Our Services
End-to-end Revenue Cycle Management Services
One stop RCM solutions
From patient intake to final reimbursement, we streamline every step to boost collections, ensure compliance, and let you focus on patient care.
Medical Coding
iRGO Health delivers expert medical coding services through AAPC- and AHIMA-certified coders with specialty-specific expertise, ensuring accuracy, compliance, and optimal reimbursement. We perform detailed chart audits to verify that coding accurately reflects the level of service provided. Our team supports both inpatient and outpatient coding for providers and facilities, strictly adhering to all payer and government regulations. With a commitment to 95%+ coding accuracy, we maintain the highest standards of quality. Additionally, we offer a proprietary ICD-10 training program to help clients navigate and stay current with ICD-10 requirements.
Medical Billing
iRGO Health offers a comprehensive end-to-end claims management solution, ensuring accurate charge capture and timely reimbursement. Our services cover the entire lifecycle—from charge entry and CMS-1500 form completion to claim submission, payment posting, and reconciliation. We leverage automation for claim generation and electronic submission, include robust claim scrubbing before submission, and integrate with clearinghouses for efficient processing. We also manage direct deposits from payers, reconcile payments with your bank, and post payments from paper EOBs—streamlining your revenue cycle from start to finish.
Payments & A/R operational analytics:
Accounts receivable (AR) follow-up is a vital component of medical billing that demands the expertise of dedicated specialists. iRGO Health provides a comprehensive AR strategy and hands-on support to maximize revenue recovery and improve cash flow. Our experienced AR team handles everything from denial investigation and root cause analysis to consistent follow-up and resolution achieving resolution rates above 90% and reducing average AR days by up to 30%. With a focus on transparency and results, we ensure your revenue cycle stays healthy and efficient.
Practice Management
Provider Enrollment Process:
iRGO Health supports healthcare providers across all specialties with end-to-end payer enrollment and credentialing services for both government and commercial payers. Our team manages the entire process—coordinating directly with insurers to initiate, update, and maintain accurate credentialing statuses. When adding new payers or plans, we streamline the credentialing process to ensure clean and timely claim submissions. With an average credentialing turnaround time of 30–45 days and a 98% success rate on first-time submissions, we help minimize delays and keep your revenue cycle on track.
Eligibility Verification
iRGO Health handles eligibility verification for each patient at least three days before their appointment or procedure. This proactive approach reduces claim denials and enables you to make informed decisions about the services provided, as well as the amount to collect from the patient at the time of service.
Benefits & Authorizations
iRGO Health ensures accurate coordination of benefits by verifying patient details such as member ID, group ID, policy effective dates, copay, coinsurance, deductible amounts, and covered services. Additionally, we strive to secure pre-authorizations at least ten days prior to patient appointments, minimizing denials and maximizing reimbursement for the procedures you perform.
Compliance Audits
iRGO Health provides comprehensive 360-degree compliance audit services to guide practices and hospitals. Our audits are designed to reduce denials, ensure regulatory compliance, and improve cash flow by identifying and addressing potential issues before they impact revenue.
By preventing compliance-related challenges, we help streamline your revenue cycle and minimize exposure to financial risks from government and payer audits, offering peace of mind and long-term financial stability.
Comprehensive Claims and Coding Analysis
Our chart audits offer a comprehensive approach to claims and coding analysis, starting with a review of past patient charts, associated documentation, and reimbursement trends to identify patterns in coding methods. Leveraging data analytics, we focus on rejected and denied claims, identifying trends and errors to improve accuracy. We then provide a detailed report of our findings, complete with actionable recommendations and cross-references to industry standards and specialty-specific best practices to optimize your coding accuracy and reimbursement outcomes.
Coding Compliance Review
We begin by scrutinizing both current and past claims to ensure proper coding and compliance with payer requirements. Our team verifies that all claims are submitted in accordance with Local and National Coverage Determinations (LCD) and payer-specific guidelines. We also review modifier usage and relational coding, ensuring they align with Correct Coding Initiatives (CCI). To further support your practice, we provide a comprehensive coding compliance report card, along with targeted training to ensure continuous accuracy and adherence to industry standards.
Speciality Services
Expert Medical Billing Specialists:
Our team of highly skilled professionals delivers the highest quality of service
with in-depth expertise across a variety of medical billing specialties, including
Anesthesia / Pain Management
Behavioral Health / Psychiatry
Dermatology
Dentistry
Durable Medical Equipment (DME)
ENT
Family Practice / Primary Care
Gastroenterology
General Surgery
Home Health
Internal Medicine
Nephrology
Neurology
OB/GYN
Ophthalmology
Orthopedics
Pediatrics
Physical Medicine & Rehabilitation
Pathology & Toxicology Labs
Podiatry
Radiology
Let us accelerate your revenue growth.
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