Eligibility & claim validation
Review coverage information and practice-supplied claim details, identify missing information and route questions back to the responsible team.
A clearer path to payment
Medical billing & revenue cycle management
From practice-approved encounter information to remittance review and follow-up, Medgento helps organize the work behind reimbursement. We agree on the scope, systems and reporting with your practice, then build a process your team can follow.
Talk about your practice
A shared view of claims that need attention
Defined owners for denials and outstanding balances
Reporting shaped around your practice’s starting point
PRACTICAL SUPPORTWhat we can
What we can
help you with.
Bring structure to claims, denials and receivables, with clear ownership at every step. We’ll define responsibilities, deliverables and access together before work begins.
Electronic claim submission
Prepare and submit claims through the practice’s selected, authorized clearinghouse or payer workflow. Available connections are confirmed during onboarding.
Rejection & denial follow-up
Organize rejected and denied claims into actionable queues, coordinate corrections and support appeals using approved information and documentation.
Remittance & payment posting
Review ERA or EOB information, post payments within the agreed process and flag adjustments or discrepancies for follow-up.
Receivables & revenue reporting
Track outstanding balances, maintain follow-up notes and review agreed measures such as aging, claim status and denial trends.
A SHARED PLANFrom conversation
From conversation
to a clear next step.
Understand your revenue workflow
Review your specialty, payer mix, existing tools and current follow-up process. Agree on the priorities and measures that will guide the work.
Establish claim readiness
Use encounter and coding information approved by your practice to review claim details, eligibility and payer requirements within the agreed scope.
Submit, track and follow through
Work through your authorized systems to submit claims, review acknowledgments, address rejections and track denials or unpaid balances.
Review the next priorities
Share agreed reporting on claim activity, payments, denial patterns and receivables so your practice can see where follow-up is needed.
BEFORE WE BEGIN
A little more detail.
Can you work with our current billing system?
We begin by reviewing your EHR, practice management system and billing workflow. Access, functionality and any clearinghouse connections must be confirmed before we agree on the service scope.
What information does our practice provide?
Your practice supplies approved encounter and coding information, relevant documentation and authorized system access. Responsibilities for resolving missing or inconsistent information are agreed during onboarding.
Do you guarantee a collection increase?
No. Reimbursement depends on factors including payer decisions, documentation, contracts and your existing receivables. We establish a starting baseline and agree on the reporting used to evaluate the work.
LET’S MOVE FORWARDYour practice.
Book a consultation Your practice.
Our next conversation.
Tell us what’s getting in the way. We’ll explore where Medgento can help.