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Revenue Cycle

Multispecialty Medical Billing and Coding

We support physician, hospital inpatient, and hospital outpatient billing workflows across multiple specialties.

Services include

  1. 01Reviewing provider documentation to identify supported diagnoses and services.
  2. 02Applying ICD-10-CM, CPT, and HCPCS coding.
  3. 03Reviewing modifiers, billing units, and place of service.
  4. 04Preparing and correcting CMS-1500 and UB-04 claims.
  5. 05Supporting electronic 837P and 837I submissions.
  6. 06Reconciling completed encounters with captured charges.
  7. 07Reviewing medical necessity and payer documentation requirements.
  8. 08Coordinating provider clarification when records are incomplete or ambiguous.

— Our support extends to medical and behavioral health billing, with attention to service type, rendering provider, documented treatment time, and payer-specific requirements.

From the first benefit inquiry to the final payment review, PharmClear Access Strategies helps healthcare teams connect patient access, accurate billing, and reimbursement performance.