Millennova Solution hosts 8 distinct B2B operations suites. We eliminate administrative friction, secure sensitive data systems under strict HIPAA charters, and optimize your business revenue velocity.
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We draft bespoke Service Level Agreements (SLAs). Contact an analyst today.
scoping consultation →Comprehensive end-to-end administration for clinical practices and medical groups.
Continuous clean coding using the latest ICD-10-CM / CPT guidelines paired with real-time claims scrubbing to prevent common filing errors.
Immediate posting of patient registration parameters, billing schedules and fee schedules, followed by automated daily transmission to clearinghouses.
Our medical coders analyze claim rejections, execute correct coding audits, adjust data parameters, and submit clear, rapid appeals to eliminate write-offs.
Automated verification checks confirm active patient plan boundaries, deductibles, and direct authorization numbers before diagnostics occur.
Accelerated enrollment of newly hired clinics into key commercial payer rosters, Medicare networks, and local commercial lines.
Rapid daily posting of ERA, EFT, and paper checks to patients' ledgers guarantees correct accounts balances matching physical statements.
Maximum out-of-network revenue preservation conforming strictly to federally regulated dispute paths.
The No Surprises Act (NSA) protects patients from out-of-network balances but binds providers to low Qualifying Payment Amounts (QPAs). Millennova Solution holds deep, dedicated qualification expertise to recover underpaid out-of-network claims. We track strict federal timetables, initiate open negotiations, prepare audit paperwork, and submit winning cases to independent arbiter platforms.
Continuous automated sweeps identify claims qualified under the No Surprises Act, preventing missed submission windows.
We draft the mandatory formal briefings with rigorous citations, geographic cost statistics, and clinical reasoning.
Continuous tracking of changing HHS guidelines, CMS rulemaking, and regional court judgments on NSA dispute pathways.
Once an arbiter renders an award, we track payment timelines and ensure insurers pay physical awards with correct interest penalties.
Optimal contracted billing pathways for clinical networks and hospital settings.
Direct coding, scrubbing, submission, and collection oversight with major health providers like Blue Cross, Aetna, Cigna, and UnitedHealth.
Rigid processing of complex Medicare and Medicaid billing claims, ensuring full adherence to federal compliance standards and medical directives.
Continuous contract review ensures that active insurers pay clinical entities according to exact negotiated fee schedules, identifying underpayments.
We analyze in-network fee plans and recommend pricing adjustments based on commercial data changes and inflation adjustments.
Comprehensive collections strategy for out-of-network clinical services.
Targeted follow-up secures out-of-network patient and insurer accounts without causing billing friction.
We draft clinical necessity statements and administrative appeals packets to reverse unfair out-of-network claims rejections.
Identifies instances where insurers paid claims below local geographic rates and executes recovery appeals.
Assisting patient communication with clear layout explanations, explaining out-of-network benefits to reduce administrative complaints.
Coordinating billing tracking across personal injury protection and civil legal routes.
Speedy submission of PIP and MedPay medical records directly to auto-insurers, tracking state-specific medical limits.
Unified support channels dispatch treatment records, balances, and ledger summaries directly to litigation offices, speeding discovery.
Fling legal liens to secure medical recovery rights against future civil settlement judgments.
Reviewing final settlement disbursements, managing collections, and balancing compromises to secure maximum provider recovery.
Managing the unique administrative workflows of occupational wellness care.
Filing claims alongside mandatory state-specific treatment forms, physical notes, and physician ratings to secure coverage.
Our RCM agents keep direct communication channels open with insurance adjusters, minimizing payment holds and processing delays.
Filing formal hearings and appeals packages with state workers' compensation boards to secure disputed care claims.
Reconciling payments against state workers' compensation fee guides to ensure providers receive correct contractual rates.
Rigid bookkeeping, ledger validation, and advisory mapping to dual US GAAP / UK IFRS frameworks.
Weekly bank feed and ledger categorization ensure tax-ready financial logs, with close tracking of transaction classes and asset pools.
Secure execution of employee salaries and benefits under correct tax withholding structures across US and UK jurisdictions.
Preparation of certified Balance Sheet, Income Statement, and Cash Flow statement templates, supporting annual CPA auditing processes.
Strategic boardroom support analyzing capital burn rates, profit-margin targets, pricing plans, and acquisition capital frameworks.
Bespoke technical systems development, secure databases, and AI custom automations.
Engineering secure, responsive web and mobile portals, utilizing robust backend structures and databases to solve complex pipeline needs.
Deployment of OCR algorithms, machine learning models, and smart scheduling systems to automate routine tasks, minimizing human entry errors.
Establishing direct connections between disconnected systems like medical EMR databases, banking ledgers, and CRM frameworks.
Building visually striking, user-centric online systems optimized for speed, organic visibility, and consistent B2B customer conversion.
Our enterprise integration architects will review your administrative systems, outline leak vectors, and design a customized delivery blueprint. 100% free of charge.