Revenue Cycle Management
Billing workflows built on payer-specific rules
Automated claim validation paired with certified billing specialists, so clean claims reach payers the first time and denials get traced to their root cause.
Claim Workflow
Errors caught before they leave the practice
Every claim is scrubbed against coding policy and payer-specific rules before submission, then followed through to resolution.
Automated claim scrubbing
Real-time validation against coding policies fixes errors and optimizes ICD-10 and CPT codes before submission.
Payer-specific rule validation
Claims are cross-referenced with CMS and private insurance regulations to reduce avoidable rejections.
Denial root-cause analytics
Specialists trace complex denials to their source, appeal where warranted, and work to lower days in A/R.
35+ Specialties
Billing configured to the clinical field
Specialty-specific workflows reflect how each practice bills, from Behavioral Health and Dermatology to Public Health and Urgent Care.
Behavioral Health
Rulesets for session-based billing, authorization requirements, and payer-specific behavioral health codes.
Dermatology
Workflows for procedure and office visit coding, modifier logic, and dermatology-specific documentation checks.
Public Health and Urgent Care
Configurations for high-volume encounters, program billing, and the payer rules that shape each visit.
See where your claims are losing ground
Book a free financial audit of your billing operations with a CraveMD revenue specialist.