively while providing quality care to their patients.

Claim Filing, Review and Audits

Claim filing and review processes are crucial for medical offices to ensure accurate and timely reimbursement for the healthcare services provided. By following proper procedures, adhering to coding and billing guidelines, and conducting thorough claim reviews, medical offices can minimize claim denials, optimize reimbursement, and maintain efficient revenue cycles.

Reporting

Reporting in medical billing is critical for financial analysis, claim monitoring, denial management, compliance, performance evaluation, and revenue forecasting. It provides valuable insights and actionable information that helps medical offices improve their financial performance, ensure compliance, and make informed decisions to optimize revenue cycles.