End-to-End Revenue Cycle Management Solutions For Medical Practices Across the United States
At StafGo Health, we provide fully efficient, HIPAA-compliant medical billing and RCM services to all sizes of healthcare practices. Whether you are a solo primary care provider or a large multi-specialty clinic, our goal is to maximize your revenue, minimize your denials, and simplify your billing process.
Our Comprehensive Medical Billing And RCM Services Include
With our verification experts, you get-
- Real-time insurance eligibility check before the appointment
- Urgent verification requests handled effectively
- >99% accuracy in verification
- Comprehensive benefits check including out-of-pocket (Deductible, Co-Insurance, or Co-Pay), Frequency allowed and met, Procedure Coverage under the policy, Prior-Authorization requirements, and much more
Our expert prior-authorization team-
- Identifies the procedures needing prior authorization and accurately submits the request along with the supporting documents
- Utilize automated dashboards to track every request and do timely follow-ups
- Provides 100% transparency in sharing the information
- Efficiently manages the prior authorization denials and sends compelling appeals for a higher approval rate.
Our AAPC-certified Medical Coders and Billers are experts in-
- Ensuring coding accuracy with the use of accurate CPT, ICD-10, HCPCS, and modifiers
- Timely submission of medical claims within 24 hours of service
- All payer updates, whether it is Medicare, Medicaid, Workers' Compensation, or any commercial payer
- Delivering 99% clean claim ratio and >98% first pass resolution rate with their specialty-focused medical coding
The A/R follow-up team at StafGo Health-
- Prepare a focused strategy on high-dollar and aging claims and follow up aggressively to ensure faster claims resolution
- Perform the root cause analysis for denials and rejections, send claim corrections, and appeal where required
- Well-versed in handling complex denial issues such as medical necessity, non-covered services, coordination of benefits, and much more
- Maintain the denial resolution of >90%, which is best across the industry
Our payment posters effectively-
- Post the payments within one business day with accuracy to maintain low A/R days
- Track the underpayments with reconciliation of EOBs/EOPs
- Ensure that the medical providers are paid 100% of the money owed
- Provide timely reports to the clients to maintain financial transparency
Our team at StafGo Health-
- Generate friendly and clear statements for patients and send them through mail or electronically
- Provide live support to the patients on call regarding bill queries
- Provide patient support for appointment booking, cancellations, and general concerns
- Follow up with patients for pending balances and payment plans
We have experienced RCM experts who-
- Manages the full revenue cycle from patient registration, claim submission, coding, and denial resolution-ensuring faster claims resolution and fewer rejections.
- Provide tailored support focused on the specialty and practice size, be it a solo clinic or a multi-specialty hospital
- Provides real-time dashboards and reports for KPI tracking, such as Days in A/R, Net Collection Ratio, Clean Claim ratio, Denial trends and much more.
Our expert medical credentialing team-
- Helps new medical practices with commercial and government payer enrollment, such as Medicaid, Medicare, HMOs, PPOs, and others
- Timely submission of credentialing applications to the insurance and tracking their approvals
- Provide expert payer negotiation to maximize PPO reimbursements
We help medical practices in transition effectively by-
- Providing detailed reports to the practices, such as billing performance reports, aging analysis reports, collection trends, and much more
- Aggressively cleaning up the aging accounts receivable to maximize collections before transitioning
- Ensuring uninterrupted revenue cycle operations (billing, coding, A/R follow-up, payment posting) during transition
- Provide complete RCM support to the new owner after the transition
We help practices recover their lost revenue by-
- Doing a comprehensive, outstanding A/R audit and identifying the denial root causes and A/R trends
- Prioritization of claims based on their age, value, and insurance timelines
- Performing aggressive follow-up with payers and patients
- Re-submitting the corrections, sending compelling appeals to the insurance with supporting documentation
- Increasing the net collection rate and reducing the aged A/R
At StafGo Health, we have a specialized team to handle credit A/R-
- The team performs a comprehensive review of outstanding balances and identifies the root causes
- They reconcile the unapplied payments and duplicate payments, and fix the accounts by correcting the posting errors
- They do the refund identification for payers and patients
- The team ensures HIPAA compliance and balances your books
What Makes Stafgo Health The Best Medical Billing (RCM) Company
Who We Serve
We proudly serve all types of medical specialties and practices, including-
Our Medical Ecosystem
At StafGo Health, we work with your existing technology and seamlessly integrate it with our systems to ensure smooth operations and transitions. Our team is efficient in handling all major Electronic Health Records (EHR) and Practice Management Systems (PMS) used by medical practices across the United States.
Medical PMS
Hear From Our Happy Clients
We are happy when our clients are happy. Here is what our medical clients say about us-
StafGo handled our provider credentialing and got us enrolled with payers in record time. Their billing experts kept everything compliant and ensured cash flow from day one. Highly recommend for new practices and growing groups.
Practice Owner, Pain Management Group, Chicago, IL