Welcome to CompliClaims
We pride ourselves in simplifying Provider Health Information & Revenue Management Systems
Based on the criteria per the Payers, the Accreditations and all State governing bodies, CompliClaims provides unparalleled dedication and commitment through relationship building, documentation training, the maintenance of Electronic Health Records systems, as well as management of Billing and Collection compliance. Our diverse team of Revenue Cycle Managers will create for you a profile based on your unique needs.
We are CompliClaims
We are the definition of diversification
Constructing through team work the brightest future for our providers’ revenue. CompliClaims provides unparalleled dedication and commitment to maintaining quality relationships with our Provider-partners, through advocacy, compliant documentation, and Payer-partner relationship building to promote simplified claims processing. Explore our website to learn more about us.
CompliClaims Mission
CompliClaims is a multifaceted company catering specifically to the needs of Behavioral Health Provides in need of guidance and support with their Clinical, Medical charting, Accounts Receivables and Payables, for compliance and reimbursement. We will be with you navigating the ever changing requirements of the Payers’ criteria for medical necessity through our Ethics & Compliance Analysis process.
Why CompliClaims?
Services Included Nationally: Inpatient & Outpatient- Payer Relations & Compliance Analysis; Utilization Review; Provider Enrollment, Credentialing, and Governing Bodies Accreditations - NPPS, PECOS, CAQH, specific State Programs; Medical Necessity Criteria Training through Health Information Management improvement- Milliman Care Guidelines, ASAM, CD-TACC guidelines, LOCUS, APA practice, InterQual; Payer Management- Commercial, State, and Federal Accreditation Bodies- Joint Commission, CARF, NAATP, NCQA; Managed Care Principles; CMS guidelines for Electronic Health Records and HIPPA; Utilization Review management for all disciplines and levels of care; Reimbursement Auditing with Data Analytics Tools; Appeals and Collections.
CompliClaims was founded with one purpose - to build a solid bridge between Behavioral Health Payers and Providers in this space. We are on a mission to end the disconnection between the two through equitable access to patient care and creating life saving relationships. We ensure that our clients feel heard and affirmed, so they can provide a safe place for the Payers’ members to heal and grow. We are committed to driving better outcomes. Get in touch with us today to schedule a free initial consultation, learn more about how we can work together to address the Behavioral Health crisis plaguing our Community, or ask any other questions.
“A journey of a thousand miles must begin with a simple step.”- Lao-Tzu
A smart person once said..
Let Us Help You
CompliClaims always has our doors open. Don’t hesitate to get in touch with any questions regarding how we can build together and increase your revenue. We partner with Providers and Payers nationally.
916.794.6469
