Vajra Healthcare manages the complete billing process for medical and dental providers. Below is every service we handle and every specialty we support.
Every step of the revenue cycle is handled by our team. No step is skipped, no claim is left without follow-through.
Patient appointment coordination and scheduling support within your existing EMR or practice management system, customized to your workflow and provider availability.
Accurate collection and verification of patient information, insurance details, and registration data before any claim is created. Errors at this stage are the leading cause of downstream denials.
Confirmation of active coverage, network status, benefits structure, deductible balances, co-pay amounts, and patient financial responsibility before services are rendered.
Identification of which services require payer authorization, submission of authorization requests, and tracking through approval or denial. Nothing proceeds without confirmation documented.
Accurate CPT and ICD code assignment, charge entry, and documentation review to ensure what is submitted to the payer reflects what was rendered and documented by the provider.
Electronic submission through clearinghouse with immediate monitoring for rejections. Any claim rejected at the clearinghouse level is corrected and resubmitted before it ages.
Accurate posting of insurance and patient payments against each claim, reconciled against remittance advice to ensure posted amounts match what was actually received and contracted.
Every denied claim receives a root cause analysis. Depending on the reason, we pursue reconsideration, redetermination, first level appeal, second level appeal, or state insurance appeal until the claim is resolved or all paths are exhausted.
Systematic follow-up on outstanding balances across every aging bucket: 30, 60, 90, and 120 plus days. We work AR until your collections reflect what has actually been billed and rendered.
Review and resolution of credit balances resulting from insurance overpayments or patient overpayments, including refund processing and account corrections to keep records accurate.
Preparation of accurate patient balance statements reflecting insurance payments, adjustments, and remaining patient responsibility. Statements are prepared digitally and provided to the practice for distribution.
Monthly reporting on collections, denial trends, AR aging, clean claim rate, and reimbursement performance. Reports are delivered in plain language so providers and practice managers can act on the data without interpretation.
Our team is structured around the specific coding, authorization requirements, and payer rules of each specialty. Click on any specialty to learn more.
Revenue cycle management for cardiology practices and cardiac specialists.
View details →Billing and reimbursement support for nephrology providers.
View details →Revenue cycle support for dialysis organizations and outpatient treatment centers.
View details →Specialty billing support for dermatology practices.
View details →Comprehensive primary care billing and revenue cycle management.
View details →Revenue cycle management for internal medicine providers and groups.
View details →Billing support for pediatric practices and children's health providers.
View details →Revenue cycle management for durable medical equipment suppliers including Medicare and Medicaid billing.
View details →Billing and reimbursement support for home health agencies.
View details →Revenue cycle management for hospice organizations and end-of-life care providers.
View details →Billing support for diagnostic laboratories and clinical testing providers.
View details →Revenue cycle support for clinical practices including nurse practitioner and physician assistant billing.
View details →Dental billing operates under entirely different rules from medical billing. CDT codes, annual maximums, missing tooth clauses, waiting periods, and frequency limitations require a team that understands dental-specific payer requirements.
Billing and insurance support for general dental practices.
View details →Revenue cycle support for orthodontic providers including banding and treatment plans.
View details →Specialty billing for oral surgery practices including extractions and surgical procedures.
View details →Billing support for periodontal treatment and surgical procedures.
View details →Revenue cycle management for endodontic providers and root canal specialists.
View details →Billing support for pediatric dental practices and children's dental providers.
View details →Schedule a consultation and we will walk through your current billing operations to identify exactly where Vajra Healthcare can support your practice.