What We Do

We cover the full revenue cycle, in four parts.
Medical billing and coding

Medical billing and
coding

Claims go out on CMS-1500 and UB-04 forms, coded in ICD-10-CM, CPT, and HCPCS Level II.

Credentialing and payer enrollment

Credentialing and payer
enrollment

NPI, CAQH ProView, PECOS, and Utah Medicaid PRISM enrollment, with re-credentialing and revalidation kept on schedule.

Denial management

Denial management and A/R
Recovery

Appeals built around the actual CARC/RARC code, and aged A/R worked by bucket instead of left alone.

Billing audits and revenue

Billing audits and revenue
Analytics

Coding accuracy, fee schedule review, and reporting on net collection rate, days in A/R, and first-pass resolution rate.

See the full list of Utah medical billing services for details on each.

How We Work

One person handles your account, not a support queue that changes every time you call. You see your own numbers, net collection rate, days in A/R, denial trends, and that data is yours. There’s no long-term contract keeping you locked in, so staying with us is a choice you keep making. And we work inside your EHR or practice management system as it already is; you don’t have to switch anything to work with us.
Compliance and Regulatory Standards
Compliance and Regulatory Standards

Credentials, Compliance and Memberships

Our coders and billers are AAPC and AHIMA certified. Coding gets checked through our own internal QA process, so problems get caught before they cost you money. Every client signs a Business Associate Agreement. Access to PHI is role-based, and everything is encrypted, both stored and in transit. Staff go through HIPAA training every year, and every access gets logged, so there’s a record of who touched what.

Cities

Where We Serve

We also cover rural counties statewide that often don’t have any local billing support at all. Being Utah-based means we’re on Mountain Time. That’s a real team, in your time zone, during your actual business hours.

Salt Lake City

Provo

Ogden

St. George

Lehi

West Valley City

Talk to Our Utah Billing Team

Not sure where your practice is losing revenue? We can help you find out. Our Utah billing team works directly with your practice to simplify billing, resolve issues, and help you get paid faster.

Discover More With Our Medical Billing Blogs

Explore the world of healthcare revenue management through our blogs. Uncover industry insights, practical tips, and innovative solutions designed to boost your practice’s financial health.

Blog Third

Blog Third

Up to 70% Time Savings Achieved with Fully Integrated Advanced Referral Module of CareCloud’s AI-Enabled EHR

Blog Second

Blog Second

Up to 70% Time Savings Achieved with Fully Integrated Advanced Referral Module of CareCloud’s AI-Enabled EHR

Blog First

Blog First

Up to 70% Time Savings Achieved with Fully Integrated Advanced Referral Module of CareCloud’s AI-Enabled EHR