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The Core Methodology

A system, not a service.

Our four-phase methodology transforms your revenue cycle from a cost center into a precision engine.

Intake & Assessment

Claim Scrubbing

Submission & Tracking

Recovery & Resolution

We perform a comprehensive audit of your current billing workflows, payer mix, denial rates, and AR aging. Every revenue leak is identified and documented.

Every claim passes through multi-layer validation—CPT/ICD accuracy, modifier compliance, and payer-specific rules—before submission.

Claims are submitted electronically with real-time tracking. Direct EHR sync ensures zero data re-entry and full audit trails.

Denied and underpaid claims are systematically appealed. We pursue every dollar with persistent, compliant follow-up until resolution.

HIPAA Compliant

Full compliance with HIPAA privacy and security rules.

SOC 2 Type II

Full compliance with HIPAA privacy and security rules.

Direct EHR Sync

Seamless integration with major EHR/PM systems.

CAQH Certified

Authorized CAQH ProView management partner.

Compliance is the baseline.

Request a Revenue Audit

Discover how much revenue your practice is leaving on the table. Our audit identifies every opportunity for recovery.

  • Provide audit report

  • Audit results within 48 hours

  • HIPAA-compliant data handling

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CoreRCM Healthcare Solutions LLC is a trusted provider insurance credentialing and medical billing services, proudly based in Kentucky. We offer comprehensive support to healthcare professionals, specializing in provider credentialing and payer enrollment. Our goal is to simplify these complex processes so providers can receive timely reimbursements and stay focused on delivering quality patient care.

Services

 

Credentialing

Reimbursement Negotiation

AR Recovery

Denial Management

Payment Posting

CAQH Management

Connect

 

Phone# +1-530-453-6360

Address: 519 Grant Avenue Suite G102 Louisville, KY 40018

Email: sam@corercmhealth.com

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