Services
Allergy & Asthma Medical Billing Services
Precision is paramount in Allergy and Asthma billing. Between complex skin testing, immunotherapy (SLIT/SCIT), and the intricate documentation required for biologics, your practice needs a billing partner that understands the nuances of AAAAI and ACAAI guidelines. We streamline your revenue cycle so you can focus on patient breathing and wellness.
Our Specialized Expertise Includes:
Immunotherapy Management: Accurate coding for allergy injections (95115/95117) and professional services for allergen immunotherapy (95144-95170) to ensure maximum allowable reimbursement.
Pulmonary Function Testing (PFT): Expert handling of spirometry and diffusion capacity billing, ensuring all technical and professional components are captured.
Biologic Prior Authorizations: We manage the heavy lifting for high-cost biologics (like Xolair, Nucala, or Dupixent), reducing denials and securing necessary approvals before treatment.
Complex Skin Testing: Detailed billing for percutaneous and intracutaneous tests, ensuring unit counts and diagnostic links are precise.
E/M Optimization: Guidance on documenting medical necessity for high-level new patient visits and ongoing chronic disease management.
Comprehensive Wound Care RCM Solutions
Wound care reimbursement is increasingly scrutinized due to the high cost of advanced modalities. Our Revenue Cycle Management (RCM) solutions are designed to navigate the complexities of “place of service” requirements and the specific documentation mandates for skin substitutes and hyperbaric treatments.
Targeted Solutions for Wound Care:
Debridement Coding Mastery: Ensuring correct application of depth-based coding (subcutaneous, muscle, or bone) to prevent under-coding or audit triggers.
Skin Substitute & Cellular Products: Rigorous tracking of Q-codes and wastage documentation (JW/JZ modifiers) to ensure full reimbursement for expensive grafts.
HBOT Compliance: Specialized billing for Hyperbaric Oxygen Therapy, including strict adherence to physician supervision requirements and medical necessity documentation.
Modifier Accuracy: Expert application of modifiers (such as -25 or -59) to ensure that evaluation and management services are paid alongside procedures when appropriate.
Facility & Provider Enrollment: Ensuring your providers are correctly credentialed across various settings, from private clinics to outpatient hospital departments (HOPDs).
RCM Services
Medical Billing & Coding
Our certified specialists apply precise medical codes and documentation standards to ensure clean claim submissions. By eliminating errors, we accelerate approvals and safeguard full reimbursement for every single patient encounter. Through continuous compliance monitoring and strict payer adherence, we help you achieve steady revenue growth. Healthcare providers can focus entirely on patient care while we manage the complexities of the billing cycle.
Revenue Cycle Management
Our comprehensive RCM solution covers every financial touchpoint, from patient registration to final payment. By integrating advanced technology and performance analytics, we remove inefficiencies and reduce write-offs. We enhance the overall financial health of your practice through smoother cash flow and stronger collections. The result is increased profitability and a streamlined administrative process that supports long-term success.
Accounts Receivable Management
Outstanding A/R can significantly impact the financial performance of any modern healthcare facility. We aggressively track delayed payments, manage claim follow-ups, and implement proven recovery strategies. Our team reduces aging buckets and increases the speed of collections to ensure your practice remains liquid. Providers benefit from improved revenue predictability, fewer backlogs, and a much healthier bottom line.
Denial Management
Denied claims represent a major revenue leakage that can hinder the growth of your medical practice. Our team identifies root causes, corrects inaccuracies, and resubmits claims promptly for maximum recovery. We also implement preventive measures by analyzing trends and enhancing your documentation workflows. With our services, providers experience reduced denial rates and significantly stronger reimbursement outcomes.
Physician Credentialing
Successful participation in insurance networks requires ongoing credentialing accuracy and timely updates. We manage the entire enrollment lifecycle, including application prep and primary source verification. Our team handles renewals to minimize administrative delays and ensures you remain fully compliant. This allows providers to stay authorized and ready to deliver services under all contracted insurance payers.
Remote Patient Monitoring (RPM) Billing
Our Remote Patient Monitoring (RPM) Billing service is designed to help practices capture every eligible reimbursement with precision and compliance. We handle CPT-specific coding (99453, 99454, 99457, 99458), documentation requirements, patient eligibility verification, time tracking validation, and complete claim management.
From monitoring patient data to submitting clean claims and resolving denials, our team ensures your RPM program runs smoothly and profitably. With our support, providers can stay focused on patient engagement while we maximize RPM revenue, improve billing accuracy, and ensure strict adherence to CMS guidelines.
Key Features:
- Accurate RPM CPT coding & documentation review
- Patient eligibility and enrollment verification
- Tracking & validation of monitoring time
- Clean claim submission & denial management
- Compliance with CMS & payer guidelines
- Monthly reporting & revenue insights
Insurance Eligibility Verification
Our Insurance Eligibility Verification service ensures that every patient’s coverage, benefits, and plan limitations are checked before services are rendered. By confirming eligibility in advance, we reduce claim denials, prevent payment delays, and improve your practice’s revenue cycle efficiency.
