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Simplifying Healthcare.
Amplifying Results.

Nearly 20–30% of healthcare revenue is lost due to avoidable billing errors and missed follow-ups.

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Our RCM processes are designed to capture every dollar you earn — compliantly and efficiently.

Revenue Cycle Management.

Eligibility

Verify eligibility before or during appointments

Scrubbing

Pre-scrub workflow eliminates non-billable charges

Coding

Coding validated for compliance (ICD-10/CPT/HCPCS)

Submission

98–99% clean claim submission target

A/R Follow-up & Denial management

Our team ensures every claim is followed up promptly, reducing outstanding balances and accelerating reimbursements. We identify denial patterns, correct root causes, and resubmit clean claims to maximize your revenue and minimize delays

Nearly 20–30% of healthcare revenue is lost due to avoidable billing errors and missed follow-ups.

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Our RCM processes are designed to capture every dollar you earn — compliantly and efficiently.

RCM Workflow.

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Live.

Deliver real-time rejection corrections within 48 hours, reducing denials, accelerating claim turnaround.

TAT.

Follow payer-specific turnaround schedules, timely follow-ups—ensuring no revenue opportunity is overlooked.

Track.

Automated tracking system flags stalled claims, preventing stagnation and ensuring timely reimbursement

Complete Billing Setup & Clean Claim Submission

Real-Time Rejection Handling & A/R Follow-Up Accurate Payment Posting & Daily Reconciliation Denial Management, Appeals & Medical Records Support Monthly Reports & KPI Performance Dashboards.

Prior Authorizations.

Drugs

High-cost specialty medications
Biologics & immunotherapy drugs
Injectable medications
Brands with generic alternatives
Chronic condition therapies

Procedures

Imaging Studies
Surgeries
Cardiology Procedures
Physical & Occupational Therapy Pain Management Procedures

DMEs

CPAP & BiPAP machines
Wheelchairs & Mobility Scooters
Hospital Beds
Orthotic & Prosthetic Devices Home Oxygen Equipment

One view. Full control.

Get a unified view of all your prior auth cases with live updates, smart filters, and easy tracking. No more emails, spreadsheets, or guesswork—just clean, instant clarity.

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Chronic Care Management.

Your CCM Program
Perfected.

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We act as your end-to-end Chronic Care Management program coordinator—handling patient enrollment, monthly follow-ups, care-plan updates, medication and test reminders, insurance communication, and timely escalations to your providers. Our team ensures every patient receives consistent, proactive care while your clinic captures compliant CCM revenue without the administrative burden.

CCM Coding, Documentation & Billing Support

Regular Patient Outreach, & Care Coordination

Medication, Test & Health Monitoring

Appointment Scheduling & Care-Plan Management

​Insurance Communication & Benefits Navigation 

Virtual Medical Assistants.

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Our Virtual Medical Assistants support your practice with reliable, real-time administrative and clinical coordination. From managing patient intake, scheduling, and insurance verification to assisting with documentation and follow-ups, our VMAs help streamline your daily workflows.

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Clinical documentation support (SOAP notes, chart updates)
 
Real-time patient scheduling and appointment management
 
Insurance verification and benefits checks

Managing patient calls, messages, and reminders
 
Handling lab results, referrals, and care coordination
 
Daily reporting and workflow optimization

Expand Your Workforce Today.

Cut Costs.
Not Quality.

Save up to 60% in admin staffingexpenses while getting highlytrained medical assistants to your practice.

Hassle-Free.
iring Solution.

We handle recruitment, onboarding, QA, and performance—clients simply plug in and start getting results

Scale Instantly.
As Needed.

Add or reduce assistants anytime based on patient volume, workload, or seasonal demand—no operational friction.

Explore AHS today.

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About Avenida Health Services

AHS, a division of Avenida Innovations, delivers high-quality, cost-effective healthcare support services tailored for U.S. providers, pharmacies, and payers. Founded with a clear vision—to elevate care delivery through PharmD-led expertise. AHS combines clinical precision with operational efficiency. Led by a U.S. physician and a licensed American pharmacist, our team understands the nuances of the U.S. healthcare landscape and is built to support it at scale

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