Service Details
Medical Billing & Coding
Accurate coding is the foundation of faster reimbursements.
- Clean, compliant claims with specialty-specific expertise
- ICD-10, CPT, and HCPCS coding for all major specialties
- Minimized denials through proactive claim scrubbing
- Result: Higher first-pass acceptance, fewer rejections, and faster payments.
Denial Management & Appeals
We don’t just fight denials — we prevent them.
- Root-cause analysis of rejections and underpayments
- Timely and aggressive appeals process
- Preventive feedback loops to stop repeat errors
- Result: Denials reduced by 30–40% in the first 90 days
Claims Submission & Payment Posting
Every claim matters.
- Electronic (EDI) and paper claim submissions
- ERA/EOB payment posting and reconciliation
- Underpayment tracking and secondary/tertiary submissions
Claims Submission & Payment Posting
Every claim matters.
- Electronic (EDI) and paper claim submissions
- ERA/EOB payment posting and reconciliation
- Underpayment tracking and secondary/tertiary submissions
- Result: Faster turnaround and fewer missed dollars
Accounts Receivable (AR) Management
Don’t let AR pile up.
- Systematic follow-ups by trained AR specialists
- Escalation with payers for aged claims
- AR bucket analysis (0–30, 30–60, 60+ days)
- Result: Reduced AR aging by up to 40% for clients.
Patient Billing & Support
Improve the patient experience.
- Clear and accurate patient statements
- Payment plan options and support line
- Transparent communication to reduce confusion and disputes
Credentialing & Enrollment
Get your providers in-network, faster.
- CAQH, PECOS, and NPI (Type 1 & 2) management
- Medicare, Medicaid, and commercial payer enrollments
- Ongoing credentialing maintenance and renewals
- Result: Faster credentialing = faster revenue
Audit & Compliance Support
Stay compliant, stay paid.
- Internal audits and coding accuracy checks
- HIPAA-compliant workflows
- Proactive compliance monitoring
MIPS & Quality Reporting
Simplify regulatory compliance.
- Full support for MIPS/QPP submissions
- Documentation and evidence collection
- Maximize incentive payments, minimize penalties
TDI Compliance (Texas)
Texas facilities face strict insurance requirements.
- Filing and communication with Texas Department of Insurance
- Local regulation expertise for FSEDs and ER groups
- Timely submissions to avoid compliance penalties
THCIC State Data Reporting
Texas Health Care Information Collection reporting, done right.
- Complete THCIC data preparation and submission
- Accuracy checks to prevent rejections
- Timely reporting that keeps your facility in compliance
- Result: Zero compliance penalties, stress-free reporting.
NSA & IDR Representation
Win more with ZytraMed’s proven IDR expertise.
- Case preparation, batching, and linking strategies
- FAIR Health and market benchmarking for stronger positions
- End-to-end submission and arbitrator representation
- Result: 98% success ratio in IDR with 60–70% higher reimbursements for OON providers
Out-of-Network (OON) Negotiations
Fair pay for the care you deliver.
- Strategic payer negotiations before escalation
- Benchmark-driven settlement targets
- Dedicated OON experts for ERs, ASCs, and specialty groups
- Result: Handsome settlement uplifts and faster resolutions.
How can we help you?
From claim submission to revenue recovery, we simplify it all