RULE NUMBER ONE
We strive so you can THRIVE!
Leverage our Expertise and our years of Experience!
Service locations we proudly serve.
Our company's culture, ethics and our values sets us apart from all other company. We care for our Clients' patients ultimate outcome of care, that their services or surgeries getting approved or getting paid will be the least they have to worry. We make sure our physicians can focus more on the highest patient quality care. And we will take care of everything from the front desk to the back-end ~ Rafael T. Pescasio, Chief Operations and Finance Officer
Maximize Reimbursement
Focus more on Quality Care
Reduce Patients Complaints
Increase Patients Satisfaction
STAY COMPLIANT
OUR EXPERTISE
We strive, so you can thrive and GROW more!
We have an incredible 99% Retention Rate!
ComplianceWe take it very seriously.
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20+ Years of Well-Kept Promise
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We are different in the Medical Practice and Hospital Industry
Your Benefits.
- First and foremost is PEACE OF MIND (which the ROI is incredible!)
- No new employees hiring
- No employee benefits and vacation time
- Increased Providers Confidence
- Increased Patients Satisfaction
- Increased Surgical Procedures Approval
- Increased Cash Flow
- Decreased Denials
- Decreased waiting time for patients getting the procedures
- Focused Full Time Employee Hours Allocation
- Guaranteed more COST-EFFECTIVE
- Guaranteed faster reimbursement payments' turnaround time
- Guaranteed Maximized Profitability
- Compliant.
Don't just take our word... read what our clients have to say.
Who we are as a Team.
We always take pride with our clients' patients outcome.
Educational Background89% Nurses (BSN)
5% Information Technologists (BSc) 4% Business Management (BSc) |
Years of Work Experience75% with 5+ years
20% with 12+ years 5% with 15+ years |
Job Roles40% Experts in Surgical Prior Authorization & Patients Access
55% Experts in Full Revenue Cycle Management 5% Experts in Coding and Documentation Audit/Compliance Review |
MS. PINKY MANIRI-PESCASIO, MSc, BSc, CRCR, CSPPM
Chief Executive Officer, President & Founder
Backed by her 26 long years experience, you will be amazed on how much she knows about the Healthcare and Medical Practice Industry. Ms. Pinky Maniri-Pescasio is a renowned and highly educated Professional Medical Practice Consultant, a sought-after National Speaker on Physician Billing, Coding and Reimbursement. A well-respected Revenue Cycle Management Expert and Compliance Expert. She was a University a Professor in her Past Life and you can feel and learn how passionate of a teacher she is. She has always believe, that every Medical Provider MUST get paid for their rendered services based on Medical Necessity. There is no reason for unnecessary claims denial and rejection. It is just knowing the Clinical, Utilization, Documentation and Reimbursement Guidelines and Policies.
She blogs all about the Medical Practice Industry. Visit her BLOG here.
Physician Advocate | Reimbursement National Speaker | Practice Consultant
Certified Specialist in Practice Management
Certified Specialist in Revenue Cycle Management
Certified Specialist in Managed Care
She blogs all about the Medical Practice Industry. Visit her BLOG here.
Physician Advocate | Reimbursement National Speaker | Practice Consultant
Certified Specialist in Practice Management
Certified Specialist in Revenue Cycle Management
Certified Specialist in Managed Care
Our Founder's Professional Affiliations & Industry Commitment
Meet Our Operations and Management Team
Mr. Ralph Pescasio, Sr., MScCFO / COO
30+ years in Renal and Hemodialysis Facility Technical Operations Mr. Patrick PescasioDirector of Human Resources and Talent Acquisition
Mr. Patrick has years of experience in HR Management and Talent Acquisition. He oversees all stages of candidate experience (including application, interviews and communication).
Miss KristineExecutive Office Administrator
Mr. Jai Maniri, BSc EngineeringDirector of IT Engineering and Technical Support
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Miss Jeanne Dearley, MSN, BSN, RNSenior Vice President of Business Development
and Utilization Clinical Review Team 30+ years experience as Clinical Instructor and as an OR Charge Nurse Miss MayaDirector of Credentialing and Contracting Services
Mr. Adam AnschelConsultant for Ancillary Products and Services
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![]() Chronic Care Management Services and the New Changes for 2017
CMS Medicare recognizes the Chronic Care Management (CCM) as a critical component of primary care services that contributes to better health and care for individuals.
So in 2015, Medicare began paying separately under the Medicare Physician Fee Schedule for CCM services furnished to Medicare patients with multiple chronic conditions.
Chronic Care
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![]() 2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring Interprofessional Consultation In the Final Rule, CMS noted “[i]n recent years, we have sought to recognize significant changes in healthcare practice, especially innovations in the active management and ongoing care of chronically ill patients. . . .” However, CMS’ efforts to promote these innovations have been limited by its interpretation of the statutory restrictions on Medicare reimbursement for telehealth services.
Medicare Guideline on Virtual Services |
![]() (1) Incorrect demographic information (insurance ID , date of birth, even the gender!)
Always scan a copy of your patient's primary and secondary insurance card. Make sure to get a copy of their new card (if there is a change)
(2) Patient's non-coverage or terminated coverage at the time of service may also be the reason of denial. That is why, it is very important that you check on your patient's benefits and eligibility before seeing the patient (unfortunately, I have seen practices who does not check benefits and eligibility on their patients so they end up being not paid for the service they have rendered for the patient
10 Common Reasons Claims Get
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Popular Blog Posts
CODING AND BILLING
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When to use Medicare's ABN |
Pain Management Nerve Blocks Coding |
Just a few of the Practice Management Software and/with
EMR System that we are 100% an Experts
We are Experts in all of these system!
Contact us if your system is not listed!
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Need Immediate Assistance? CALL US TODAY: 1 (800) 267-8752 Send Us a Fax: (732) 982-4800