Clean Ratio
1 st Submission Page Rate
Revenue Increase
Our expert gathers complete patient demographics, insurance information, and medical history. Our experts verify all details for accuracy to prevent future billing issues. Electronic health records are securely stored for easy access.
Our specialists confirm active coverage and benefits with all major insurers before services. We identify copays, deductibles, and pre-authorization requirements upfront. This critical step prevents claim denials and patient billing surprises.
Certified coders assign accurate CPT, ICD-10, and HCPCS codes to all services. We review physician documentation to ensure coding reflects care complexity. Regular audits maintain compliance with California billing regulations.
Claims undergo rigorous scrubbing using advanced billing software. Our team performs manual reviews to catch any errors before submission. Electronic claims are sent daily for fastest processing with all payers.
We process EOBs/ERAs and post payments within 24 hours of receipt. Each transaction is double-checked against expected reimbursement rates. Detailed financial reports give you complete revenue visibility.
Our denial specialists investigate every rejection to identify root causes. We handle all appeals with supporting documentation for maximum recovery. Trend analysis helps prevent future denials.
Clear, professional statements are sent with multiple payment options. Our courteous staff handles all patient billing inquiries and payment plans. We follow ethical collection practices while maximizing recoveries.
We manage provider enrollments, revalidations, and contract negotiations. Regular updates ensure compliance with California's changing regulations. Stars Pro keeps your practice in-network with all major payers.
Stars Pro handles the complete credentialing lifecycle from initial CAQH enrollment to payer contracting. We maintain up-to-date provider profiles with all major insurance networks and Medicare/Medicaid. Our team tracks expiration dates and initiates timely revalidations to prevent any coverage gaps.