support@theexpertsmd.com
30 N Gould St #61153, Sheridan, WY
Mon – Fri, 10am – 7pm EST
Accurate claim creation, scrubbing, and submission to every payer.
The full revenue cycle, from patient registration to final payment, handled by one accountable team.
CPT, ICD-10, and HCPCS coding that is compliant and fully supported by documentation.
Coverage, copay, and deductible checks before every visit.
Pre-certifications requested, tracked, and secured before services are performed.
Payer enrollment, CAQH upkeep, and re-credentialing so your providers can bill without delays.
Root-cause analysis, corrected claims, and appeals that recover denied revenue.
Aging claims worked by payer and age bucket to reduce days in A/R.
ERA/835 and EOB posting with accurate balances and deposit reconciliation.
Clear patient statements, online payment options, and friendly billing support.
KPI dashboards and revenue integrity reporting so you always know where your revenue stands.
Choose the full revenue cycle or only the services your practice needs. Every service comes with clear reporting and a dedicated account manager.
Medical BillingWe turn your charges into clean claims and get them to payers quickly. Every claim is checked against payer rules and coding edits before it is sent, then tracked until it is paid.
Charge entry and charge capture review
Claim scrubbing against payer and NCCI edits
Electronic (EDI 837) and paper claim submission
Claim status tracking through to payment
Revenue Cycle ManagementOutsource your whole revenue cycle to one team that owns the result. We manage every step from the front desk to the final patient balance, so nothing falls between departments.
Front-end, mid-cycle, and back-end RCM in one service
A dedicated account manager for your practice
Workflows set up around your EHR and practice management system
Monthly performance reviews and improvement plans
Medical CodingOur coders assign codes from your documentation, with AI-assisted coding reviewed by experienced coders. We flag documentation gaps so claims are supported if a payer asks.
CPT, ICD-10-CM, and HCPCS code assignment
E/M leveling and modifier review
Pre-bill coding reviews
Coding audits and provider feedback
Eligibility & Benefits VerificationMost front-end denials start with coverage problems. We verify insurance and benefits before the appointment so your team and your patients know what to expect.
Active coverage and plan verification
Copay, coinsurance, and deductible checks
Coordination of benefits review
Patient responsibility estimates
Prior AuthorizationWe find out which services need approval, submit the request with the clinical documentation, and follow it through to a decision so care is not delayed and claims are not denied.
Authorization requirement checks by payer
Request submission with clinical documentation
Status follow-up and peer-to-peer scheduling
Authorization tracking against scheduled visits
Credentialing & Provider EnrollmentNew providers cannot bill until they are enrolled, and lapsed credentials stop payments. We handle applications and renewals and keep you informed at every step.
Medicare, Medicaid, and commercial payer enrollment
CAQH profile setup and attestation
Re-credentialing and revalidation tracking
Application status updates
Denial Management & AppealsWe work every denial, correct and resubmit what can be fixed, and appeal the rest. Then we fix the cause so the same denial does not keep coming back.
Denial categorization and root-cause analysis
Corrected claims and resubmissions
Written appeals with supporting documentation
Denial trend reporting
A/R Follow-Up & RecoveryUnpaid claims lose value every month. Our A/R team follows up with payers on open claims, starting with the highest-value and oldest balances, until each one is resolved.
Aging A/R analysis by payer and bucket
Payer follow-up by phone and portal
Old A/R cleanup projects
Underpayment identification
Payment Posting & ReconciliationAccurate posting keeps patient balances right and shows which claims were underpaid or denied. We post every payment and reconcile it against your deposits.
ERA/835 and paper EOB posting
Deposit reconciliation
Underpayment flagging against contracted rates
Denials routed to follow-up as they are posted
Patient Billing & CollectionsPatient balances are a growing share of practice revenue. We send clear statements and answer patients’ billing questions, so you collect more without straining relationships.
Patient statements
Online payment support
Patient billing helpline support
Payment plan setup
Reporting & AnalyticsYou get clear monthly reports on the numbers that matter, plus dashboards that show where revenue is being lost and what we are doing about it.
Collections, A/R aging, and denial rate reporting
Payer performance analysis
Power BI dashboards
Monthly review with your account manager