Medical Coding
- Professional and facility coding
- All of our coders are Life Science graduates
- 98% accuracy rate
- Our quality assurance audits and processes ensure we maintain strict coding standards
- Compliance is never
Medical Billing
- Pre appointment
- Insurance Benefits
- Authorization Requests
- Patient Demo Entry
- Charge Corrections/Entry
- ERA / Manual Payment Posting
- Zero Pay Posting
- Monthly Balancing
- Bank Statement Reconciliation
- Clearinghouse / Payer Rejections
AR Follow-up
- Eligibility Verification
- Utilization Review
- Underpayment Review
- Aged Claim Follow-up
- Denial / Correspondence
- Credit Balance & Refunds
- Appeals – Print & Mail
- Patient statements and follow up
Practice Analytics
- Six Sigma Process flow
- Complete practice performance analytics
- Comparison of Industry best Practices
- Monthly and annual trending of key performance metrics
- Problem areas affecting revenue by visit / patient
- Service comparison and suggestions
- Customizable reporting for your practice
Patient Pay Service
- Six Sigma Process flow
- Complete practice performance analytics
- Comparison of Industry best Practices
- Monthly and annual trending of key performance metrics
- Problem areas affecting revenue by visit / patient
- Service comparison and suggestions
- Customizable reporting for your practice
Audit
- Review Payments and allowable from payors to ensure adherence to the contract
- Identify and report payment cycle delays
- MIPS and MACRA reporting of penalties and incentives
- Coding performance audits
Featured Services

US Based Client Management Team

Six Sigma-based Quality Methodology

Innovative Industry Partnerships

Ahima Certified Coding Team
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Book Your Meeting Now
Gemcaps Healthcare Services is a premier revenue cycle management (RCM) company with 100+ years of combined RCM leadership experience. We don’t want to be your vendor, we want to be your partner. So to be apart of this wonderful experience Book A Demo Now.
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