Revenue Cycle

Complete revenue cycle management including coding, charge posting, claim submission, payment posting, denial management and appeals follow up. At Caliber, we strive to achieve 100% accuracy in our coding to minimize denials and maximize revenue for your practice. We will fight for your money. You did the work, now let us make sure you get paid for it. Our team of expert billers know how to recover revenue that could be potentially lost due to inexperienced staff. At Caliber, we only charge you for what we collect on your behalf, not what we bill out. This ensures that we maintain coding integrity and lowers your risk for audits.

Provider Credentialing/Payer Enrollment

The first step in the process is to make sure your providers are credentialed with all your contracted payers. At Caliber, we can also provide Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) enrollment. This will help you get paid faster. No more waiting on paper checks in the mail.

Chart Review

Our certified coders will complete a review for proper CPT coding, ICD-10 diagnosis specificity, and risk adjustment analysis. Our feedback will provide notations of any areas of concern and areas where potential improvement in coding can be made. We also can provide one on one coding education as needed.

Provider Education

Caliber Medical Logistics, offers a wide variety of provider education opportunities. We can customize an education program based on your practices needs

Revenue Cycle Analysis

Are you sure your current process is working for you? If you’re not sure, Caliber offers a revenue cycle analysis to see how efficient your current billing company or billing staff really are. Are they writing off balances that are truly collectable? Are they coding for all the services you provide during each patient visit? Are they working smarter instead of harder?

HCC/RAF Analysis

With all the changing guidelines in health care with the Medicare Advantage (MA) plans, are you keeping up? Chances are you are leaving money on the table by under coding your patient’s chronic conditions. Many of these MA plans offer shared savings or other incentive programs for managing their members chronic conditions and keeping them out of the hospital. We can help align your practice to receive better payments and additional incentives for doing the work you already are.

HEDIS/STARS Coaching and Guidance

Caliber can help decipher all the regulations surrounding population health management. We offer guidance and advice as well as implementation plans to help your staff and your providers capture all these quality metrics.

Specialized Projects

Caliber Medical Logistics wants to help where you need us the most. We can offer short term/project based services such as AR clean up or catching up on old charges. We understand that there are times when you just need a little extra help and we can be there for you. Contact us to discuss your needs.