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Our Services

Insurance & Eligibility Verification

Eligibility errors are one of the top causes of claim denials. AQTECHX performs comprehensive, real-time eligibility checks to verify patient coverage, benefits, and payer details before service delivery. Our advanced verification process prevents billing issues and enhances patient satisfaction.

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Pre-Authorization & Referral Management

Delays in authorizations can lead to denials and delayed reimbursements. AQTECHX ensures that all required pre-authorizations and referrals are obtained before patient services, reducing administrative burdens and improving claim success rates.

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Provider Credentialing & Enrollment

Get paid faster — stay compliant, connected, and credentialed.

AQTECHX manages the complete credentialing and payer enrollment process for healthcare providers and practices. Our experienced team ensures every application, contract, and payer communication is handled accurately and efficiently, minimizing delays and denials.

Why Choose AQTECHX

  • End-to-end credentialing handled by experienced RCM professionals
  • Faster onboarding and reduced claim rejections
  • Transparent tracking and real-time progress updates
  • HIPAA-compliant processes and secure documentation handling
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Medical Billing & Coding

Accurate medical billing and coding are the foundation of a smooth revenue cycle. At AQTECHX, our certified billing specialists and coders ensure every claim is accurately coded, properly documented, and submitted on time — minimizing rejections, accelerating reimbursements, and maintaining compliance with payer guidelines.
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Account Receivables (AR) Management

A well-managed AR process is vital for maintaining your practice’s cash flow. At AQTECHX, we actively monitor, follow up, and resolve unpaid claims to ensure your revenue remains consistent. Our dedicated A/R specialists identify issues early, minimize aging, and maximize collections with precision and persistence.

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Denial Management

Denied claims can significantly impact your cash flow and operational efficiency. At AQTECHX, we take a proactive and systematic approach to denial management — identifying the root causes, fixing process gaps, and ensuring every recoverable claim gets paid. Our team uses advanced reporting, analytics, and payer communication to turn denials into revenue opportunities.
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Medical Billing Audit

Regular billing audits help ensure compliance, accuracy, and maximum reimbursement. AQTECHX offers detailed medical billing audits to identify coding errors, underpayments, and compliance risks. Our audit specialists provide insights to strengthen your revenue integrity and improve operational performance.
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Compliance Audits

In today’s regulatory healthcare environment, compliance is not optional — it’s essential. At AQTECHX, our Compliance Audit services ensure your billing, coding, and documentation practices meet federal, state, and payer-specific regulations. We help protect your organization from penalties, claim rejections, and reputational risks while maintaining ethical revenue cycle operations.
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Workers’ Compensation Billing

We are experienced in managing Workers’ Compensation claims for healthcare providers across the United States — ensuring accuracy, compliance, and faster reimbursements for injury-related treatments.

Our team understands the complexities of state-specific regulations, documentation requirements, and payer rules that govern Workers’ Compensation billing. From claim preparation to payment posting, every step is handled with precision to minimize delays and denials.

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Book keeping & Financial Management

Our bookkeeping services ensure that your financial records are accurate, organized, and up to date — giving you a clear picture of your business’s financial health.

We manage daily transactions, reconcile accounts, and prepare financial summaries so you can focus on running your business, not balancing the books.

Key Activities:

  • Recording income and expenses
  • Bank and credit card reconciliations
  • Accounts payable and receivable management
  • Monthly and quarterly financial statements
  • Budgeting and cash flow monitoring

 Tax Services & Compliance

Navigating the complexities of tax laws can be challenging — that’s where AQTECHX comes in.
Our tax professionals help you stay compliant while optimizing your tax position through accurate preparation, planning, and filing.

Key Activities:

  • Federal and state tax preparation and filing
  • Quarterly and annual tax reports
  • Business and individual tax returns
  • Tax planning and deductions optimization
  • IRS correspondence and audit support

Financial Reporting & Analysis

We provide detailed financial reports that transform raw numbers into actionable insights.
Our financial reporting services help you understand profitability, identify trends, and make informed business decisions with confidence.

Key Activities:

  • Monthly, quarterly, and annual financial statements
  • Profit and loss, balance sheet, and cash flow analysis
  • Custom financial dashboards and KPIs
  • Business performance evaluation and forecasting
  • Management reporting and decision support

