Services

Billing

Let us manage accounts receivables for you, including stale and denied claims. We contact the insurance on your behalf to status stale claims, locate and obtain payments, and resolve denials. We will also file to secondary and tertiary payers.

Coding

We will code and submit claims in a timely manner with accuracy and speed using up to date ICD-10, CPT, and payer guidelines.

Payment Posting

Payments from insurance and patients will be posted quickly and accurately upon receipt. We can also enroll you in EFT/ERAs for most payers.

Denials and Appeals

Let us fight on your behalf for denied claims. We will find the root-cause of the denials and contact insurance to reprocess or reconsider claims. If needed, we will appeal claims.

Reporting

You will always know the financial state of your practice through thorough reporting of several metrics including monthly and annual reporting.

EDI/ERA Enrollments

We’ll ensure your practice is enrolled in electronic transactions for efficient eligibility checks and expedited, error-free payment posting.

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“In line with HIPAA regulations and utilizing the latest CPT and ICD-10 codes, we ensure accurate and timely reimbursements for your practice.”

— Astera Revenue Cycle Solutions

Why choose Astera?

  • AAPC Certified Professional Coder (CPC)® + Certified Professional Biller (CPB)® Dual Certified

  • Reduce costs by up to 50%

  • Expertise in multiple billing software platforms. We plug into your existing systems.

  • Specialty-trained and experienced resources

  • Achieving over 95% accuracy

  • Easy pricing options that fit your practice

  • Technology & data-driven approach

  • Compliance with HIPAA and other regulations

  • Reduced Account Receivables

  • Reduced Overheads, Sick Pay, Vacation Pay, Insurance Benefits, Workers' Compensation

  • Daily, Weekly & Monthly Reports

Specialties

  • Reimbursement for mental health services can be challenging. Astera can help you maximize your reimbursement opportunities and ensure you are capturing all relevant charges.

  • Navigating the ever-changing landscape of treating and billing for Substance Use Disorder care requires research, diligence, and flexibility. Let us take this off your plate, so you can focus on your patients’ recovery journeys.

  • Billing and coding for primary care requires extensive knowledge in diagnosis and procedure coding due to the diversity of care seen in primary care, family medicine, and internal medicine. Let us worry about which one of the 68,000 ICD-10-CM codes apply to your claim.

  • Ensuring payer guidelines are met for OB/GYN claims can place administrative strain on your practice. We can review each payer’s requirements to ensure timely reimbursement.

  • While telemedicine or telehealth is not specialty-specific, it has had significant changes since the start of the COVID-19 pandemic. We stay up-to-date on state and federal laws pertaining to telehealth along with coding changes implemented by the AMA and major insurance carriers.

  • Dental billing raises its own unique challenges compared to medical billing, primarily around patient cost-share. We can create cost estimates for your dental patients and ensure their dental plan reimburses accurately, so patients can be confident they understand their potential treatment costs before they are ever seen.

  • Our experience expands to many specialties including:

    • Gastroenterology

    • Pharmacy

    • Hospice

    • Pediatrics

Learn More
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Additional Services

  • We can manage your provider credentialing including NPPES, CAQH, and network applications including Medicaid and Medicare. We will regularly update your provider directory with your major payers.

  • Do you have any information on paper sitting in a filing cabinet or drawer? Let us digitize all of it. We can sort and scan your information as well as enter data into spreadsheets or digital forms.

  • Do you need help resolving your outstanding A/R? We can review your denials and stale claims to maximize revenue capture of your aging claims.

  • Let us follow up on aging patient balances. We can also help you source and set up collections with an agency of your choice.

  • Not looking for a billing service? You still may want to consider having a billing expert on call for when things get tough. We can assist with ad hoc needs such as:

    • Workflow optimization

    • Coding audits

    • Appeal projects

    • Temporary billing support

  • Are you audit-proof? Let us review your documentation against insurance expectations and coding guidelines.

Consult with a seasoned professional

Book a Free Consultation Today