our services
Credentailaing
Our credentialing team provides a wide range of services including provider, group, and facility enrollment with payors, credentialing and re-credentialing for insurance panels, credentialing appeals for closed insurance panels, revalidations, CAQH completion, management, and attestation, primary source verification, hospital privileging and medical staff credentialing, contract procurement, evaluation, negotiation, compliance, and payment auditing, in-network and out-of-network contract negotiation and re-negotiation, state and federal registrations and certifications, professional and organizational liability coverage, licensures, and other credentialing document management, as well as sanctions monitoring and reporting. We also act as a liaison between providers, groups, and facilities, and health plans to ensure a seamless credentialing process.
Coding
At Halcyon & BlackBird Solutions, our Certified Professional Coders (CPC) stay up-to-date with the latest industry trends and knowledge to ensure that accurate and compliant coding practices are adopted. By setting Industry Benchmark Standards, our CPCs guarantee that coding, which is a crucial component of the revenue cycle, is handled with the utmost accuracy and diligence.
Charge Entery
At Halcyon & BlackBird Solutions, Charge Entry is a critical and indispensable component of the billing process. If not carried out meticulously, it can disrupt the entire cycle, and sometimes it may have to be restarted. That’s why we have an experienced team of Billing Professionals who perform this task under the supervision of Certified Professionals.
Our team ensures that all charts’ demographics and procedure codes are accurately entered and verified. We take every step necessary to ensure that everything is appropriately validated, verified, and entered to prevent any interruptions in the billing cycle.
Claims Scrubbing
We have a dedicated team of expert professionals who examine each claim for demographic, coding, and submission errors before submission to ensure that valid and accurate data is submitted to the Payors. Whether filing a claim in an office/clinic, FSED/Micro-Hospital, or ASC, it requires supplying the appropriate CPT and ICD codes, along with any relevant modifiers related to the procedure perform
At Halcyon & BlackBird Solutions, we focus on achieving the maximum clean claim ratio to ensure the best possible timely processing of the submitted claims.
AR Follow up
At Halcyon & BlackBird Solutions, our Account Receivable (AR) department is the heart of our billing process. We have a dedicated team of experienced and knowledgeable AR specialists who diligently follow up on all submitted claims with the Payors to obtain timely adjudication status.
Our AR team proactively chases and tracks all claims submitted to the Payors to ensure that nothing is missing and that all claims are successfully entered into the adjudication cycle. This helps to maintain a seamless cash inflow, which is critical for any healthcare practice.
Denials & Appeals
Our experienced team diligently tracks and manages denied claims, uncovering opportunities to fix them in a timely manner. Our Appeals team is robust and knowledgeable in the trends and tracking of the Payors. They use their well-developed relationships with the Payors to respond directly to underpayments and appeals of no payments.To expedite the claims adjudication process with minimal interruption to the practice, we have immediate online access to the information requested by the Payors. This ensures that claims are adjudicated quickly and accurately, maximizing your cash flow and minimizing any potential revenue loss.
Payment Posting
At Halcyon & BlackBird Solutions, our committed team conducts daily reviews of paper checks, ERAs, and EFTs to ensure timely posting of all transactions. This provides our clients with real-time updates on their practice’s cash inflow status.Our comprehensive schema includes tracking and obtaining any missing payment details, addressing post-adjustments and unapplied credits, reviewing flagged credit balances, and facilitating appropriate takebacks.
Patient Services
At Halcyon & BlackBird Solutions, we provide dedicated patient advocates and customer service representatives to our clients’ healthcare facilities. These advocates stay in touch with patients even after the delivery of care to ensure a seamless and well-informed billing process. With our comprehensive patient statements, patients can easily understand their bills and have a smooth experience.