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About US 

At ExquiroLogix RCM, we empower healthcare providers to focus on what matters most—delivering exceptional patient care. With our deep expertise in medical billing and credentialing, we navigate the complexities, streamline operations, and maximize efficiency, so you can dedicate your time where it’s needed most—your patients.

We specialise in serving individual providers, clinics, and hospitals. Our goal is to optimize your revenue cycle, streamline administrative workflows, and ensure your practice remains compliant with the latest regulatory changes, allowing you to focus on what matters most—caring for your patients. 

Our mission is to provide exceptional service with an unwavering commitment to quality and customer satisfaction. Our 24/7 Contact Center Solutions ensure a seamless experience for your clients every day of the year. By prioritizing excellence, we not only enhance your brand’s reputation but also help reduce operational costs by 35-40%. 

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Why Choose Us?

Because we care about your success! We’re dedicated to providing you with personalized, efficient solutions that make your life easier. Our team is passionate about ensuring your practice runs smoothly, using the latest technology and offering clear communication every step of the way. With us, you’re not just another client – you’re a valued & trusted collaborator, and we’re here to help you thrive. 

1. Accurate Billing: Proper scheduling ensures the right services are documented,
minimizing billing errors.
2. Efficient Revenue Cycle: Scheduled appointments improve claim submission, reducing
delays and no-shows.
3. Faster Payments: Pre-scheduled appointments allow for insurance verification and
necessary authorizations, speeding up the payment process.
4. Better Coordination with Insurance: Ensures pre-authorization and accurate patient
data, reducing issues with insurers.
5. Patient Satisfaction: Clear scheduling helps avoid confusion, improving patient
experiences and ensuring all services are billed properly.
6. In short, good scheduling streamlines the billing process, reduces errors, and ensures timely
payments.

1. Accurate Claims Processing – Correct details (name, DOB, insurance info) prevent
claim rejections and delays.
2. Insurance Verification – Ensures eligibility and proper coordination of benefits.
3. Avoiding Denials – Errors in demographics are a leading cause of claim rejections.
4. Faster Reimbursements – Reduces administrative workload and improves revenue
cycle management.
5. Effective Communication – Ensures smooth patient-provider interaction for follow-ups
and billing.
6. Legal Compliance – Meets HIPAA and other regulatory requirements.
7. Medical Record Accuracy – Supports continuity of care and prevents patient mix-ups.
8. Maintaining up-to-date demographics enhances billing efficiency, patient experience, and
revenue management.

Charge Entry Process
1. Patient Information Verification
2. Provider and Service Details Entry
3. Procedure and Diagnosis Code Assignment
4. Charge Calculation
5. Modifiers Application
6. Claim Scrubbing & Validation 
7. Charge Submission.

1. Ensures Accurate Billing & Payment – Prevents errors, reduces claim denials, and
ensures providers get paid correctly.
2. Prevents Fraud & Compliance Issues – Helps avoid fraudulent claims and ensures
compliance with regulations.
3. Standardization & Efficiency – Creates a universal language for billing, reducing
administrative errors.
4. Supports Healthcare Data & Research – Helps track disease trends and improve
medical research.
5. Enhances Patient Care – Maintains detailed, organized medical records for better
treatment.
6. Medical coding ensures financial stability, compliance, and high-quality patient care in
healthcare.

Pre-authorization and referrals are crucial for ensuring smooth claim processing, minimizing
denials, and optimizing patient care.

1. Insurance Compliance – Required for certain procedures; failure leads to claim denials.
2. Prevents Claim Denials – Ensures insurance reimbursement and reduces appeals.
3. Cost Control – Prevents unnecessary procedures, lowering healthcare costs.
4. Faster Payments – Streamlines revenue cycle and improves cash flow.
5. Better Patient Experience – Reduces unexpected costs and delays.
6. Regulatory Compliance – Avoids penalties and contract violations.
7. Efficient Resource Use – Ensures coverage before service delivery.
8. Prevents Retroactive Denials – Avoids financial losses for providers.

1. Accurate Financial Records: Ensures payments are correctly recorded for proper
reimbursement.
2. Claims Reconciliation: Helps match insurance payments with submitted claims,
identifying discrepancies or denials.
3. Denial Management: Quickly flags denied or underpaid claims for resolution.
4. Compliance: Ensures adherence to payer requirements, reducing audit risks.
5. Cash Flow: Enables timely follow-ups on underpayments, improving cash flow.
6. Financial Reporting: Provides clear insights into revenue and forecasting.
7. Patient Experience: Reduces billing errors and improves patient satisfaction.
8. In essence, payment posting ensures accurate financial tracking, timely reimbursements, and
smooth operations in medical billing.

Accounts Receivable (AR) in medical billing is essential for ensuring timely payment for services
rendered, supporting cash flow, and maintaining financial health. It tracks payments from insurance
companies and patients, helping identify issues with claims or delayed payments. Efficient AR

management improves revenue cycle performance, reduces administrative costs, and provides valuable
data for performance metrics. It also ensures compliance with regulations and enhances the patient
experience by clearly communicating billing responsibilities. Ultimately, effective AR management helps
healthcare organizations maintain a steady cash flow and avoid financial challenges.

1. Revenue Recovery: Helps recover payments from denied claims.
2. Cash Flow: Ensures timely payments and improves cash flow.
3. Trend Identification: Identifies recurring issues (e.g., coding errors).
4. Compliance: Keeps providers compliant with billing regulations.
5. Optimized Reimbursement: Increases reimbursement rates by addressing denial causes.
6. Patient Satisfaction: Resolves insurance issues, maintaining patient trust.
7. Cost Reduction: Lowers administrative costs by minimizing denials.
8. Resource Efficiency: Allows better allocation of staff and resources.
9. Overall, denial management ensures timely payments, improves efficiency, and supports
financial stability for healthcare organizations.

Appeals in medical billing are essential for recovering denied or underpaid claims. They help
ensure accurate billing by correcting errors, clarify insurance coverage, and speed up

reimbursement, improving cash flow. Appeals also strengthen relationships between providers
and insurers, advocate for patients' rights, and prevent fraud. Ultimately, they help maintain
financial stability for healthcare practices.

Our Exquiro logix RCM provides an experience that matches the                           finest healthcare institution with most qualified