Comprehensive Healthcare
Operations Support
Pioneer Healthcare Solutions delivers end-to-end operational services designed to improve efficiency, ensure compliance, and protect revenue across healthcare organizations.
We manage front-end and back-end billing workflows to reduce denials and improve reimbursement.
● Eligibility & benefits verification
● Prior authorizations
● Claims processing, appeals, and reconciliation
● Monthly reporting and temporary billing coverage
We handle provider and facility credentialing to keep your organization active and compliant.
● Medicare, Medicaid, and commercial payer enrollment
● Group NPI, facility, and IDTF enrollment
● Contract renegotiations and carve-outs
We support the setup and optimization of compliant wound-care programs.
● Documentation frameworks and 30-day care templates
● Telehealth integration and wound VAC optimization
● Staff and front-end training
We assist with onboarding and workflow integration for diagnostic and monitoring services.
● Lab onboarding, training, and portal setup
● Mobile cardiac telemetry and NICAS support
● EMR integration and payer alignment
We guide imaging programs through compliant onboarding and execution.
● Koning Vera Breast CT onboarding
● IDTF compliance and supervision guidance
● Fee schedule reviews and carve-out preparation
We help organizations stay audit-ready and compliant.
● HIPAA, OSHA, and CLIA compliance
● Policy and procedure development
● Emergency preparedness and audit readiness
Ready To Streamline Your Operations?
Schedule a consultation to learn how Pioneer Healthcare Solutions can support your organization.