Pena4 improves the healthcare revenue cycle with a comprehensive suite of services, enhancing efficiency and accuracy at every stage. From patient intake to medical coding, CDI, claims processing, and denial management, we help healthcare providers maximize revenue while ensuring compliance and operational excellence.
Patient Scheduling offers efficient management of healthcare appointments, optimizing resources and reducing wait times. Streamlining the scheduling system boosts patient satisfaction and maximizes physicians' time.
Patient Registration is the first step in the medical billing process, involving the patient data collection of accurate personal and insurance details. Proper registration ensures seamless billing, minimizing claim denials, and reducing delays in payment.
Eligibility and Benefits Verification involves confirming a patient's health insurance coverage and benefits, ensuring that services provided are covered and minimizing claim rejections. Accurate verification leads to timely payment collections and reduces billing errors.
Prior Authorizations and Referrals are essential for expensive procedures or medically necessary medications and are covered by insurance. By obtaining pre-authorization, healthcare providers avoid costly claim denials and reduce administrative burdens.
We offer expert CDI services, ensuring your organization benefits from onsite or remote support from vetted CDI professionals. Our ability to quickly scale staffing and provide comprehensive CDI management and practitioner documentation audits enhances your revenue cycle while ensuring compliance and improved patient care.
We believe in delivering top-tier medical coding services with domestic, offshore, or hybrid models, ensuring tailored solutions for your organization. With rapid implementation in just two weeks, we offer 24-hour turnaround times and comprehensive coverage, including U.S. holiday support and embedded quality assurance, enabling efficient coding across all patient types and settings.
Our CORIS Service assist healthcare providers with proper compliance, keeping revenue integrity, and preventing costly errors. By applying this optional charge code validation service, facilities can safeguard their financial health and improve claim outcomes with precision coding.
Maintaining accurate and compliant medical coding is key to proper reimbursement and less denials. With our Data Quality Service, healthcare providers can improve coding accuracy, identify areas in need of improvement, and assess the completeness of clinical documentation.
Our Education Services help to equip your team with the knowledge they need to navigate the complexities of healthcare and stay up to date with regulatory standards.
Building a team of proficient coders is paramount to the success of your healthcare organization. This hands-on approach improves coder’s skills and contributes to the overall quality of your coding operations.
Choosing our Edit Reconciliation Service, healthcare providers can address their edits timely and completely to decrease the days in A/R, decrease the time and cost handling a claim multiple times, enable quicker claim turnaround. This leads to faster and more accurate reimbursement and a smooth and efficient revenue cycle.
Our Interim Management and Staffing Service provides healthcare organizations with expert leadership and staff needed for continuity during times of transition. With experienced H.I.M. and Revenue Cycle professionals, we enable your organization to staff accordingly and never be left with a vacant position, especially in a leadership role.
Pena4 delivers tailored solutions increasing operational efficiency and ensuring compliance, backed by a team of experts committed to optimizing your health information management processes.
We initiate the revenue cycle by creating and submitting clean claims to ensure faster reimbursement, minimizing lag caused by errors or incomplete information.
Our team identifies and corrects any inaccuracies or discrepancies in the claims submitted, preventing unnecessary rejections and payor denials.
By managing electronic data interchange (EDI) transactions, we ensure seamless communication between payers and providers, expediting claim processing and improving accuracy.
Each claim is reviewed and processed meticulously to ensure compliance with payer regulations and guidelines, reducing the chances of underpayment and denials.
We efficiently handle Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) transactions across payors, ensuring timely and accurate payment postings.
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.
Continuous monitoring of claim statuses ensures that any issues are promptly identified and resolved, accelerating cash flow, and minimizing revenue delays.
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.
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.
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.
I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.
Very responsive team, expert knowledge, and easy to work with.
Always on point with Turn Around Time requirements.
Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!
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.
Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.
Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.
Pena4 staff was helpful and accommodating to our professor and students' needs.
Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.
Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!
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.
