The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider. We helps healthcare providers reduce their accounts receivable cycle and increase revenue by reducing denials on account of ineligible patients.
We deploy the people, technology and apply our experience to ensure accurate determination of insurance eligibility. Our services include:
Our comprehensive prior authorization services ensure that your patients get timely care while ensuring that you get paid for the services you provide
Partner with Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.
Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.
We offer risk adjustment coding which required highly skilled coding professionals to work together to capture the health status of their patient
We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on
We specialize in designing and implementing Clinical Documentation Improvement (CDI) programs tailored to the needs of hospitals, physician groups, and healthcare
We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also
We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the (NCQA)
We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management
We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,
We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays
We coding service affords our clients access to specialty-driven coding experts. A designated project manager will serve as your primary point of contact
Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.
Eligibility and Insurance Verification services stand as linchpins in ensuring the
Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture
In the realm of effective medical billing, administrators often highlight coding and clinical documentation
Healthcare organizations often grapple with administrative stress caused by outstanding claims and
As the foundation of any healthcare insurance claims, patient’s demographic entry is very important
The process of claims submission involves parsing of claims information from the RCM
Denial management services serve as an indispensable pillar in upholding the
We provide comprehensive patient statement services. We generate patient
Pre-certifications, prior authorizations for diagnostic tests, surgeries, hospital admissions, and specialty referrals.
We maintain a centralized tracker and proactively follow up with payers until final determination.
Yes. We cross-check payer policies to submit complete, medically supported documentation.
We escalate such requests through payer-specific rapid channels or call queues.
Definitely. Our team reviews required clinicals in advance and alerts your staff for needed documents.
Yes, all details are documented and relayed for charge entry and billing accuracy.
Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.
+1(978) 502-4707
sales@spyhealthrcm.com
Spy Health’s team of over 800 AAPC & AHIMA-certified medical coders precisely assign accurate codes to ensure regulatory compliance and facilitate timely, appropriate reimbursement.
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