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Do you Know!


Our Speciality

whiteline

Immidiate Billing Solution

It is easy for a practice to find itself in a situation where it needs a medical billing solution TODAY...Read more

Out of date or Broken billing process?

PRMS has a proven track record of taking practice's mired in the medical insurance billing problems described above and increasing their collections by ... Read more

A/R Follow Up

The systems mentioned here on our website do a great job at identifying outstanding claims...Read more

Our Services

Below is the list of our services :

  • Complete medical billing
  • Electronic/Paper billing
  • Claims Follow-up
  • Auditing
  • Pre-certification
  • Verification referrals
  • Fee schedule review
  • Patient statements
  • Appeals
  • Posting Payments and Sending claims

The Benefits of Outsourcing

Show List Lower your Overhead by:
  • Reducing employee salaries, taxes and benefits. Spend less time hiring and training, and dealing with employee-related issues.
  • Reducing the need for office space, furniture supplies and equipment.
  • Reducing the need for computer upgrades, hardware and software, and maintenance contracts.
  • Reducing phone lines and long distance telephone charges.
  • Reducing costs for HCFA forms, patient statements, computer paper and postage.
Show List Increase your quality through:
  • Our highly trained staff. We continuously upgrade our skills through seminars, workshops, newsletters and other professional programs
  • Our awareness of the delicate balance between firmness and politeness, whether dealing with patients or insurance companies.
  • Our commitment to assuring that the physician-patient relationship isn't adversely affected by our efforts.
  • Reducing the need for computer upgrades, hardware and software, and maintenance contracts.
Show List Maintain your control through:
  • Complete access to your accounts.
  • Comprehensive month-end reports. You can evaluate your practice's total performance, plus break out data by provider and/or practice location.
  • Strict audit controls, helping to ensure that you deposit the money you earn.
Show List Increase your cash flow through:
  • Our built-in incentive to collect your money. We are paid only on the money we collect.
  • Electronic filing. Preprocessing edits ensure fewer claims are rejected by insurance companies. Claims are filed instantly. Patient balances are collected sooner.
  • Redirecting your staff away from billing and onto the day-to-day operations that make your practice profitable.

Do you need AN IMMIDIATE BILLING SOLUTION!

It is easy for a practice to find itself in a situation where it needs a medical billing solution TODAY . Perhaps one of the following has happened to your practice:

  • Your billers have walked out.
  • Your billing service has not submitted your claims in two weeks. You cannot get a decent report on any billing metric.
  • You are the only one who seems to care about your collections. Unless you do something quick, your cash flow will plummet. Yet, your billers are surfing the Internet--after all they are still getting paid...every hour!

We have great news... PRMS Expedited Billing Services is the solution to your immediate and long-term medical billing problems. We can have you up and running in no time. In many cases it will take less than a week between signing a contract and submitting your first claims. In addition, you do not have to sacrifice quality for speed

Is your current billing process out of date or broken?

You are working harder and collecting less. You know that your medical insurance billing provider is not collecting all of the money owed your practice. The money that is collected simply sits on the books too long before it is paid. Your billers have been working on it. It is not getting any better.

PRMS has a proven track record of taking practice's mired in the medical insurance billing problems describedimg above and increasing their collections by 10% to more than 20% while simultaneously driving their days in AR below 45. We do this through the use of cutting edge technology, error resistant process engineering, continuous management of key performance metrics and recruiting, rewarding and retaining outstanding employees.

This combination allows PRMS to:
  • Submit clean claims quickly;
  • Pre-adjudicate claims before the payers ever see them (we know what will be denied before claims are submitted - this allows us to fix issues before the payers see the claims);
  • Dedicate people to follow-up on claims that do not pay quickly (without waiting for the payer to get around to sending the denial);
  • Compare payments to contractual allowables and vigorously pursue underpayments;
  • Utilize an analytically driven patient collection process that maximizes patient collection results; and
  • Provide maximum process transparency.
  • Deploy a proprietary Revenue Cycle Denial Management System that allows PRMS to learn from payer denial patterns and fix on the front end (i.e., before claims are submitted) the medical insurance billing issues that are slowing down our clients' payments.

A/R Follow Up The Most Important Step

The systems mentioned here on our website do a great job at identifying outstanding claims and giving us the information we need. However, technology alone doesn't get claims paid. That is where experienced Reimbursement Specialists come into play (even more).

Once an outstanding claim has been identified as past due in our "no response" work que, the system alerts our Reimbursement Specialists who then review the history and follow-up on the claim accordingly (a much faster, and efficient process than printing old A/R reports and calling "down the list" – contact us to find out why). This usually means making calls to the various payers and getting into the nitty gritty details required to get the claim paid, and not accepting "the check is in the mail" answers. How important is this type of follow-up? It is so important that PRMS allocates approximately one-half (sometimes more) of our Reimbursement Specialists to follow-up activities alone.

In a time where insurance payers make great efforts to not pay you, wouldn't it be nice to have someone fighting to get you paid? PRMS stands firmly beside you to do just that.