Our Services
Services are Custom-tailored to meet your needs
OUR CORE RCM SERVICES
At SkyShine Health Solutions, we specialize in comprehensive medical billing services designed to streamline your revenue cycle, minimize errors, and maximize reimbursements. As a leading medical billing company, we empower healthcare providers to focus on what matters most: delivering exceptional patient care. Our expert team leverages cutting-edge technology and deep industry expertise to handle the complexities of medical billing, ensuring compliance, efficiency, and financial growth for practices of all sizes.
Medical Billing & Coding
Revive your financial performance with the expertise of our billing and coding professionals, with over 15 years of combined experience.
Credentialing & Enrollment
We are your trustworthy credentialing and enrollment partners, offering up-to-the-mark credentialing services to uplift your practice and let you focus on the bottom line.
Account Receivable
Account Receivables are considered to be a major challenge for the financial growth of any medical practice in the country. With those scary claim denials piling up.
Practice Management
offers practice management
services to medical practices to reduce their administrative burden. As a result, clinicians can able to focus on their patients.
Eligibility Verification
Patient Eligibility Verification is considered to be an initial step in the revenue cycle management that enables medical practices to see whether a patient is eligible for the treatment.
Denial Management
Denial Management is considered to be a pivotal aspect of revenue cycle management. It is the Plan B used by medical providers and billing companies to appeal denied claims caused to errors in the initial steps of the revenue cycle.
Comprehensive Reporting
Discover how Skyshine Health Solutions’ advanced reporting tools deliver real-time insights, streamline medical billing, and boost your practice’s revenue with customizable, data-driven analytics.
Medical Audit
Skyshine offers comprehensive medical audit services as part of their robust revenue cycle management, focusing on evaluating coding accuracy, documentation compliance, and billing practices to minimize errors and denials
Best Revenue Cycle Management(RCM) Services For Your Clinic
Our end-to-end Revenue Cycle Management services optimize every stage from patient registration to final payment collection. We handle insurance verification, charge capture, claims submission, and denial management to boost your cash flow and reduce administrative burdens.
Key Benefits:
- Up to 98% clean claims submission rate
- 20% faster reimbursement turnaround
- Proactive denial prevention and appeals
By integrating seamlessly with your existing EHR/EMR systems, we ensure accurate coding and billing that complies with HIPAA, ICD-10, and CPT standards.
Medical Billing Process
1: Patient Registration
2: Insurance Verification
3: Medical Coding
4: Charge Entry
5: Claim Submission
6: Payment Posting
7: Denial Management
8: Patient Billing
9: Reporting and Follow-Up
Why SkyShine Health Solutions?
- Expertise: Over 500 practices trust us for our 15+ years in medical billing.
- Technology: AI-powered tools for faster, more accurate processing.
- Compliance: 100% HIPAA-secure with regular audits.
- Scalability: Flexible plans for growing practices, with no long-term contracts.
- Results-Oriented: Average clients see 15-20% revenue uplift in the first year.
Ready to shine brighter in your financial health? Contact us today for a free revenue assessment and personalized demo. Let’s partner for your practice’s success!
Lets experience our medical billing services
Over 500+ medical practices trust Skyshine Health Solutions medical billing services company. So let’s have a chat.
Patient's insurance coverage verification on the spot.
HIPAA-compliant medical billing services for data safety.
24/7 medical billing services to handle every claim submission.
98% claim reimbursement rate for healthy cash flow.
Robust Practice Medical Billing Audits.
CONTACT FORM
Get Free Consultation
-Frequently Asked Questions
Skyshine Health Solutions is a medical billing company that simplifies healthcare finances. We specialize in decoding EOBs, clarifying claims, payments, and patient costs with precision, ensuring transparency for providers and patients.
We stay updated with HIPAA regulations, payer policies, and industry standards. Our team undergoes regular training to ensure all claims are processed accurately and securely, protecting your practice and patients.
Turnaround times vary by payer, but Skyshine Health Solutions optimizes the process to submit claims promptly and follow up diligently. Most claims are processed within 30–45 days, depending on the insurance provider.
Yes! We offer seamless integration with most Electronic Health Record (EHR) and Practice Management systems to streamline workflows and ensure data accuracy.
We use encrypted, HIPAA-compliant ICT systems, regular staff training, and audits to protect your electronic Protected Health Information (ePHI), including ICD and CPT codes. Only authorized staff can access your data.
An EOB is a statement from your insurance provider that explains the medical services you received, what the insurance covered, and any remaining balance you may owe. It is not a bill but a summary to help you understand your claim. For more details, visit our EOB Guide.
A claim may be denied if the ICD code doesn’t justify medical necessity or isn’t covered by your plan. We can help review the denial and assist with an appeal. Contact our billing team to start the process.
Yes, we can provide a detailed explanation of CPT codes and their associated services. Submit a request through our patient portal.
We stay current with the latest ICD-10 and CPT code updates to ensure accurate billing. Our RMS automatically integrates these changes, reducing errors in claims.
Complex claims, such as those with multiple ICD or CPT codes, may require additional review by insurers, causing delays. Our RMS tracks these claims, and we’ll notify you of updates via the patient portal or email.
Our Opening hours are Mon - Fri: 9 AM - 5 PM
The term Breakdown of Benefits (BOB) is used to represent the act of checking for co-pays, deductibles, coinsurances (%), or other non-covered amounts that are to be paid to medical practice or physicians by patients.
A deductible is the amount you pay out-of-pocket for healthcare services before your insurance begins to cover costs. If you haven’t met your deductible, your bill may reflect higher out-of-pocket expenses. Our team can explain how your deductible applies to your EOB.
A copay is a fixed amount you pay per visit or service. A deductible is the amount you pay out-of-pocket before insurance kicks in. Coinsurance is the percentage of costs you share after meeting your deductible. Our team can explain how these apply to your bill.
Current Procedural Terminology (CPT) codes are five-digit codes used to describe medical procedures or services, like office visits or lab tests, on your bill. They ensure standardized billing for insurance claims and reimbursements.
The Health Insurance Portability and Accountability Act (HIPAA) sets national standards to protect your personal health information (PHI), including billing records. We comply with HIPAA’s Privacy and Security Rules by using encrypted systems and limiting access to your data to authorized personnel only.
PHI includes any health or billing information that can identify you, such as your name, medical record number, or insurance details. Under HIPAA, we safeguard PHI to ensure your privacy, whether it’s stored electronically or on paper.
A Revenue Management System (RMS) is software we use to streamline billing, track claims, and ensure accurate payments from insurers. It helps reduce errors in your bill and speeds up claim processing, so you receive clear, accurate invoices.
International Classification of Diseases (ICD) codes, such as ICD-10, identify your diagnosis or medical condition (e.g., diabetes or flu). These codes are included on your bill to justify the medical services provided and ensure accurate insurance claims.
ICD codes describe your diagnosis (what condition was treated), while Current Procedural Terminology (CPT) codes describe the procedures or services performed (e.g., tests or surgeries). Both are used together on your bill to provide a complete picture for insurance processing.