Medical Billing and Revenue Cycle Management
Services
Comprehensive Medical Billing and Revenue Cycle Management Services
Streamline healthcare operations and maximize revenue with our end-to-end solutions
Comprehensive Medical Billing and Revenue Cycle Management Services
Way-Wise Technology We provide end-to-end medical billing and revenue cycle management solutions designed to maximize collections and ensure full compliance. Our comprehensive services include expert coding for Medicare, Medicaid, and commercial payers, NSA/IDR dispute resolution, 24/7 emergency billing support, and rapid credentialing all backed by HIPAA-compliant operations. We handle the complex revenue challenges so healthcare providers can focus entirely on patient care without worrying about denials, compliance penalties, or cash flow disruptions.
Why Choose Us for your Medical Billing and Revenue Cycle Management Services
24/7 Emergency Command Center
Real-time prior auths, eligibility checks & NSA compliance during traumas/mass casualties — staffed by CMS-certified ER billing specialists ready at 3 AM.
NSA-Proof Billing for Emergencies
Zero surprise billing violations: Instant Good Faith Estimates (GFEs) for unconscious patients + IDR-ready dispute packages to block CMS penalties.
ER-Specific Coding & Compliance
EMTALA-compliant billing for trauma/uninsured cases — with Medicare/Medicaid emergency fee schedules and crisis modifier expertise (99285, G0390).
Instant ER Claim Adjudication
98% clean claims in <24hrs: AI scrubbing for emergency modifiers + out-of-network crisis scenarios — no more 90-day payment delays.
Medicare/Medicaid Emergency Revenue Recovery
Maximize payments for 911 transports, trauma activations & EMTALA screenings — with state Medicaid waiver expertise for uncompensated care.
Audit Armor for High-Risk ER Claims
Pre-built defense packages: Medical necessity trails, NSA consent forms, and CMS audit responses delivered in <72hrs — or we cover penalties.
Our Core Medical Billing and revenue cycle management Services
Comprehensive solutions designed to optimize your healthcare practice operations
Medical Billing Services
Expert billing for Medicare, Medicaid & commercial payers with NSA-compliant workflows to maximize reimbursements and minimize denials.
- Medicare/Medicaid claim submission & follow-up
- NSA/IDR dispute resolution support
- Real-time claim status tracking
- Denial management with appeal expertise
- Patient balance billing compliance
- Revenue performance analytics
Medical Coding Services
Certified coders specializing in emergency medicine coding with Medicare/Medicaid and NSA compliance expertise.
- Emergency department coding (99281-99285)
- Medicare Part B & Medicaid coding rules
- NSA-compliant modifier application
- Trauma and critical care coding
- Compliance audits & documentation support
- ICD-10, CPT & HCPCS expertise
Federal Compliance Services
Comprehensive compliance protection including HIPAA, No Surprises Act, and Medicare/Medicaid regulations to prevent penalties.
- NSA/IDR compliance & dispute filings
- HIPAA privacy & security audits
- Medicare/Medicaid program integrity
- EMTALA billing compliance
- Good Faith Estimates (GFE) management
- Audit defense & documentation
Provider Credentialing
Expedited Medicare, Medicaid & commercial credentialing with emergency provider enrollment prioritization.
- Medicare/Medicaid enrollment (PECOS, state systems)
- Emergency department provider credentialing
- CAQH ProView management
- Commercial payer panel enrollment
- License & certification verification
- Recredentialing management
24/7 Emergency Support Center
Dedicated emergency billing support available 24/7/365 for prior authorizations, eligibility checks, and NSA compliance during crises.
- 24/7/365 emergency billing support
- Real-time prior authorization assistance
- Unconscious patient eligibility verification
- NSA balance billing protection
- Mass casualty billing surge capacity
- Multilingual patient support
Revenue Cycle Management
End-to-end RCM optimized for emergency providers with Medicare/Medicaid expertise and NSA-compliant workflows.
