Our Services:
Detailed Scope of Work

We believe in complete transparency. Here is exactly what we do for your practice — every task we handle, from enrollment to final reimbursement.

Insurance Credentialing

We manage the entire provider enrollment process so you can see patients without delay.

CAQH application – initial setup, attestation, and ongoing updates
Payer enrollment – Medicare, Medicaid, commercial plans, and managed care
Follow-up & expediting – we actively track applications and follow up until you're paneled
Re-credentialing – timely submissions to prevent gaps in network participation
Contract review assistance – we help you understand fee schedules and terms

Claims Submission & Denial Management

From claim creation to appeal, we make sure you get paid for the work you do.

Clean claim preparation – we verify eligibility, benefits, and coding before submission
Electronic & paper submission – to all payers, including government and commercial
Claim tracking – daily monitoring of acknowledgment and status updates
Denial management – root cause analysis, timely appeals, and reconsiderations
Timely filing safeguards – we ensure no claim is abandoned due to deadlines

Accounts Receivable Recovery

We proactively pursue every outstanding dollar so your cash flow stays healthy.

Aging report analysis – we prioritize high-value and overdue claims
Payer follow-up – persistent phone calls and written inquiries to resolve unpaid claims
Underpayment review – we identify and dispute incorrect payments or shortfalls
Secondary insurance billing – coordination of benefits to maximize reimbursement
Patient statement processing – when patient responsibility applies, we handle statements professionally

Medical Coding (CPT/ICD-10) Audits

Our certified coders ensure accuracy, compliance, and optimal reimbursement.

CPT®/HCPCS assignment – based on thorough documentation review
ICD-10 code selection – specificity and medical necessity are our priorities
Modifier validation – correct use of telehealth, bilateral, and other modifiers
Retrospective audits – we identify missed revenue opportunities and compliance risks
Provider education – we share documentation tips to improve future coding accuracy

Practice Financial Reporting

We give you clear, actionable insights so you always know where your practice stands.

Monthly revenue summaries – detailed breakdowns by payer, provider, and service
AR aging reports – with specific recommendations for recovery
Claim status dashboards – at-a-glance view of paid, pending, and denied claims
Payer performance analysis – we track reimbursement trends to identify issues
Custom KPI tracking – days in AR, clean claim rate, denial rate — we monitor what matters

Additional back-office tasks we handle for you

Daily patient eligibility verification
Payment posting & reconciliation
Charge entry & fee schedule updates
Coordination of benefits (COB)
Drafting and submitting appeal letters
ERA/EFT enrollment assistance
Patient statement generation (as needed)
Credentialing reappointment tracking

Documented proof of service: Every task listed above is performed on behalf of our practice clients. We maintain detailed logs, reports, and audit trails — because transparency is the foundation of trust.

📬 Let's talk about your practice

Shakisha Lawson, Founder & CEO
Direct contact for scope & service details

3711 E Caracas St, Tampa FL 33610
Serving practices nationwide

(844) 329-0777 (provider line)

rcm@gototelemedbill.com — we respond within 24 hours

Detailed scope always provided

We tailor the above tasks to your practice and provide a signed service agreement outlining every deliverable.

Our Services: Detailed Scope of Work