Our Services

Revolutionizing Healthcare Excellence 

Are you ready to take your medical practice to new heights of success and efficiency?  At Elite Medical Consulting, we are dedicated to transforming the way healthcare providers operate, enabling you to deliver exceptional patient care while optimizing your practice's performance and profitability.

Why choose Elite Medical's Consulting Services?  Here's why:

1. Unparalleled Expertise
2. Comprehensive Practice Analysis
3. Revenue Maximization Strategies
4. Technology Solutions
5. ACO Program Excellence
6. Ongoing Support and Training

Now is the time to elevate your practice to its full potential.  Choose Elite Medical's Consulting Services as your trusted partner in driving healthcare excellence.  Contact us today for a personalized consultation, and let us unlock a future of increased efficiency, revenue growth, and superior patient outcomes for your practice.  Together, we will redefine healthcare success.

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Empowering Your Practice For Seamless Claims Resolution 

Are you tired of grappling with the complexities of claims processing and dealing with the frustrations of denied or delayed reimbursements? Elite Medical is here to revolutionize the way your practice handles claims, transforming your revenue cycle management into a streamlined and efficient process. 

Why choose Elite Medical for your claims resolution needs?  Here's what sets us apart:

• Unrivaled Expertise: We have maintained <2% denial rates and over 92% collection rate for our clients for over two decades.
• Seamless Integration
• Increased Revenue and Cash Flow
• Exceptional Claim Accuracy
• Proactive Denial Management
•  Personalized Support and Guidance

Elevate your claims resolution process to new heights with Elite Medical.  Say goodbye to reimbursement headaches and hello to a streamlined revenue cycle that maximizes your revenue potential.  Contact us today for a personalized consultation and let us show you how we can transform your practice's financial performance.  Experience the power of seamless claims resolution with Elite Medical, and take control of your revenue cycle management.

ATHENA PROVIDERS

Is your practice currently using Athena and don't have the current bandwidth to tackle the Athena Holds/MGRHolds?  Are your staff actively working the unpostable/correspondence or enrollment dashboards, or payer enrollments?  Are your confident that your claims are being actively and accurately handled?  Is your staff sending refunds no more than 60 days from the date the Athena rep identified the overpayment? 

If you answered NO or didn't know the answer to any of the above questions, Elite Medical can identify your current pitfalls and align your practice with the appropriate workflow to work effectively with Athena's system and OIG/ payor guidelines.

Transforming RCM for Healthcare Excellence 

Are you looking to optimize your revenue cycle, improve financial performance, and ensure the financial health of your healthcare practice?  Elite Medical is here to revolutionize your Revenue Cycle Management (RCM) services, delivering comprehensive solutions tailored to your specific needs.  

Why choose Elite Medical for your RCM needs?  Here's what sets us apart:

1. Proven Expertise
2. Customized Solutions
3. End-to-End RCM Services
4. Revenue Optimization
5. Technology-driven Solutions: Kareo, AdvancedMD, eClinicalWorks, or Athena.
6. Dedicated Support: US-based

Elevate your revenue cycle management to new heights with Elite Medical.  Experience improved cash flow, reduced administrative burden, and enhanced financial performance.  Contact us today for a personalized consultation and let us show you how we can transform your RCM processes.  With Elite Medical as your trusted partner, you can focus on what matters most: delivering exceptional patient care while achieving financial excellence. 

Empowering Healthcare Providers through Strategic Credentialing and Fee Schedule Negotiations

Are you looking to optimize your reimbursements, secure favorable fee schedules, and streamline the credentialing process?  Elite Medical is here to navigate your credentialing and fee schedules, empowering you to maximize revenue and focus on delivering exceptional patient care.

Why Choose Elite Medical for your credentialing and fee schedule negotiation needs?  Here's why we stand out:

• Extensive Industry Knowledge.
• Strategic Credentialing.
• Fee Schedule Optimization.
• Revenue Maximization.
• Payer Relations Expertise: over twenty years of relationships with most UT provider representatives.
• Personalized Support.
• Transparency and In-depth Records.

