From payer enrollment to cash posting, Alpine Pro Health's certified specialists handle the operational work behind every clean claim — so your team can focus on patient care, not paperwork.
We manage the full payer enrollment and credentialing lifecycle — from initial application to CAQH maintenance and re-credentialing — so providers can start billing sooner and stay in-network without lapses.
Benefits
Structured application tracking shortens payer turnaround time and reduces avoidable delays.
Clean, accurate applications reduce enrollment-related claim rejections at the source.
Ongoing profile attestation and document refresh keeps every provider re-attestation ready.
Proactive expiration tracking prevents lapses that interrupt in-network billing status.
Features
Our Process
Why Choose Us
A named credentialing lead who knows your provider roster and payer mix.
Live status dashboards so you always know where each application stands.
Provider data managed under strict access controls and audit trails.
Certified coders assign ICD-10-CM/PCS, CPT, HCPCS and HCC codes with the specialty-level accuracy each setting demands — reducing denials while keeping documentation audit-ready.
Accurate capture of ED visit levels, procedures, and diagnoses in fast-paced, high-volume settings — reflecting the true complexity of care delivered while minimizing under- and over-coding risk.
Complete and compliant capture of chronic conditions through HCC coding, supporting accurate RAF scores for Medicare Advantage and ACA plans while closing documentation gaps proactively.
Precise Evaluation & Management leveling for outpatient office visits based on medical decision-making or time, aligned to current CMS/AMA guidelines to support defensible, audit-ready claims.
Independent validation of inpatient DRG assignment — reviewing principal diagnosis, comorbidities, and procedures to confirm correct MS-DRG grouping and defend appropriate reimbursement.
Trained AR specialists work outstanding claims directly with payers — prioritizing high-value, high-age accounts to accelerate collections and reduce write-offs before timely filing limits expire.
Benefits
Aged claims are prioritized and worked before timely filing and appeal windows close.
Consistent payer follow-up reduces days in AR and improves cash flow predictability.
Root-cause tracking surfaces recurring denial patterns your team can act on upstream.
Workflow
Outstanding claims are sorted by age, payer, and dollar value to prioritize the highest-impact accounts first.
Specialists call payers directly to confirm claim status, identify denial reasons, and request reprocessing.
Every call outcome and denial reason is logged for trend reporting and appeals support.
Corrected claims are resubmitted; unresolved accounts are escalated with supporting documentation for appeal.
Follow-Up Cadence
No claim sits untouched. Every outstanding account is placed on a structured follow-up schedule the day it's flagged, with contact frequency increasing as the claim ages — so nothing quietly crosses a timely-filing or appeal deadline.
First payer contact within days of submission to confirm receipt, verify status, and catch early rejections before they age.
Specialists re-contact payers on unresolved claims, clarify denial reasons, and request reprocessing or corrected adjudication.
Aging balances move to priority queues with more frequent outreach as appeal and timely-filing deadlines approach.
Escalated calls and supervisor-level payer contact precede appeal submission — before any account is considered for write-off review.
Features
We retrieve medical records from EHRs, HIEs, and facility portals on your behalf — supporting coding, risk adjustment, audits, and payer requests without pulling clinical staff away from patient care.
Benefits
Dedicated retrieval specialists keep chart requests moving instead of sitting in a queue.
Experience across major EHR platforms, HIEs, and facility-specific portals.
Records are reviewed for completeness before handoff to coding or audit teams.
Payer and audit response deadlines are tracked so requests never fall through.
Process
Security
Every retrieval follows strict PHI handling and minimum-necessary access standards.
Role-based permissions limit chart access to authorized specialists only.
Every access and transfer event is logged for compliance and traceability.
Records move only through encrypted, secure delivery channels end-to-end.
Every engagement is backed by certified specialists, transparent reporting, and workflows built specifically for US healthcare revenue cycles.
CPC-certified coders and trained RCM specialists staff every engagement, not general call-center agents.
SOC 2, ISO 27001, and HIPAA-aligned controls protect PHI across every workflow we touch.
Ramp coding, calling, or credentialing capacity up or down as your patient volume shifts.
Defined SLAs for coding, AR follow-up, and chart retrieval keep your revenue cycle moving.
Regular dashboards and reports keep accuracy, AR aging, and turnaround visible at all times.
A named point of contact who understands your practice, payer mix, and priorities.
Purpose-built workflows for the specialties and settings that make up the modern US healthcare landscape.
Partner with Alpine Pro Health for credentialing, coding, AR calling, and chart retrieval — backed by certified specialists and transparent reporting.
Answers to what practices most often ask before outsourcing coding and revenue cycle work.
Tell us where claims are getting stuck — credentialing, coding accuracy, aging AR, or chart turnaround — and we'll show you exactly how Alpine Pro Health can help.
Share a few details and a member of the Alpine Pro Health team will follow up to map out how we can support credentialing, coding, AR calling, or chart retrieval for your organization.
Our team typically responds within one business day.
We've received your message and will be in touch within one business day.
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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