Our Medical Billing & RCM Services
From initial patient scheduling and primary-source credentialing to complex surgical coding, claims scrubbing, and aged accounts receivable recovery.
Revenue Cycle Management (RCM)
Healthcare reimbursement has evolved beyond traditional billing into quality-driven outcomes. At Collabria Pro, our end-to-end RCM aligns patient intake, eligibility verification, charge capture, precision coding, and aggressive AR recovery into a synchronized operational pipeline that maximizes your financial health.
Audit & Medical Billing
Our Audit & Medical Billing services empower independent practices and group clinics to uncover hidden revenue leaks. We audit historical claim files, identify underpaid codes, harmonize your fee schedule against regional payer benchmarks, and manage daily charge batches with meticulous precision.
Medical Coding Analysis
Accurate medical coding is the linchpin of clean claims. Our team of certified professional coders (CPC, COC, CCS) analyzes patient encounters to ensure every documented diagnosis and treatment is coded to the highest level of specificity, mitigating audit exposure while maximizing justified revenue.
Credentialing and Enrollment Services
Delayed credentialing directly translates to unbillable services and lost revenue. Collabria Pro handles the entire credentialing and primary-source verification lifecycle—from initial CAQH profile setup and NPI registration to aggressive payer contract negotiations and ongoing re-attestation management.
Accounts Receivable Management
A/R days between 70–80 is a serious warning sign of severe financial distress in medical practices. Collabria Pro deploys dedicated A/R specialists who systematically analyze aging buckets, pursue underpaid claims, challenge delayed adjudication, and convert dormant claims into immediate cash flow.
Denial Management Services
Up to 65% of denied healthcare claims are never resubmitted, costing practices tens of thousands of dollars annually. Our denial management program categorizes every rejection, drafts evidence-backed clinical appeals, and implements preventative front-end workflows to ensure the same denial never happens twice.
Automated Medical Billing & RPA
Manual data entry causes over 40% of billing mistakes. Collabria Pro integrates automated billing bots and smart EHR bridges that handle repetitive administrative tasks—from patient demographic registration and NPI verification to batch payment posting—freeing your staff for high-value patient care.
Patient Scheduling Services
An empty appointment slot is perishable revenue that can never be recovered. Collabria Pro provides dedicated healthcare scheduling services that structure your provider calendars, maintain active cancellation waiting lists, and conduct upfront eligibility verifications so your clinic stays fully booked.
HIPAA Security Risk Analysis
Random HIPAA audits and data breaches can devastate a medical practice with fines reaching millions of dollars. Collabria Pro conducts exhaustive HIPAA Security Rule assessments across administrative, physical, and technical safeguards, providing you with a step-by-step remediation roadmap and audit-proof compliance documentation.
Request a Custom Solution Proposal
Tell us which services your practice requires for a bundled RCM proposal.