End-to-End RCM Management
Achieve Financial Excellence with Our RCM Solutions
From small clinics to large hospitals, we assist healthcare providers in streamlining medical billing, reducing errors, and maximizing revenue so you can focus on what matters most: patient care.
Committed to Your
Financial Health
panaHEALTH takes a personalized approach with each healthcare customer. We know that every client is different and faces unique challenges that may evolve. We work closely with you at every step to help maximize your revenue.
First Pass Claim Acceptance
First Pass Claim Resolution
Average Net Collections Increase
Hours Charge Lag Days
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Full-Service Revenue Cycle Management
Let the experienced team at panaHEALTH manage the entire Revenue Cycle Management (RCM) process or just one step.
Medical Billing
In an ever-evolving healthcare environment, the complexity of medical billing continues to increase, driven by frequent regulatory changes and updates to insurance policies. For healthcare providers, ensuring accurate and timely billing is essential to avoid financial discrepancies and maintain smooth operations. Regardless of the size or specialty of an organization, effective medical billing is crucial for minimizing claim denials and optimizing revenue cycles. However, with multiple demands on time and resources, medical billing often gets overlooked, leading to potential errors and inefficiencies that can negatively impact the financial health of the practice or facility.
Medical Coding
In a world that's constantly changing, so too is the landscape of healthcare. With regulations shifting annually, staying abreast of current coding guidelines is paramount for healthcare providers to maintain their competitive edge. Regardless of size or specialty, prioritizing medical coding is essential for all healthcare organizations. Yet, amidst numerous responsibilities, Medical Coding Services often get sidelined, diverting attention away from this crucial aspect.
Our Revenue Cycle Management (RCM) Process
Appointment Scheduling
From capturing new patient demographics to verifying established patient details, we handle the entire appointment scheduling process meticulously.
Eligibility & Benefits Verification
We verify insurance coverage and benefits to ensure accurate billing and minimize claim denials.
Prior Authorization & Referral
Our team manages prior authorizations for non-emergency services and ensures timely notification for emergency services, adhering to insurance guidelines.
Patient & Provider Encounter
We facilitate smooth patient-provider encounters, ensuring accurate documentation and recording of medical information.
Medical Scribe / Medical Transcription
Our services include medical scribing and transcription to maintain accurate patient records.
Medical Coding
Certified Medical Coders meticulously assign CPT, ICD, and Modifiers for precise billing.
Charge Entry
We ensure accurate entry of service details, CPT codes, and ICD codes for seamless claim processing.
Claim Submission
Utilizing electronic submission whenever possible, we expedite claim processing for faster reimbursements.
EDI Edits/Rejections
Our team promptly addresses electronic rejections, ensuring clean claims before submission.
Payment Posting/Application
We handle Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) for efficient payment posting and denial management.
AR Follow-Up & Denial Management
With a proactive approach, we follow up on outstanding claims and manage denials promptly to minimize revenue loss.
Appeals Management
We handle appeals with precision, ensuring maximum reimbursement for your claims.
Why Choose Us Over Other Medical Billing & Coding Outsourcing Companies?
Clean Claim Ratio
More than 95%
Net Collection Rate (NCR)
More than 90%
Rejection Percentage
Less than 5%
Data Protection
100% HIPAA Compliance
Our Other Healthcare Business Solutions
Medical Scribe
Medical Documentation
Information Technology
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