Our end-to-end solutions ensure accurate submissions and proactive denial resolution, protecting your practice's financial health.
Medical Billing & Claims Submission
Denial Management & Appeals
From charge capture to payment posting, our specialists verify accuracy, apply correct CPT/ICD-10 codes, and submit clean claims to minimize rejections. We manage charge entry, coding review, error correction, electronic submission, and rejection management.
We identify root causes of denied claims—coding, eligibility, authorization, documentation—and pursue the fastest path to resolution. Includes denial code analysis, corrected claim resubmission, appeal preparation, and root cause correction.
Cash Flow & Compliance
Accounts Receivable Management
Credentialing & Provider Enrollment
Our AR specialists systematically work aging reports, prioritizing by timely filing risk and dollar value to recover earned revenue. Includes AR analysis, payer follow-up, secondary/tertiary billing, and patient balance billing.
We manage the entire enrollment process from application to approval, ensuring your claims can be processed without delay. Includes CAQH setup, Medicare/Medicaid enrollment, commercial payer credentialing, and NPI enrollment.
Pre-Service & Patient Engagement
Eligibility Verification & Prior Authorization
Patient Billing & Collections
Our team verifies patient eligibility and obtains all required authorizations before services are rendered, preventing common denial causes. Includes real-time verification, benefits breakdown, and prior authorization requests.
We manage patient billing professionally to maximize collections while protecting patient relationships. Includes statement generation, balance billing, payment plan setup, and patient portal integration.
Medical Coding Optimization
Reporting & Analytics
Certified coders review documentation to apply accurate and complete CPT, ICD-10, and HCPCS codes, maximizing reimbursement and ensuring compliance. Includes modifier application and E/M level optimization.
Comprehensive monthly reports provide full visibility into your practice's financial performance. Track denial rates, AR aging, collection rates, clean claim rates, and revenue trends.
Ready to Optimize Your Revenue Cycle?
Connect with Pulse Medical Billing for a tailored solution that drives financial stability and lets you focus on patient care.