One-Stop Solution For Revenue Cycle Management Services

Medical Credentialing Services | Fast & Reliable Solutions

Medical Credentialing Services ensure healthcare providers meet compliance, insurance, and hospital requirements. Proper credentialing reduces claim denials, enhances credibility, and streamlines revenue cycles. Our experts manage verification, payer enrollments, and ongoing maintenance, ensuring accuracy and efficiency.

With ever-changing regulations, staying compliant can be overwhelming. Our Medical Credentialing Services simplify the process, minimizing administrative burdens and accelerating approvals. We serve solo practitioners, group practices, and large healthcare organizations with tailored solutions.

Let us handle credentialing while you focus on patient care. Contact us today for seamless, reliable, and hassle-free Medical Credentialing Services.

Employing time-tested methods and top-of-the-line technology

Our medical coding services ensure quality, compliance, accuracy, reduced claim denials and maximum reimbursement. Our coding professionals are AAPC, AHIMA-certified and specialty-specific. Chart reviews are conducted to ensure evaluated, treated or monitored details are captured during patient examinations. We have experience in handling both inpatient and outpatient coding for providers and facilities alike.

Once you outsource medical coding services to Practolytics, we will streamline all your submission, shorten TAT and reduce the cost burden of administrative tasks. Our medical coding consultants adhere to payer and federal insurance guidelines.

The scope and utility

The scope and utility

100% AAPC and AHIMA certified coders.

Dedicating expert coders who are well-versed in 80+ specialties.

Ensuring error-free validation and coding through a quality assurance team.

Offering proprietary ICD-10 training program to assist in the continued transition to ICD-10.

The scope and utility
Seeking Certified Medical Coding Solutions_

Seeking Certified Medical Coding Solutions?

Seeking Certified Medical Coding Solutions_

Are you on the lookout for a streamlined medical coding solution? The best way is to outsource medical coding services to Practolytics, allowing us to help your practice to be efficient and profitable. With industry-ready skills along with the help of cutting-edge technology, we ensure to stay on top of all the healthcare updates, exclusively for medical coding solutions. Our AAPC and AHIMA-certified coding specialists ease off the documentation, coding, and claim filing processes and make sure that they comply with the insurance requirements. Payer and federal insurance rules are also effectively followed by our medical coding consultants, ensuring efficiency at all levels. Practolytics could be your on-the-go partner for all your medical coding requirements while you focus on the most imperative aspect – Patient Care.

Reach out to the experts at Practolytics to simplify your medical coding services and improve your reimbursements.

Customer stories

Practolytics has been invaluable to our practice since October 2022. Their expertise in coding guidance and provider audits has given us more confidence in the way we operate. Their team is not only knowledgeable but also incredibly supportive providing clear and concise guidance tailored to our specific needs. Their compliance audits have been thorough and insightful, helping us to identify areas for improvement that could prevent financial losses while also providing opportunities for further provider training. I highly recommend their service to anyone looking to enhance their billing and coding practices.

Carol Raugust – Practice Manager Platinum Hospitalists

Customer Stories

I have been a very satisfied client with Practolytics for nearly 5 years now. As you would expect, they are collecting the money that we have worked so hard for. We like the fact that they share our passion for data. We both approach our common issue i.e., how to collect money from a data centric viewpoint, and this drives improvement. The team is always willing to listen to us and make changes if necessary. Through the years we have asked for help with various office activities from credentialing to prior authorizations to procurement of outside medical records. Yes, these were add on-services, but outsourcing these activities to their team has been a winning solution that has intertwined the billing team into the success of our practice. These add ons have been a good value for us too. Lastly, we have easy access to one of the principal partners on the billing team, and the response time has always been excellent. Thank you! Practolytics!

Guy Lerner – MD Specialist in Pain Care, Kentucky

Customer Stories

We have been working with Manik and the rest of his team since August 2015. At that time, we were a clinic in need of guidance, in terms of credentialing, understanding the claims process and optimizing the use of the technology and stabilizing cash-flow. The team as a whole spent many hours upfront working to get everything moving smoothly and also developing relationships with most insurance companies. Manik’s hard work & dedication paid off as our practice more than tripled in visits, and we no longer had to tell the patients that we aren’t in the network. This more than anything has allowed us great patient flow and continued steady growth.

Robert Gass – Owner Care Physical Therapy, New York

Customer stories

We are a solo orthopedic practice in North Carolina and our relationship with Practolytics started in June 2015. They have staff members who are always willing to help. They work very hard to make us happy and I appreciate all that they do on a daily basis. They take out the worry of getting payments and always follow up with insurance companies. I found the customer service to be unsurpassed. All phone calls are returned and our questions are answered in a thorough and timely manner. The monthly reports are easy to read and provide a quick assessment of the health of the practice, including the company’s account receivables. When I need advice or am unsure of something, it gives me comfort to know that they are just a phone call away. Switching to Practolytics was truly one of the best decisions that I have made for our practice. I truly look forward to a longtime relationship with the staff at Practolytics.

Rekha Parikh – Administrator Orthopedic Solutions & Sports Medicine Center, North Carolina

Customer Stories

I started a new practice approximately 5 years ago. I have used Practolytics for my billing services over this entire period. I have also used them for integration of collections, adding new providers and DME. They have been excellent and are also part of the reason why I am so successful. They are very knowledgeable about billing. I not only see patients in clinic but also at the hospital and nursing home and also do surgical procedures in and out of the office. I have been very impressed with their level of skill and knowledge. They also do very good on communication. I would highly recommend them for any of your billing needs.

Dr. Nicole Cupp – MD Advanced Podiatry of Bartlesville

Customer Stories

Dr. Martha Livingston
Dr. Nicole Cupp
Fahad Hashmi

FAQs about Medical Coding

Do you review our medical records and code the claims by referring to it?

The team of certified coders are well versed with several EMR systems and we do review the charts/medical records in the EMR and code the claims right from there.

We want to code the claims on our own. Will you be reviewing them before they are submitted?

Yes, certain specialities involving specific CPT/ ICD codes choose to code the claims and our team reviews the codes based on which feedback is provided as needed. We also add appropriate modifiers to the claims, which would be compliant and can get you maximum reimbursement.

Do you review the claim denials pertaining to CPT and ICD codes?

Yes, we do review the denials, make the corrections and resubmit the claims with appropriate changes to CPT, ICD, POS, Modifier, etc. while also being compliant.

How many specialities of coding do Practolytics cover?

We cover most of the specialties based on the practice requirements (Hospital coding, Pain Management, Internal Medicine, Orthopedics, DME, Behavioral health, Spravato, OBGNY and many others.

What is the TAT for coding?

We typically code the charts within 24 hours from the time the medical records get signed by the provider.

Ensure Precise Coding – Contact Our Experts

    Resources

    Credentialing Made Simple: Unlocking Success for Physicians!
    Credentialing Made Simple: Unlocking Success for Physicians!

    Medical credentialing is vital. It ensures healthcare providers meet the standards to deliver quality care.For doctors, credentialing is vital.

    Prior Authorization
    Prior Authorization for Specialized Forensic Testing: A Case of Cost and Time Savings

    Discover how optimized prior authorization services helped a forensic lab reduce costs by 25% and speed up approvals by 50%. Improve efficiency with Practolytics!

    Optimizing Revenue Cycle Management for Neurosurgeons
    Optimizing Revenue Cycle Management for Neurosurgeons: Medical Billing Services

    Discover how Practolytics helps neurosurgeons streamline billing, reduce denials, and boost revenue with specialized RCM solutions.