Boosting Revenue for a Sleep Apnea Clinic
Challenge: High denial rates due to improper coding for sleep studies and CPAP/BiPAP therapy.
Solution: Nexaserve implemented ICD-10/CPT coding audits, automated pre-authorization checks, and AR follow-up workflows.
Streamlining RCM for a SUD Treatment Facility
Challenge: Behavioral health billing complexities led to delayed reimbursements and compliance risks.
Solution: End-to-end SUD RCM services with payer-specific rules, denial management, and compliance tracking.
Multi-Specialty Network Optimization
Challenge: Managing RCM for two specialized verticals simultaneously.
Solution: Dedicated teams for sleep and SUD billing, combined analytics dashboard, and automation-driven workflows.
Small Sleep Facility Scaling Without Overhead
Challenge: Limited in-house billing team unable to manage growing patient volume.
Solution: Offshore RCM model with trained coders for sleep studies and device billing.
Reducing AR Backlog for a Hospital Network
Challenge: Multi-million AR backlog due to poor follow-ups and claim rejections.
Solution: Automated AR workflows, aggressive follow-ups, and root-cause analysis for denials.
Improving Compliance for a Behavioral Health Chain
Challenge: Frequent audits and compliance penalties.
Solution: HIPAA-compliant workflows, ICD-10 training, and monthly compliance audits.
