HIPAA-Compliant Medical Billing & Revenue Cycle Management for US Healthcare Providers
Secure, HIPAA-compliant RCM solutions designed for the complexities of the US healthcare reimbursement landscape. We help healthcare providers achieve sustainable financial performance.
Driving Financial Performance Without Compromising Compliance
Our Services
End-to-End Medical Billing & RCM Services
Our services cover the entire revenue cycle with strong compliance, accuracy, and payer alignment.
Patient Registration (HIPAA-Secure Intake)
Secure patient onboarding with full HIPAA compliance at every step.
- Secure PHI capture
- Accurate demographics validation
- Compliance with minimum necessary standards
Prevents downstream rejections and compliance risks.
Insurance Eligibility & Benefits Verification
Real-time coverage validation to maximize first-pass acceptance rates.
- Coverage validation
- Copays, deductibles, authorizations
- Payer rule verification
Improves first-pass acceptance.
Claims Management & Submission
Accurate claim creation and timely electronic submission to payers.
- Accurate claim creation
- Timely electronic submission
- Payer follow-ups
Faster reimbursements and reduced A/R days.
Medical Coding (CPT / ICD-10 / HCPCS)
Specialty-specific coding aligned with documentation and payer requirements.
- Specialty-specific coding
- Documentation alignment
- CMS & payer compliance
Maximized reimbursements with reduced audit risk.
Payment Posting & Reconciliation
Accurate ERA/EOB posting with proactive underpayment identification.
- ERA/EOB posting
- Adjustment validation
- Underpayment identification
Financial transparency and accurate balances.
Denial Management & Appeals
Root-cause analysis and compliant appeals to recover lost revenue.
- Root-cause analysis
- Corrective workflow changes
- Compliant appeals
Revenue recovery and denial reduction.
Provider Credentialing & Enrollment
Complete credentialing and payer enrollment management.
- Initial credentialing
- Re-credentialing
- Payer enrollment
Prevents payment holds and retro-denials.
Reporting & Revenue Analytics
Data-driven insights to identify trends, leakage, and optimization opportunities.
- A/R aging reports
- Denial trends analysis
- Reimbursement analysis
- Revenue leakage insights
Data-driven financial decisions.
Why Choose Us
Why US Healthcare Providers Choose Nirvana Global Services
Compliance failures directly cause denials, revenue loss, and audit exposure. We solve both together — embedding HIPAA compliance into every operational layer while actively optimizing your revenue cycle.
Deep HIPAA + RCM Expertise
We understand the interdependency between compliance and revenue — and optimize both.
Revenue Growth-Focused Execution
We actively optimize collections — not just process claims.
Dedicated Account Management
Specialty-aligned support with a dedicated team for every provider.
Cost-Effective Outsourcing
Reduce internal staffing costs while improving financial performance.
Results That Matter
Technology & Compliance
Role-Based Access
Encrypted Data
Audit-Ready Docs
Ready to Optimize Your Business Operations?
Partner with Nirvana Global Services for reliable, compliant, and cost-effective BPO solutions tailored to US markets.