Claritas runs the full revenue cycle for clinics, physician groups, and health systems — and extends your clinical team with U.S.-protocol Virtual Nurse Assistant services. One vendor, one accountability line, one set of KPIs.
Led by COO Arpita Sharma (14+ years in Healthcare RCM), our delivery teams are built around specialty expertise, payer fluency, and disciplined operations. No black boxes, no surprises.
Front-end accuracy is where revenue is won or lost. We verify demographics, insurance eligibility, benefits, and prior authorization needs before the patient ever sits in the chair.
Certified coders (CPC, CCS, CRC) review documentation and assign accurate codes across specialties — primary care, surgery, cardiology, orthopedics, behavioral health, and more.
We surface and validate suspect and supported HCCs with chart-cited evidence — protecting RAF accuracy and audit defensibility for value-based contracts and Medicare Advantage.
Clean, complete, payer-specific claims sent on day one. We scrub every claim against payer rules, LCDs, and your historical denial patterns before submission.
ERA, EOB, and patient payments posted accurately and reconciled to the penny — so your A/R reflects reality and exceptions surface fast.
Every denial is triaged, root-caused, and either appealed with payer-specific evidence or fed back upstream so the same denial never happens twice.
Aged receivables don't sit. Our A/R team works claims by payer, dollar value, and aging bucket — with a documented contact cadence on every account.
From CAQH maintenance to payer enrollments and re-credentialing, we keep every provider in-network and billable — across all states and lines of business.
HIPAA-aligned operations, SOC 2 Type II controls, and transparent dashboards. You see what we see — KPIs, denial trends, and coder quality scores in real time.
Our Virtual Nurse Assistant (VNA) service extends your clinical capacity with experienced RNs and LPNs working under your protocols and EMR. They handle the patient-facing work that keeps providers stuck after hours — triage, follow-ups, refills, chronic care check-ins, and AWV prep.
Licensed nurses (RN/LPN) handle inbound symptom calls, follow standardized triage protocols, and route patients to the right level of care — same-day, urgent, or scheduled.
Post-visit follow-up calls, no-show recovery, pre-procedure prep instructions, and appointment reminders — keeping panels full and patients engaged.
Virtual nurses review active medication lists, identify duplicates and interactions, process refill requests under provider protocol, and document in your EMR.
Monthly check-ins for CCM and RPM patients — reviewing vitals, reinforcing care plans, escalating concerns, and capturing the time-based documentation needed for billing.
Pre-visit outreach, health risk assessments, and AWV questionnaires completed by phone — so providers walk into the visit with a fully prepared chart.
Nurses draft care plan updates, scribe encounter notes from provider dictation, and close documentation gaps that block clean claims downstream.
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We audit a sample of your encounters, denials, and A/R to baseline performance and identify the top 3 revenue leaks.
02
Documented SOPs, EMR/clearinghouse access, payer rule packs, and a 30/60/90 transition plan — with no disruption to cash flow.
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Dedicated pod model with daily huddles, weekly KPIs, and a named delivery lead who actually answers the phone.
04
Quarterly business reviews, denial trend deep-dives, and process tuning to keep DAR low and net collections high.
The questions we hear most often from CFOs, practice administrators, and clinical leaders evaluating Claritas.
Send it our way and the right person on our team will follow up directly — usually within one business day.
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Whether you need full-service RCM, a focused denial cleanup, or a pod of virtual nurses to take work off your providers — let's scope it together.