How Xhale Supports Your Practice
1
Demographics Review
Collects and verifies accurate patient information to ensure claims are submitted correctly and without delays due to data errors.
2
Insurance Eligibility & Benefits Verification
Confirms active coverage, payer requirements, copays, deductibles, and authorization needs before services are rendered.
3
Charge Entry
Inputs services provided into the billing system accurately and promptly to support timely claim submission.
4
Coding Review
Ensures CPT codes are accurate and compliant with payer and regulatory guidelines to reduce denials and audits.
5
Claim Submission
Submits claims electronically to insurance carriers, following payer-specific rules for faster processing.
6
7
8
9
10
11
12
13
Claim Scrubbing & Compliance Checks
Reviews claims for errors, missing information, or compliance issues before submission to prevent rejections and delays.
Payment Posting
Posts insurance payments, adjustments, and payments accurately to maintain clear financial records.
Unallocated & Unidentified Payment Resolution
Researches and applies payments that cannot be automatically matched to claims, ensuring all revenue is properly accounted for.
Denial Management & Appeals
Identifies denied or underpaid claims, corrects issues, and submits appeals to recover lost or delayed revenue.
Accounts Receivable (A/R) Follow-Up
Monitors outstanding claims and follows up with payers to ensure timely reimbursement and reduce aging balances.
Patient Billing & Statements
Generates and manages patient statements, clearly outlining balances due while supporting a positive patient experience.
Prior Authorization Support
Obtains required authorizations to reduce claim denials related to medical necessity or coverage rules.
Compliance & Regulatory Monitoring
Stays current with billing regulations, payer policy changes, and industry standards to protect your practice from risk.
14
Customer Support & Communication
Offers responsive, personalized communication with providers and staff to address questions, resolve issues, and maintain transparency.
Does this sound like the support you’ve been looking for? Let’s chat—Contact us today to schedule a no-obligation consultation.