Careviaa Solutions

Revenue cycle services that pay for themselves

Choose one service or the complete cycle. Every engagement is tailored to your specialty, payer mix and existing systems.

Medical billing

A complete billing department without the overhead. We take patient and encounter data from your system and turn it into clean claims and posted payments.

  • Charge and demographic entry from your records into your practice management system.
  • Electronic and paper claim submission, with claim scrubbing before every batch.
  • Payment posting of insurer ERAs/EOBs and patient payments, with variance checks.
  • Patient statements prepared and sent on your behalf, plus help with patient billing questions.
  • Eligibility and benefits verification before appointments to prevent avoidable denials.
  • Custom monthly reports on charges, collections, denials and A/R ageing.

Medical coding

Accurate codes are the foundation of correct payment. Our credentialed coders work remotely as an extension of your team, for ongoing volume, backlogs or temporary cover.

  • ICD-10-CM, CPT and HCPCS coding for professional and facility services.
  • Certified coders (AAPC and AHIMA credentials) with specialty experience.
  • Your rules, your workflow. We follow your coding protocols and payer-specific guidelines.
  • Documentation feedback that flags gaps so providers can close them.
  • Flexible staffing for backlog clean-ups, leave cover or long-term contracts.

Coding & claims audits

Independent reviews that protect revenue and reduce compliance risk, either before claims are sent or after they are paid.

  • Pre-bill audits that verify codes, modifiers and diagnosis-to-procedure linkage.
  • Retrospective audits to find under-coding, over-coding and missed charges.
  • Provider-level scorecards with clear findings and recommendations.
  • Charge capture review to make sure every billable service is recorded.

A/R follow-up & denial management

Unpaid claims are unpaid revenue. We work your receivables consistently until they are resolved and fix the root causes of denials.

  • Systematic follow-up on every open claim at least every 30 days.
  • Denial analysis by payer, reason code and provider to stop repeat problems.
  • Corrected claims and appeals prepared with the right supporting documentation.
  • Old A/R recovery projects for aged balances that have been written off as lost.

Provider credentialing & enrollment

New provider, new location or new payer? We manage the applications and follow-up so providers can see insured patients and get paid sooner.

  • Payer enrollment with Medicare (including PECOS), Medicaid, Blue Cross Blue Shield, commercial plans, HMOs and workers' compensation carriers.
  • Re-credentialing and revalidation tracked so nothing lapses.
  • Profile maintenance for CAQH ProView and NPPES, so payer data always matches.
  • Status tracking with regular updates until each contract is active.

Revenue cycle consulting & training

Prefer to keep billing in-house? We help your team do it better with expert reviews, practical training and on-call support.

  • Revenue cycle health check covering coding patterns, payer benchmarks, fee schedules and A/R.
  • Process and system review of charge capture, appeals and billing software setup.
  • Staff training on coding updates, modifiers, appeals and compliance.
  • Online consulting for claim-specific questions, code selection and denial resolution.
Engagement models

Work with us the way that suits you

Full revenue cycle

We manage everything from eligibility checks to final payment, with one monthly fee linked to collections.

Single service

Coding only, A/R only or credentialing only. Fill the gap without changing what already works.

Project-based

Backlog clean-ups, old A/R recovery or a one-time audit, with a fixed scope and timeline.

Not sure which service you need?

Start with a free assessment. We'll review your numbers and recommend the right next step.

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