Revenue Cycle Operations

Medical Billing & Coding

Accurate charge capture, coding support and clean-claim preparation built around disciplined revenue-cycle workflows.

01Coding and documentation review before claim release.
Medical Billing & Coding—in one clear answer

For US medical practices, medical billing and coding turn documented care into accurate claims using payer-specific rules and approved systems. Neeraj RCM Global Solutions supports charge capture, coding review, claim preparation and connected denial and A/R workflows while the practice retains clinical and compliance responsibility.

Illustrative specialist reviewing billing and coding documentation
Inside the workflow

From documented care to a cleaner claim.

Accurate capture, coding support and claim preparation are managed as one connected operating sequence.

What is includedA defined operational scope.
What is included

A defined operational scope.

The agreed scope defines specialties, coding responsibility, encounter and charge sources, the billing or clearinghouse system, submission rules, reporting fields and handoffs to denial and A/R work.

Charge and documentation review

Review available encounter and billing information before claim preparation.

Coding support

Support accurate code selection based on the documentation and scope agreed with the practice.

Claim creation and scrubbing

Prepare and review claims for common demographic, coverage and coding inconsistencies.

Submission workflow

Submit claims through the practice’s approved billing or clearinghouse workflow.

Rejection correction

Review front-end rejections and correct supported claim information.

Billing reports

Provide clear operational reporting based on the agreed service scope.

How the workflow movesFrom intake to accountable follow-through.
How the workflow moves

From intake to accountable follow-through.

Practice intake

Confirm specialty, systems, billing rules and access requirements.

Data review

Review documentation, demographics and insurance information.

Claim preparation

Create and scrub claims using the approved workflow.

Submission

Submit claims and record acknowledgement or rejection status.

Follow-through

Route denials, payments and A/R items into the next RCM workflow.

Operational standardTechnology supports the work. People own the outcome.
Operational standard

Technology supports the work. People own the outcome.

Automation may flag missing fields, inconsistent claim data and priority work, but coding judgments, clinical documentation and supported corrections remain subject to qualified human review and practice-approved rules.

Important: This service does not guarantee payer approval, claim payment, network participation or a specific financial result.
Authoritative US referencesOfficial workflow resources.
Authoritative US references

Official workflow resources.

CMS electronic health care claimsCMS Medicare Provider Compliance

Use: Federal sources define national standards and program guidance. Payer, plan, state and contract requirements may differ.
Frequently asked

Clear answers before engagement.

What information is needed to begin medical billing support?

The required information depends on the practice and system, but commonly includes provider details, patient demographics, insurance information, encounter documentation, charge information and secure access to the approved billing workflow.

Do you work with a practice’s existing software?

The operating model is designed around the practice’s approved systems. Current platform experience includes AdvancedMD, Allscripts Pro PM and eClinicalWorks; final compatibility is confirmed during onboarding.

Does billing support include denial and A/R work?

Denial management and A/R follow-up can be included as connected services or handled separately, depending on the agreed scope.

Connected servicesBuild the workflow around the real problem.

Discuss your current workflow, systems and priority accounts.

Share the administrative problem—not patient information—and we will identify the right starting point.