MEDICAL BILLING

Have you experienced the overwhelming task of managing medical billing for your facilities? Undoubtedly, medical billing errors can substantially impact your reimbursements. As your operations expand, the complexity of revenue generation and collection increases, while your doctors are already deeply engaged with patient care. What other options exist to effectively manage your billing needs?

A comprehensive solution involves finding a specialized team of medical billers. But how does one reach this point? Medical billers handle the processing and tracking of timely claims sent to health insurance companies for reimbursement of healthcare services. In some cases, the Medical Coder and medical biller may be the same individual or collaborate closely to ensure accurate invoice payments. To facilitate a seamless coding and billing process, the coder reviews the patient's medical records—comprising the transcription of the doctor's notes, ordered laboratory tests, imaging studies, and other sources—to verify the services provided. Their primary task is to collaborate effectively to prevent denials in insurance payments.

Therefore, at PRS, we offer specialized medical billing solutions that cater to every aspect of your practice. This relieves you of the administrative burdens associated with insurances, hospitals, and clinics. Our focus is on providing effective profitability for your medical business through our tailored medical billing solutions. Each practice, regardless of its size, receives the dedicated attention of a specialized expert team, ensuring personalized care for their unique billing requirements. 

Patient Scheduling 

An essential component of any clinic or hospital involves managing patient appointments. This process should be both efficient and error-free, ensuring maximum comfort for the patients. Thankfully, our team offers seamless patient support by connecting them with the relevant physician, therapist, or nurse. Whether it's a routine inquiry or an urgent matter, our comprehensive service handles it all, reducing your operational costs and alleviating the significant burden of patient coordination.

Medical Coding

At PRS, our commitment is to deliver high-quality and efficient medical care solutions. We possess vast expertise in adhering to both traditional and contemporary coding guidelines, ensuring compliance with every regulatory rule specific to each medical specialty, ultimately reducing operational costs. Our coding auditors and coders maintain AAPC certification and possess comprehensive knowledge of every applicable standard, including COC, CIC, CPC, CPC-P, CPC-O, and CPC-H. With our capable coders and auditors at work, you can rest assured as they craft high-quality, regulation-compliant documentation and codes, leading to increased revenues and profits. 

Insurance Claims Management

The insurance and claims procedures within hospitals and clinics demand an exceptionally professional approach and expertise. Given the involvement of numerous departments and organizations in the insurance process, it necessitates the touch of an adept professional capable of liaising with all entities involved. Our insurance process entails a meticulous pre-screening of individuals to ascertain their eligibility for insurance benefits and coverage. By considering the patient's complete medical history and every detail, we increase the likelihood of prompt claim payments during the initial electronic claims submission. Our proficiency in Electronic EDI and EFT enrollments with all insurances results in a streamlined and expedited cash flow directly into your bank account. This method not only elevates reimbursement rates but also diminishes the necessity for extensive staff and saves time by eradicating delays. 

Payment Posting

We acknowledge the intricacy and dedicated efforts required to manage revenue and handle account-related activities. Our proficiency in Electronic Remittance Advice (ERA) enrollments with all insurances results in swift and efficient payment postings, both electronically and manually. 

Accounts Receivable Services

Our team of accounts receivable experts manages your accounts by consistently following up with insurance. We ensure that every insurance claim and accounts-related payment is promptly processed, both electronically, directly to your bank account, and manually, leaving no room for revenue loss. Your business is in secure hands, as we take full accountability according to standard HIPAA guidelines. 

Quality Assessment

Expanding our services, we engage in thorough monitoring and analysis of data encompassing reports, accounts, insurance, and more, ensuring the incorporation of top-notch medical field practices. Our specialized team of experts conducts audits for our medical clients, evaluating their business performance and offering innovative, progress-oriented solutions. This support significantly enhances the overall efficiency, accuracy, and revenues of hospitals or individual clinics.