Reducing Claim Denials Through Effective Eligibility Verification
Claim denials are among the most expensive and persistent challenges in the complex
Alpine Pro Health was established by seasoned healthcare and RCM experts to deliver high-accuracy, tech-enabled coding and revenue solutions for U.S. Physicians. Backed by AI, LLMs, and automation, we drive compliance, efficiency, and better outcomes.
Deliver accurate, tech-driven RCM for better care outcomes.
AI-powered RCM transformation with LLM and SLM.
Risk Adjustment (HCC) Coding captures chronic conditions to ensure fair pay, support compliance, and boost outcomes.
Clinical Documentation Improvement (CDI) ensures accurate, complete records to support proper reimbursement and compliance.
Physician Quality Reporting captures performance data to support compliance, reimbursement, and better patient care.
Alpine Pro Health offers end-to-end RCM solutions to streamline billing, reduce denials, and
maximize revenue.
Our GenAI-powered solutions streamline documentation, coding, and risk adjustment with real-time intelligence and automation. Designed for mid-cycle optimization, they help healthcare providers reduce denials, ensure compliance, and improve reimbursement accuracy driving better financial and clinical outcomes.
GenAI-driven pre-bill audit unifying CDI, UM, and coding to cut denials, boost accuracy, and streamline mid-cycle workflows.
GenAI-driven risk adjustment enhances accuracy, ensures compliance, and maximizes revenue across pre- and post-bill workflows.
LLM-based risk adjustment leverages AI to improve coding accuracy, ensure compliance, reduce audit risk, and optimize revenue.
We provide a comprehensive suite of Revenue Cycle Management solutions eligibility verification, claims submission, denial management, AR follow-up, contract negotiation, credentialing, predictive analytics, medical billing, and coding.
Our PM integrates with over 200 EHRs, and thanks to our open API, we can build new interfaces when needed.
All patient billing-related communications are managed through our Columbia, South Carolina office
Yes, full transparency is standard. You have complete access to review claims, payments, and generate customized reports anytime.
Absolutely. Our certified professional coders review charts to ensure ICD and CPT codes are accurate, properly modified, and billed at appropriate levels. We also provide physician documentation feedback.
We investigate the refund request, attempt to offset with future payments, and if that’s not possible, communicate the outcome so the practice can issue a refund
Claim denials are among the most expensive and persistent challenges in the complex
A Pediatric Virtual Assistant (PVA) is a remote, trained support professional with expertise
The medical coding sector is undergoing significant upheaval. Technological
Established in 2022, Alpine Pro Health. delivers accurate, compliant, and efficient medical coding and RCM solutions. Trusted by U.S. healthcare providers for expert-driven, end-to-end services.
131 Continental Dr, Suite 305, City of Newark, County of New Castle, Delaware 19713.
97, 98, Level 1, Magna Square, Jawaharlal Nehru Rd, Ashok Nagar, Chennai, Tamil Nadu, 600083, India
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