Corelynx LLC medical billing and RCM services are built to reduce errors, speed up reimbursements, and maximize collections while maintaining full compliance with payer and regulatory guidelines.
1. Charge Entry
We carefully capture and review all charges to ensure services provided are accurately documented and billed. Our team validates charge details against clinical documentation to prevent missed charges, duplication, or under billing.
2. Coding Audit (CPT, ICD-10 & Modifiers)
Accurate coding is critical for clean claims and proper reimbursement. Our certified coders conduct thorough audits to ensure:
2.1 Correct CPT and ICD-10 code selection
2.2 Proper modifier usage
2.3 Compliance with payer and regulatory guidelines
This proactive review helps reduce denials, underpayments, and audit risks.
3. Clean Claim Submission
Before submission, each claim goes through rigorous claim scrubbing to identify errors, missing information, or payer-specific requirements. Clean claims are submitted promptly to minimize rejections and shorten reimbursement cycles.
4. Denial Management
Denied claims are analyzed, corrected, and resubmitted efficiently. We identify denial trends, address root causes, and implement preventive measures to reduce future denials and protect revenue.
5. Payment Posting
We accurately post payments, adjustments, and contractual write-offs from EOBs and ERAs. Our reconciliation process ensures payments are correctly applied, underpayments are identified, and discrepancies are followed up promptly.