Overview

Our Extended Business Office Services improve the healthcare revenue cycle, optimizing claims, payments, and denials for better financial health. By reducing administrative burdens, we let your team focus on exceptional patient care.

    Download Brochure    
 
LOGO

Claim Submission

We initiate the revenue cycle by creating and submitting clean claims to ensure faster reimbursement, minimizing lag caused by errors, or incomplete information.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Error Correction

Our team identifies and corrects any inaccuracies or discrepancies in the claims submitted, preventing unnecessary rejections, and payor denials.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • Clean claims
  • Claims scrubbing
  • Claim Edits

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

EDI Management

By managing electronic data interchange (EDI) transactions, we ensure seamless communication between payers and providers, expediting claim processing, and improving accuracy.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • clean claims
  • Electronic and paper claims
  • Claim rejections

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Claims Processing

Each claim is reviewed and processed methodically to ensure compliance with payer regulations and guidelines, reducing the chances of underpayment, and denials.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • 837I
  • 837P

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

ERA/EFT Processing

We efficiently handle Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) transactions across payors, ensuring timely, and accurate payment postings.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR
  • ERA
  • Payment Reconciliation

Key Features:

  • Flexible Pricing
  • Seasoned Medical Billers
  • Swift Transition
  • Exceptional Quality
  • Quick Turnaround
  • 835

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent Care
  • Ancillary

Components:

  • Physician
  • Facility

Payment Posting

Our team accurately posts payments to patient accounts, reconciling any discrepancies in the bank deposits and ensuring that your financial records are up to date.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR
  • Payment Reconciliation
  • EOB

Key Features:

  • Flexible Pricing
  • Seasoned Medical Billers
  • Swift Transition
  • Exceptional Quality
  • Quick turnaround
  • EOB
  • Denial Posting

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Claim Status Check

Continuous monitoring of claim statuses ensures that any issues are promptly identified and resolved, accelerating cash flow, and minimizing revenue delays.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR
  • 276/277

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • IVR
  • Payer portals
  • Insurance calls
  • Clearing house

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Denial Analysis

We thoroughly analyze claim denials across payor mix and patient types to identify trends, correct issues, and implement strategies to prevent future denials, improving overall revenue recovery.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR
  • 835

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • CARC codes
  • RARC codes

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Appeals and Resolution

Our seasoned staff handle the appeals process, working to overturn denials and recover lost revenue. We provide clear documentation and proactive communication with payers to achieve the best possible outcomes.

Services:

  • CMS 1500
  • UB04
  • EDI
  • EHR

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • Corrected claims
  • Reconsiderations
  • Appeals
  • Payer portals
  • Certified mails
  • Fax

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Extended Business Office Services - Why Pena4?

We offer seamless and efficient experience for revenue cycle management, accelerating reimbursements, and lowering administrative costs, allowing you to focus on what matters most—patient care.

Related Case Studies

case-study

Business Office KPIs

    View Details    

Consult with our Extended Business Office Service team

This is one of very few vendor relationships I have experienced in my 35 years as an HIM where I truly feel like we are partners with the same goal in mind-quality health information.

Cindy Penner

The Ottawa Hospital

I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.

Craig Chase

Catholic Health Services

Very responsive team, expert knowledge, and easy to work with.

John Samuels

Better Health Advisors

Always on point with Turn Around Time requirements.

Lordy Josama

One Brooklyn Health System

Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!

Ray Cosner

Mt. Sinai Health System

It has been such a pleasure to work with Pena4 and their team. They have highly educated coders and I do not need to be involved in their internal processes, they know how to get the job done and with great quality.

Bonnie DiAntonio

RWJ Barnabas South

Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.

Jade Johnson

Mount Sinai Hospital MSH/MSQ

Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.

Valerie Oselmo

BronxCare Health System

Pena4 staff was helpful and accommodating to our professor and students' needs.

Dasantila Sherifi

Rutgers University

Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.

Craig Chase

Catholic Health Services

Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!

Sonia Shiels

Joseph Brant Hospital

We hired HIMonCall to assist with coding to meet our mandated fiscal year deadlines. We were able to meet this deadline successfully with the help of these contract coders and the work was delivered on time, as promised.

Monique Rasmussen

Providence Health Care