Built for Providers,
Focused on Revenue
Discover why thousands of healthcare providers trust Care Claim Solution to eliminate administrative burdens, maximize reimbursements, and ensure total compliance.
The CarePoint Advantage
We combine deep clinical expertise with enterprise-grade workflows to deliver financial results you can see within the first 30 days.
Certified Experts
Our teams consist entirely of AAPC/AHIMA certified coders who specialize in navigating complex clinical documentation and capturing maximum RVUs.
HIPAA Compliance
Your patients' PHI is sacred. We utilize AES-256 encryption, strict zero-trust architecture, and routine independent compliance audits.
98% Clean Claims
Through algorithmic scrubbing and manual expert reviews, we ensure 98% of your claims are accepted by the payer on the very first submission.
Faster Reimbursements
We guarantee 24-to-48 hour turnaround times on all charge entries, significantly accelerating your cash flow and lowering your days in A/R.
Revenue Optimization
We don't just process billing; we actively identify under-coded encounters and aggressively pursue complex appeals to recover trapped revenue.
Dedicated Managers
Say goodbye to anonymous call centers. You will be assigned a dedicated U.S.-based account manager who knows your practice inside and out.
Proven Financial Results
We deliver measurable growth for clinics, hospitals, and independent practices.
A Different Standard of Care
We operate differently than a typical high-volume billing agency.
Typical Billing Agency
Focuses on volume over accuracy.
- close Shared, anonymous resources
- close Reactive processing of given codes
- close Limited, outdated monthly reports
- close High denial rates due to unscrubbed claims
- close General staff without specialty training
Care Claim Solution
Enterprise workflows focused on optimization.
- check_circle Dedicated Account Manager
- check_circle Proactive coding reviews and RVU capture
- check_circle 24/7 transparent analytics dashboards
- check_circle 98% first-pass clean claim submission
- check_circle AAPC/AHIMA Certified specialty coders
The RCM Workflow
A seamless, proven operational framework that scales with your practice.
1. Patient Registration & Eligibility
Verification of demographics, deductibles, and active insurance coverage prior to the visit.
2. Medical Coding
Translating clinical encounter documentation into highly precise ICD-10 and CPT codesets.
3. Claim Scrubbing
Rigorous pre-submission algorithmic checks for NCCI edit conflicts and missing modifiers.
4. Claim Submission
Rapid, secure electronic data interchange (EDI) transmission to the payer network.
5. Payment Posting
Accurate ingestion and reconciliation of ERAs (Electronic Remittance Advices) and EOBs.
6. Denial Management
Aggressive root-cause analysis and comprehensive appeals for any unjustly rejected claims.