Our services
We-Pro Solutions is dedicated to delivering innovative, efficient, and top-tier Business Process Outsourcing (BPO) services to healthcare providers worldwide
we follow
HIPAA Compliances
Privacy Rule Compliance
Security Rule Compliance
Administrative Safeguards
Technical Safeguards
Physical Safeguards
Employee Training
Data Backup and Recovery
Business Associate Agreements
Why you should choose us.
We ensure confidentiality and quality of work and takes our business in professional manner.
Connectivity
Confidentiality
timely deliveries
Medical Billing
We understand the vital importance of effective medical billing in achieving the financial prosperity of your healthcare practice. Our dedicated medical billing services aim to simplify billing procedures, increase revenue, and alleviate the administrative challenges that often accompany healthcare management.
Key Features of Our Medical Billing Services
Our team ensures the accurate and timely submission of medical claims to insurance companies, Medicare, Medicaid, and other payers. This accuracy minimizes the risk of claim denials and ensures that you receive the maximum reimbursement for your services
Specialty Expertise:Whether you’re a physician, hospital, anesthesia provider, laboratory, pathology, EMS, FQHC, or behavioral health practice, we have the expertise to handle your specific billing needs. Our specialty-trained billers are well-versed in the nuances of various medical specialties
Revenue Maximization:We employ strategies to optimize your revenue collection, which includes identifying underpayments, unpaid claims, and reducing errors in the billing process. Our goal is to improve your practice’s financial health.
Claims Denial Management
Dealing with claim denials can be a time-consuming and challenging task. We manage denials, follow up on unpaid claims, and facilitate appeals, allowing you to focus on patient care rather than administrative hassles.
Technology Integration:
We utilize state-of-the-art healthcare management software and tools to automate processes, enhance efficiency, and reduce billing errors. This integration ensures a streamlined and error-free billing cycle.
Medical Coding
We understand the essential importance of accurate and compliant medical coding within the healthcare revenue cycle. Our certified medical coding services are structured to address a diverse array of specialties and practice areas, empowering healthcare providers to achieve optimal reimbursement while maintaining compliance with industry standards
Key Features of Our Medical Coding Services
Specialty Coding:
Our certified coders are experienced in a diverse range of medical specialties. Whether your practice is focused on cardiology, orthopedics, dermatology, gastroenterology, or any other specialty, we have the expertise to accurately code your services.
Physician Coding:
Our coding services extend to individual physician practices. We ensure that the services provided by each physician are correctly coded, supporting accurate billing and revenue optimization.
Hospital Coding:
Hospital coding presents unique challenges due to the complexity of inpatient and outpatient services. Our team is well-versed in hospital coding, ensuring compliance with coding regulations and comprehensive reimbursement.
Anesthesia Billing:
Accurate coding is crucial in anesthesia billing to reflect the complexity and specificity of services provided. Our certified coders have experience in anesthesia coding, ensuring proper reimbursement for anesthesiologists.
Lab & Pathology Coding:
We provide precise coding for laboratory and pathology services, reflecting the specific tests and procedures conducted while complying with coding guidelines.
EMS (Emergency Medical Services) Coding:
EMS coding requires a thorough understanding of the services provided during emergency medical transportation. Our coders accurately code EMS services to ensure prompt reimbursement.
FQHC (Federally Qualified Health Center) Coding:
FQHCs play a vital role in delivering comprehensive healthcare services to underserved communities. We provide accurate coding to support FQHCs in optimizing revenue while adhering to compliance requirements.
Behavioral Health Coding:
Accurate coding in the field of behavioral health is essential for both providers and patients. We ensure that behavioral health services are coded correctly, reflecting the care provided
Chiropractic Coding:
Chiropractic care represents a distinct area within the healthcare sector that necessitates precise and compliant medical coding for effective billing and reimbursement. we offer Chiropractic Coding Services specifically designed to address the unique requirements of chiropractors and chiropractic practices, enabling you to optimize revenue while ensuring adherence to industry standards.
HCC Coding:
Hierarchical Condition Category (HCC) coding plays a vital role in the management of healthcare revenue cycles, particularly for entities involved in Medicare Advantage programs. Precise HCC coding is crucial for accurately representing patients’ health status and risk levels, which directly influences reimbursement rates. we offer HCC Coding Services tailored to guarantee accurate and compliant coding for healthcare providers and organizations.