- Emergency department workflow optimization
- Medicare/Medicaid reimbursement maximization
- NSA/IDR dispute preparation
- Denial prevention & recovery
- Cash flow forecasting & analytics
- Accounts receivable management
Benefits of Our Medical Billing and Revenue Cycle Management Services
Transform your practice with measurable results and improved efficiency
Maximized Revenue Recovery
Expert Medicare/Medicaid billing and NSA-compliant workflows that reduce denials by 40%+ and accelerate reimbursements for emergency and specialty services.
24/7 Emergency Revenue Support
Dedicated billing specialists available around-the-clock for prior authorizations, eligibility checks, and NSA compliance during emergencies—freeing your clinical staff to focus on patient care.
Federal Compliance Protection
Proactive NSA/IDR dispute resolution, Medicare/Medicaid audit defense, and EMTALA-compliant billing to eliminate surprise billing penalties and protect your practice from $100k+ fines.
Optimized Cash Flow
End-to-end revenue cycle management with real-time analytics that cuts payment cycles by 30% and ensures maximum reimbursement from all payers—including complex emergency department cases.
Advanced Technology & Tools
Cutting-edge solutions powering our comprehensive services
Advanced Billing & Coding Platforms
- Athenahealth RCM & EHR integration
- Epic and Cerner system optimization
- NextGen and AdvancedMD expertise
- Real-time eligibility verification (Availity, Experian)
- Medicare/Medicaid-specific billing modules
Intelligent Revenue Analytics
- AthenaCollector and Epic Revenue Cycle analytics
- AI-driven denial prediction and prevention
- Provider-specific performance dashboards
- Medicare/Medicaid reimbursement trend analysis
- NSA/IDR dispute outcome forecasting
- Cash flow optimization with real-time alerts
Modern Patient Engagement Suite
- 24/7 call center with RingCentral and Five9 technology
- HIPAA-compliant patient portals (Luma Health, Phreesia)
- Automated GFE (Good Faith Estimate) generation
- Multi-language support for diverse populations
- Emergency billing notification systems
- Telehealth billing integration (Doxy.me, Zoom for Healthcare)
Service Outcomes
Our specialized medical billing and revenue cycle management solutions deliver measurable results: 40%+ reduction in denials, 30% faster reimbursements, and complete NSA/IDR compliance protection—so healthcare providers maximize revenue while focusing on patient care.
Our Commitment
Dedicated to excellence in every aspect of our service delivery
99%+ clean claim rate with Medicare/Medicaid-specific coding expertise
24/7 emergency billing support: prior auths, eligibility checks, and NSA compliance during crises
Complete federal compliance: HIPAA, No Surprises Act, and Medicare/Medicaid program integrity
Real-time revenue dashboards with Athenahealth/Epic integration and denial trend analysis
Monthly staff certification on Medicare fee schedules, Medicaid waivers, and NSA regulations
Proactive revenue leakage detection with advanced claim scrubbing and emergency department workflow optimization
Our Clients
Recommend Us.
The web app design looks clean and professional. Navigation is smooth, and the responsive layout works well across devices. A few minor UI polishings could make the experience even better.
Nichol
CEO, Bullet-Proof
The software is developed with a well-structured codebase, which makes it easier to maintain and scale. The overall functionality works as expected, and adding new features will be efficient.
Jeson Morgan
CEO, Fidden
Way-Wise Tech delivered a highly professional web app for our business. The development process was smooth, and the team was responsive to our needs. The final product exceeded our expectations in both design and functionality.
Brandon
CEO, Seat-Waves
We were impressed by the professionalism and expertise of the Way-Wise Tech team throughout our web app development. They provided valuable insights, communicated clearly, and delivered a robust solution tailored to our requirements.
Jad Shoueip
Founder, WeOut
Our experience with Way-Wise Tech for web app development was outstanding. The team demonstrated deep technical knowledge and a commitment to quality, resulting in a seamless and reliable application for our group.
Management Team
Search Force group
Have a Project Idea?
Let's get started
We'll schedule a call to discuss your idea. After discovery sessions, we'll send a proposal, and upon approval, we'll get started.
Firoz Bari
Chairman
Seung Lee
CTO