Claims Processing & Submission
Timely and accurate submission of claims to Payor, reducing denials and optimizing revenue. Review claims for errors or discrepancies, ensuring accuracy and compliance with payor guidelines before submission.
Claims management
We recognize the critical importance of efficient medical billing for healthcare providers to receive rightful reimbursement for their services. At ZyGa Solutions, we offer a comprehensive suite of medical billing services meticulously crafted to streamline your revenue cycle management process and optimize reimbursements. Our dedicated team ensures timely claim submissions, proactive denial management, and transparent patient billing statements, empowering you to prioritize exceptional patient care while we handle administrative tasks with precision.
Denial Management and Appeals
Prepare and submit appeal documents for denied claims, including relevant supporting documentation to maximize reimbursement. Identify reasons for claim denials, categorize them, and track trends to reduce future denials.
Reimbursement Management
Record payments from insurers and patients into the system, ensuring accurate reconciliation of accounts. Reconcile all claims, payments, and adjustments to maintain up-to-date and accurate accounts receivable records.
Reporting & Analysis
Provide insights into financial metrics, such as aging reports and cash flow projections, to support revenue cycle management. Track errors, analyze trends, and identify root causes for rejections to reduce repeat issues.