Key Features:
- Real-time insurance verification
- Coverage and benefit validation
- Identification of co-pays, deductibles, and authorizations needed
- Streamlined workflow to reduce front-office workload
Prior Authorizations
Our Prior Authorization service manages the approval process for medical procedures, tests, and medications, helping your practice avoid denied claims and delayed reimbursements. We handle the entire workflow, from documentation submission to follow-up with payers, ensuring compliance and maximizing revenue.
Key Features:
- Complete authorization management
- Documentation and medical necessity submission
- Payer follow-up and approval tracking
- Reduced claim denials and faster reimbursement
Practice Support Services
Scribing Services
Our Scribing service provides real-time documentation support during patient encounters, ensuring accurate medical records and proper coding. By handling note-taking and documentation, we reduce the administrative burden on providers, improve claim accuracy, and ensure compliance with coding standards.
Key Features:
- Real-time documentation of patient visits
- Alignment with CPT/ICD coding for accurate billing
- Reduced provider administrative workload
Improved record accuracy and compliance
Audit Services
Our Audit Services help healthcare practices evaluate their current billing, coding, and financial workflows. By analyzing historical claims and current processes, we identify underpayments, missed revenue, and compliance gaps. The insights from our audits allow practices to optimize revenue, improve operational efficiency, and prevent future errors.
Key Features:
- Identification of missed or underpaid claims
- Review of historical billing for compliance and accuracy
- Recommendations for workflow and process improvement
- Revenue recovery strategies for lost or delayed payments
Virtual Assistant
Our Virtual Assistant service provides healthcare practices with remote administrative support, allowing your staff to focus on patient care. From managing internal tasks to coordinating schedules, our virtual assistants streamline operations, ensure timely communications, and support efficient practice management.
Key Features:
- Administrative task management
- Coordination of provider schedules and internal workflows
- Handling patient communications and follow-ups
- Digital document and data management
Front Desk Support
Our Front Desk Support service ensures seamless patient interactions at the reception. By managing check-ins, phone inquiries, and insurance documentation, we enhance the patient experience while maintaining smooth practice operations.
Key Features:
- Patient registration and check-in management
- Assistance with insurance verification and documentation
- Handling phone triage and appointment scheduling
- Maintaining organized patient records and logs
Website Development
Our Website Development service builds custom, professional websites for healthcare practices. The goal is to improve your online presence, enhance patient engagement, and provide seamless access to services. We design websites that are mobile-friendly, SEO-optimized, and integrated with tools like online appointment booking.
Key Features:
- Custom website design tailored to healthcare practices
- Integration of online appointment booking and contact forms
- Mobile optimization and fast-loading pages
- SEO-friendly structure for higher visibility and discoverability
Why Healthcare Providers Choose
Premier MedWorks
At Premier MedWorks, we believe your focus should remain on patient care, not paperwork. We provide reliable, accurate, and efficient medical billing solutions designed to maximize your revenue and reduce administrative burdens.
Extensive Experience
With deep expertise in medical billing and revenue cycle management, Medor Health ensures accurate claim submissions, faster reimbursements, and strict compliance with the latest industry regulations.
Proven Reputation
We have built a trusted reputation by delivering transparent, dependable, and results-oriented billing services that healthcare providers can rely on.
24/7 Dedicated Support
Our team is available around the clock to resolve issues and provide ongoing assistance—ensuring your practice runs smoothly without interruption.
Frequently Asked Questions
We maximize revenue by ensuring coding accuracy, submitting clean claims, and aggressively following up on denials. Our goal is to reduce your aging A/R and capture every dollar your practice is owed.
While we provide comprehensive services for all healthcare providers, we have specialized expertise in Neurosurgery, Wound Care, and Primary Care billing and coding.
Security is our top priority. Medor Health is fully HIPAA-compliant, utilizing encrypted platforms and strict administrative safeguards to ensure all patient and practice data remains confidential.
Yes. Our Audit Reports and A/R Management services are specifically designed to analyze previous underpaid or unpaid claims, allowing us to recover lost revenue that might otherwise be written off.
We offer a seamless transition. Our team works closely with your staff to integrate our workflows with your current systems, ensuring there is no interruption to your daily operations or patient care.
Yes. Our team is experienced with various Electronic Health Record (EHR) systems. We adapt to your existing software to ensure a seamless flow of information without requiring you to switch platforms.
Our scribes provide real-time, accurate documentation during patient encounters. This allows providers to maintain eye contact with patients and finish their charts by the end of the day, significantly reducing burnout.
We don’t just resubmit; we analyze. Our Denial Management team identifies the root cause of every rejection, corrects the error, and implements workflow changes to prevent the same denial from happening again.
We provide instant eligibility checks before the patient even walks through your door. This prevents front-desk bottlenecks and ensures you are informed about copays and coverage limits upfront.
Absolutely. We pride ourselves on personalized service. Our dedicated support team is available around the clock to provide human assistance, ensuring your practice never faces an administrative standstill.
