Three services that cover the full life of a claim, from the day it's created to the day it's paid. Take all three, or start with the part that's hurting most.
We handle every step between your staff recording attendance and the claim reaching the payer.
Scrub Claims run for every billing period before anything is sent
Flagged issues fixed where they start, whether that's a participant record, a Payer ID, or a Pay Rate
Process Claims used to submit to the right payer for the right dates
Clearinghouse reports reviewed after every submission
Your choice of schedule: monthly (on the 1st), twice a month (the 1st and 16th), or weekly
A rejected claim is money you've already earned. We find out why it came back and get it paid.
Every clearinghouse rejection reviewed and traced to its cause
Payer denials researched, corrected, and resubmitted
Fixes that need your staff, like a mistyped Medicaid number, sent through ElderSuite Messages with the participant's record attached
Timely-filing limits watched so corrections go out before deadlines pass
Submitting a claim is half the job. We close the loop in ElderSuite so you know exactly what each payer paid on every claim.
Payments matched to claims with Reconcile Claims in ElderSuite
Unpaid and short-paid claims followed up with the payer
Older unpaid claims worked until they're paid or resolved
A regular status summary for your director
Good billing starts with good records. Your team keeps ElderSuite current; we take it from there.
We only get paid when your payers pay you. Tell us about your center, and we'll recommend a schedule and give you a clear quote.