Overview
J&T connects billing, coding, payer policy, credentialing, denials, compliance and reporting so each part of the revenue cycle supports the next.
Billing & Revenue Cycle Management
Charge entry, claim submission, payment posting, A/R follow-up, patient balances, reconciliation and revenue reporting. Workflows are built around the payer, specialty and documentation requirements that drive payment.
- Eligibility and front-end issue review
- Clean-claim submission and clearinghouse oversight
- Payment posting, reconciliation and aging follow-up
- Denial root-cause feedback into upstream workflows
Laboratory & Molecular Billing
Specialized billing support for clinical, reference, molecular and toxicology laboratories, with attention to panel coding, medical necessity, MUE edits and payer-specific laboratory rules.
- Panel-level coding workflow review
- MUE and frequency-edit assessment
- Medical-necessity and documentation alignment
- Reference-lab and payer-policy considerations
Denials & Appeals
Denials are worked as operational signals, not just resubmission tasks. We identify the root cause, correct what can be corrected upstream, and build payer-specific appeals when documentation and policy support the claim.
- Denial categorization and root-cause review
- Corrected claims and payer follow-up
- Written appeals with policy citations
- Underpayment and reimbursement variance review
Credentialing & Enrollment
Medicare, Medicaid and commercial enrollment support, including revalidations, payer contracting and status tracking across locations and service lines.
- Enrollment and revalidation management
- Payer participation and contracting follow-up
- Closed-panel and escalation documentation
- Multi-location and multi-state status tracking
Coding & Compliance Programs
Coding audits, education, payer-policy review and practical compliance workflows that can be demonstrated when a payer or auditor asks how billing controls operate.
- Coding and documentation audits
- Policy and procedure development
- Payer-policy and edit review
- Corrective-action workflow design
Revenue Reporting
Clear reporting for claims, cash, A/R, denials and payer performance, built to show where revenue is moving and where action is needed.
- A/R and aging visibility
- Denial trend reporting
- Payer and service-line performance views
- Credentialing and operational status reporting
Start with the claims that are not getting paid.
We’ll review the problem, identify what is driving it and outline the next steps.
Schedule a Free Consultation