Experience the power of strategic credentialing and fee schedule negotiations with Elite Medical.  Let us optimize your reimbursements, secure favorable fee schedules, and simplify the credentialing process. Contact us today for a personalized consultation and discover how we can unlock your practice's revenue potential.  With Elite Medical as your trusted partner, you can navigate credentialing and fee schedule negotiations with confidence, driving financial success, and delivering exceptional patient care.

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Do you conduct annual audits of your billing and coding?  Do you know if you are documenting within Medicare requirements?  Are your patients being billed accurately and promptly? If you are enrolled with an ACO, do you need assistance with AWV/IPPE documentation?  Are you receiving all your bonus payments from your ACO program(s)? 

If you answered yes to any of these questions, or don't have an answer, it may be necessary to have our Risk Coders review your templates and documentation to evaluate your current billings.  This will help determine if you are missing potential revenue.  If you are only billing the AWV or IPPE and neglecting additional services, you are undoubtedly missing out on revenue.  Each visit for AWVs or IPPEs has the potential to be billed at over $350.

With over two decades of experience within the medical industry, Elite Medical can perform a comprehensive practice analysis for your today, enabling you to start increasing your bottom line immediately.  Our certified coders will conduct yearly audits to ensure proper coding and billing in accordance with OIG requirements. 

Ensuring Your Practice's Success and Peace of Mind

Are you a medical practice that understands the critical importance of compliance but finds it challenging to navigate the ever-evolving regulatory landscape?  Whether you're a new practice seeking a solid foundation or an established one looking to enhance your compliance efforts, Elite Medical's Compliance Services is here to support your every step of the way.  

Why choose our compliance services?  Here's why:

• ​Expertise and Experience by certified professional compliance officers.
• Tailored Solutions.
• Comprehensive Compliance Audits
• Proactive Compliance MGMT.
• Mitigate Risks and Protect Your Reputation.
• Focus on Patient Care.

Don't let compliance complexities hinder your practices' success. Trust Elite Medical's compliance services to streamline your compliance efforts, enhance operational efficiency, and protect your practice from potential pitfalls.

Contact us today, to schedule a consultation, and let us be your trusted compliance partner!

Remember, compliance is not just a legal obligation; it's the cornerstone of a thriving medical practice.  Choose Elite Medical's Compliance Services and experience the confidence and peace of mind that comes with exceptional compliance management.

Chart Audit service package including an audit of outstanding A/R, with findings and recommendations.

Negotiate with an individual carrier to increase the current fee schedule with the group.

Obtain prior authorization and partial payments (if applicable), for procedures or continuation of care. The authorization will be uploaded into the patient’s chart, if applicable, and a message sent to the provider’s MA that and authorization has been uploaded and either approved or not approved (giving further instructions).

Medical record review for prior documentation and coding by the certified coder (Coder II)- Prior quarter review of 20 notes per provider with recommendations and findings.

The insurance Verifications Agent will review the list of patients within the system, no less than three (3) days prior to the date of service. The agent will confirm insurance coverage and contact the patient(s) when additional information or an image of the card is needed. The agent will contact patients with outstanding balances no less than three (3) days prior to the date of service to obtain a full payment towards their outstanding balance, or to set up a payment plan. The agent will send a list of patients the agent was unable to contact or verify to the office, on a daily basis. The agent will update patient demographics as needed and notate all patient communication: if full payment, a payment plan, or a message was left requesting a call back from the patient to obtain accurate insurance information.  If the patient is coming in for a Medicare AWV or IPPE, the agent will verify if the patient is eligible for these services and notify the office according.

Specialty trained team, will take all appointment calls and schedule appointments per client specifics, and perform insurance verification (see Insurance Verification definition below). This will ensure accurate information is collected from the patient.  The team will also assist with account balance inquiries and collecting outstanding balances and copayments at the time of making the appointment.  If services fall within the No Surprise Act, the team will send the Good Faith Estimate and ensure the document is signed and uploaded to the patient chart prior to the time of service.