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  • 1. Patient Demographics Collection – Gather accurate patient and insurance information.
  • 2. Real-Time Eligibility Checks – Use payer portals or clearinghouses to verify active coverage.
  • 3. Benefits & Copay Review – Confirm copays, deductibles, and coinsurance amounts.
  • 4. Plan Limitations & Exclusions – Identify non-covered services or benefit caps.
  • 5. Authorization & Referral Needs – Flag procedures requiring additional payer approval
  • 7. Documentation & Record Update – Store verification results for future claim reference.
  • 1. Service & Coverage Verification – Confirm the procedure or service requires prior authorization.
  • 2. Document Collection – Gather clinical notes and required supporting documents.
  • 3. Authorization Request Submission – Submit requests to payers promptly via portals or fax.
  • 4. Status Tracking – Monitor authorization status until approval is secured.
  • 5. Referral Coordination –Coordinate referrals with specialists or secondary providers
  • 6. Communication with Providers – Store verification results for future claim reference.
  • 7. Denial Prevention – Maintain documentation and logs to prevent future authorization issues.
  • 1. Information Gathering & Verification – We collect provider details, licenses, NPI, certifications, malpractice insurance, and verify document accuracy.
  • 2. CAQH Registration & Attestation – We create or update your CAQH profile and ensure timely attestation so payers have your most current information.
  • 3. Application Preparation & Submission – We complete and submit enrollment applications to Medicare, Medicaid, and commercial payers with precision and compliance.
  • 4. Follow-Up & Status Tracking – Our specialists monitor payer responses, resolve issues, and keep you updated at every stage until approval.
  • 5. Contract Review & Fee Schedule Verification –We review payer contracts, reimbursement terms, and assist with negotiation where applicable.
  • 6. Enrollment Confirmation & Activation – We confirm provider activation in payer systems and update all internal and payer directories.
  • 7. Ongoing Re-Credentialing & Maintenance – We track expirations and renewal dates to ensure your credentials never lapse and reimbursements remain uninterrupted.
  • 1. Patient Registration –Collect and verify complete patient demographics, insurance details, and eligibility before services are rendered.
  • 2. Insurance Verification – Confirm active coverage, benefits, and authorization requirements to prevent claim denials.
  • 3. Charge Entry – Record the provider’s charges accurately based on the services performed and encounter notes.
  • 4. Medical Coding (CPT, ICD-10, HCPCS) – Assign appropriate CPT, ICD-10, and HCPCS codes according to documentation and payer-specific requirements.
  • 5. Claim Creation –Create a medical claim electronically in ANSI 837 format using the assigned ICD-10 and CPT codes.
  • 6. Claim Scrubbing & Submission – Check the claims for missing info or errors. Submit clean claims via Clearinghouse to insurance carriers through secure, HIPAA-compliant billing systems.
  • 7. Payment Posting – Interpret all EOBs & ERAs received. Record and reconcile all payments received from payers and patients, identifying underpayments or adjustments in the Provider’s system.
  • 8. Denial Management – Track unpaid or rejected claims, investigate causes, correct errors, and re-submit to ensure maximum reimbursement.
  • 9. Patient Billing & Collections – Prepare and post bills for the remaining patient responsibility (Co-pay, Co-insurance, Deductibles). Follow-up on collecting the outstanding balances.
  • 1. AR Aging Analysis –Review outstanding balances categorized by payer, claim type, and age.
  • 2. Prioritization & Workflow Setup – Focus on high-value, high-success claims first.
  • 3. Claim Follow-Up – Engage with payers to determine claim status and resolve pending issues.
  • 4. Re-Submission & Appeals – Correct errors and re-submit denied or underpaid claims promptly.
  • 5. – Manage patient billing communications professionally.
  • 6. Reporting & Analytics – Provide detailed AR reports and insights for continuous improvement.
  • 1. Denial Identification & Categorization –Review all denied and rejected claims, classifying them by reason codes, payer type, and denial category (technical, clinical, or administrative).
  • 2. Root Cause Analysis –Investigate underlying issues such as missing documentation, incorrect coding, eligibility errors, or untimely filing to prevent recurrence.
  • 3. Corrective Action & Rework – Correct errors, gather necessary documents, and prepare resubmission or appeals in compliance with payer policies.
  • 4. Re-Submission & Appeals – Re-submit corrected claims and manage appeals efficiently to recover maximum reimbursement within payer deadlines.
  • 5. Trend Tracking & Prevention Use analytics to identify recurring denial trends and implement preventive measures such as coder training and front-end edits.
  • 6. Follow-Up & Communication – Maintain timely follow-up with payers until claims are resolved, and keep providers informed of recovery progress.
  • 7. Performance Reporting – Generate detailed denial and recovery reports to measure efficiency, track success rates, and improve future claim accuracy.
  • 1. Data Collection & Sampling –Review claims, payments, and coding documentation.
  • 2. Coding Accuracy Analysis –Check CPT, ICD-10, and modifier use for compliance and precision.
  • 3. Billing Process Review – Assess charge entry, claim submission, and payment posting steps.
  • 4. Denial & Underpayment Assessment – Identify patterns in rejections or revenue loss.
  • 5. Compliance & HIPAA Validation Ensure adherence to payer and federal guidelines.
  • 6. Audit Report Preparation – Summarize findings with actionable recommendations.
  • 7. Corrective Action & Training – Implement changes and educate staff to prevent recurrence.
  • 1. Compliance Risk Assessment –Identify high-risk areas within your billing and documentation workflow.
  • 2. Claims & Documentation Review –Examine claims, coding, and patient records for compliance with payer and CMS guidelines.
  • 3. Policy & Procedure Evaluation – Assess existing RCM policies, internal controls, and audit trails.
  • 4. HIPAA & Data Security Check – Verify that PHI handling meets HIPAA and data privacy standards.
  • 5. Audit Report Generation Provide detailed audit findings and compliance status summaries.
  • 6. Corrective Action Plan – Recommend improvements and implement policy updates.
  • 1. Patient & Employer Information Verification –Confirm patient, employer, and insurer details to ensure eligibility.
  • 2. Accident & Case Documentation –Review injury reports, treatment notes, and authorization forms for accuracy.
  • 3. Claim Coding & Submission – Apply the correct injury, procedure, and modifier codes per Workers’ Comp guidelines.
  • 4. Attachment Handling – Include all necessary documentation (C-4, CMS-1500, reports, and referrals) with each claim.
  • 5. Payer Communication Coordinate directly with adjusters and Workers’ Comp carriers to track claim status.
  • 6. Payment Posting & Reconciliation – Record payments, manage adjustments, and reconcile account balances.
  • 7. Denial Management & Appeals – Identify denied claims, correct errors, and resubmit for maximum recovery.