Eligibility not verified
We check coverage, plan and prior authorization before the claim goes out.
Medical billing for independent practices
Our billing team runs your claims end to end: eligibility, charge entry, coding review, scrubbing, submission and payment posting. Every claim has an owner, and every month you see where each one stands.
Eligibility · charges · coding · claims · posting · reporting
How we run your billing
We check coverage, plan and prior authorization requirements before the visit, so problems surface before the claim does.
We capture charges from the schedule and the note, then check them against the visit so nothing goes unbilled.
CPT, HCPCS, ICD-10-CM codes and modifiers checked against the record. If something's unclear, the question goes to your provider before anything goes on the claim.
Payer-specific and NCCI edits applied before submission, so avoidable rejections get fixed before the claim goes out.
837P claims sent electronically. Clearinghouse and payer rejections are corrected and resubmitted as they appear.
835 ERAs and paper EOBs posted line by line. Underpayments and unexpected adjustments get flagged instead of quietly absorbed.
Every denial and unpaid claim gets an owner and a next action. We work them by CARC/RARC cause, so you're fixing patterns instead of single claims.
A plain report on what you billed, what was paid or denied and what's still open, with the next actions written down.
Every month
What you can count on
Where billing breaks
We check coverage, plan and prior authorization before the claim goes out.
Charges are reviewed against the schedule, so visits don't slip through.
Codes and modifiers are checked against the documentation and NCCI edits before submission.
Scrubbing follows each payer's own rules, whether it's Medicare, Medicaid or a commercial plan.
ERAs and EOBs are posted line by line, and each payment is checked against what the payer should have paid.
Each denial is worked by cause, with a prevention step for repeats.
Client Testimonial
VOSKPO is efficient and up to date with changing healthcare needs. The weekly billing reports are very helpful, and their end-of-month predictions have been close to the real numbers.
Verified physician client
Independent practice
Alongside billing
Albuquerque headquarters
See how an Albuquerque practice can review its Medicare, New Mexico Medicaid and commercial payer work before choosing a billing scope.
Medical billing in AlbuquerqueFrom the blog
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See where your billing stands