Accounts Receivable
Managing accounts receivable effectively is key to ensuring the financial health of your healthcare practice. We offer a full range of accounts receivable services aimed at maximizing revenue collection, minimizing losses, and improving your overall financial performance.
Key Features of Our Accounts Receivable Services
Claims Denial Management:
Our team is adept at dealing with claim denials, one of the primary challenges in healthcare revenue management. We proactively address denials, identify the root causes, and implement corrective measures to prevent future denials.
Follow-Up on Unpaid Claims:
We meticulously follow up on unpaid claims to ensure that you receive the revenue you are owed. Our persistent approach helps maximize collections and reduce the impact of unpaid claims on your practice’s financial health.
Appeals and Resubmissions:
In cases where claims are wrongfully denied or underpaid, we initiate appeals and resubmissions to secure the reimbursement you deserve. Our expertise in appealing claims can significantly boost your practice’s revenue.
Reducing Revenue Leakage:
Dealing with claim denials can be a time-consuming and challenging task. We manage denials, follow up on unpaid claims, and facilitate appeals, allowing you to focus on patient care rather than administrative hassles.
Reporting and Analysis
We provide transparent reporting and in-depth analysis of your accounts receivable to help you understand your practice’s financial performance. This data-driven approach empowers you to make informed decisions.
Provider Credentialing
Understanding the intricate and often lengthy process of provider credentialing, we have created our Provider Credentialing Services to streamline this procedure. This guarantees that healthcare providers maintain their eligibility to deliver services and receive payments from insurance companies and government healthcare programs
Key Features of Our Provider Credentialing Services
Initial Credentialing:
We assist in the initial credentialing process for newly licensed healthcare providers. This includes verifying their qualifications, licenses, certifications, and professional history to ensure eligibility for practice.
Recredentialing:
Our team manages the ongoing process of recredentialing, which is typically required at regular intervals. We ensure that your providers remain credentialed and compliant with the requirements of insurance companies and regulatory bodies.
Documentation Management:
We maintain a comprehensive database of provider documentation, including licenses, certifications, insurance, and other credentials. This ensures that all necessary documents are up-to-date and readily available for audits.
Insurance Participation:
We manage the participation of your providers with various insurance companies and healthcare organizations. This involves coordinating applications, renewals, and updates to maintain your provider network.
Compliance with Regulatory Standards:
Our services ensure that your providers remain compliant with all relevant healthcare regulations and standards, including those related to billing practices, patient privacy (HIPAA), and other applicable regulations.
Eligibility Verification
The process of eligibility verification is essential in revenue cycle management, allowing healthcare providers to validate a patient's insurance coverage and identify the necessary steps for prior authorization. We-pro Solutions provides specialized Eligibility Verification Services aimed at simplifying this procedure, minimizing the risk of claim denials, and bolstering the financial well-being of your practice.
Insurance Coverage Verification:
Our team verifies a patient’s insurance coverage, including details about the policy, coverage limits, deductibles, copayments, and coinsurance. This information is crucial for accurate billing and claims submission.
Prior Authorization:
We determine if prior authorization is required for specific medical procedures or services. This proactive approach helps prevent claim denials and ensures that patients receive the care they need.
Verification of Patient Information:
We verify patient demographic information, ensuring that patient details are accurate and up-to-date. This minimizes administrative errors and helps prevent claim rejections.
Real-Time Verification
Our services often involve real-time verification, allowing for immediate confirmation of a patient’s insurance eligibility and coverage details during the scheduling or check-in process.
Continuous Updates
We stay current with insurance companies’ guidelines and requirements, ensuring that you receive accurate and up-to-date information for each patient’s insurance coverage.
Full Practice Service
We acknowledge that operating a healthcare practice entails a wide range of responsibilities and challenges. Our all-encompassing Full Practice Services are crafted to reduce these burdens and provide thorough support to healthcare providers, allowing you to prioritize the delivery of high-quality patient care.
Key Features of Our Full Practice Service
Practice Management:
Our full practice support covers various aspects of practice management, including appointment scheduling, patient records, compliance, and other operational functions. We streamline your administrative processes to save you time and resources.
Technology Integration:
We use cutting-edge healthcare management software and tools to automate and streamline processes, reduce errors, and improve efficiency.