Get Paid More Quickly With
AR & Denial Management Services
Outstanding reimbursement & Data to discover the root cause of all Denials.
Get Paid More Quickly With
AR & Denial Management Services
Outstanding reimbursement & Data to discover the root cause of all Denials.
Pro Medical Billing Solutions understands the importance of effective account receivable and denial management for the success of medical practice. Our team is dedicated to providing the highest level of service by utilizing careful attention to detail, strong communication skills, and a proactive approach to identify and address any issues that may arise. We stay up-to-date with industry trends and changes to ensure that your medical billing processes are running smoothly and efficiently. By following best practices, we are able to provide you with the peace of mind that your billing processes are being handled efficiently and effectively.
Our Unique Account Receivable Process:
Pro Medical Billing Solutions, have a unique account receivable process that is designed to maximize the efficiency and effectiveness of our clients’ billing process. Our process includes the following key steps:
Charges entry
We begin by accurately and efficiently entering all relevant patient and billing information into our system.
Claims Submission
We use our extensive knowledge of coding practices and payer requirements to properly complete and submit claims on behalf of our clients.
Denial management
If a claim is denied, we work to quickly resolve the issue by following up with the payer and making any necessary corrections or resubmissions.
Payment posting
Once we receive payment, we promptly post it to our clients' accounts, ensuring that they receive their hard-earned compensation as soon as possible.
Accounts Receivable Follow-up
We continuously monitor and follow up on outstanding balances, using a variety of methods including email, phone calls, and letters to ensure that our clients are properly compensated for the services they provide.
We begin by accurately and efficiently entering all relevant patient and billing information into our system.
We use our extensive knowledge of coding practices and payer requirements to properly complete and submit claims on behalf of our clients.
If a claim is denied, we work to quickly resolve the issue by following up with the payer and making any necessary corrections or resubmissions.
Once we receive payment, we promptly post it to our clients’ accounts, ensuring that they receive their hard-earned compensation as soon as possible.
We continuously monitor and follow up on outstanding balances, using a variety of methods including email, phone calls, and letters to ensure that our clients are properly compensated for the services they provide.
By following this proven process, we are able to help our clients maximize their revenue and streamline their billing operations.
Maximize Your Cash Flow, Reduce Denied Claims & Get Timely Reimbursements, get in touch with us today!
Denials management services to help improve clean-claims rates
Our denials management services help healthcare providers identify and fix the root causes of claim denials, improving their clean-claims rate and streamlining workflows for increased efficiency and faster appeals.
We offer specific recommendations for improving documentation, claims management, and processes, as well as reducing regulatory risk through improved compliance. Our team of clinical and technical experts, including revenue cycle specialists, can work within any billing system or EHR to resolve underpayments and reduce the cost and administrative burden of managing denied claims.
Our services are designed to meet the requirements of the Office of Inspector General’s “Gold Standard” compliance program.
FAQ's
Denial management is the process of identifying and resolving denied claims in medical billing.
Denied claims can significantly impact a healthcare provider's revenue and can result in delayed payments.
Denial management can help healthcare providers minimize denials.
How to Minimize Denials and Maximize Revenue in Medical Billing
At Pro Medical Billing Solutions, we understand the importance of denial management in the medical billing process. Our comprehensive approach to denial management is designed to identify and resolve denied claims promptly, minimize denials, and maximize our clients’ revenue. In this article, we will explain our denial management process, including identifying denial reasons, categorizing denials, resubmitting claims, tracking mechanisms, prevention mechanisms, and monitoring future claims.
-
Identifying Denial Reasons
-
Categorizing Denials
-
Resubmitting Claims
-
Tracking Mechanism
-
Prevention Mechanism
-
Monitoring Future Claims
Identifying Denial Reasons
Categorizing Denials
Resubmitting Claims
Tracking Mechanism
Prevention Mechanism
Monitoring Future Claims
The first step in our denial management process is to identify the reasons for the denial. To achieve this, we use advanced software systems that are designed to analyze every claim and identify any that have been denied. This helps us quickly identify any issues that need to be addressed and enables us to take action to resolve them promptly.
Once we have identified the denied claims, we categorize them according to the reason for the denial. We have a wide range of categories that we use to classify the denials, such as missing information, incorrect coding, and non-covered services. This allows us to analyze the data and identify any patterns or trends that may indicate underlying issues that need to be addressed.
Once we have identified the reason for the denial, we take appropriate action to resolve the issue and resubmit the claim. This may involve correcting errors in the billing data or providing additional information that was missing from the initial claim. Our team works diligently to ensure that the resubmitted claim is accurate and complete, increasing the chances of it being accepted by the payer.
We understand the importance of tracking the progress of each resubmitted claim. Our team closely monitors the status of each claim, tracking it through the entire process until it is accepted and paid by the payer. This allows us to quickly identify any issues that may arise and take corrective action promptly, minimizing delays in payment.
In addition to resolving denied claims, we also have a prevention mechanism in place to reduce the likelihood of future denials. We regularly review our billing data and identify any patterns or trends that may indicate issues that need to be addressed. By proactively addressing these issues, we can prevent future denials and help our clients maximize their revenue.
Finally, we continually monitor future claims to ensure that they are accurate and complete before they are submitted. Our team works closely with our clients to ensure that they are aware of any issues or errors that may arise and help them address these issues promptly to prevent denials.
In conclusion, our denial management process is designed to ensure that our clients receive the compensation they deserve for the services they provide. By identifying denial reasons, categorizing denials, resubmitting claims, tracking mechanisms, prevention mechanisms, and monitoring future claims, we are able to minimize denials, maximize revenue, and improve our clients’ bottom line.
Why Choose Pro Medical Billing Solutions for Medical claims processing?
Days in AR
Client Satisfaction
First-Pass Resolution
Denial & Rejection
Client Retention
Net Collection
Electronic Claim
Electronic Payment
POS Collection
Revenue Increase
Days in AR
Client Satisfaction
FPPR
Denial & Rejection
Client Retention
Net Collection
Electronic Claim
Electronic Payment
POS Collection
Revenue Increase
We're here to help
24/7 – Let’s have a call with someone Executive next 30 minutes – No more away!!!
Here are the top specialties , We are helping healthcare physicians throughout the United States to address their Medical Billing challenges.
Our team of experts specializes in the following areas, which are known to be the most impactful for improving Medical Billing efficiency and accuracy.
Groups we serving!
- Patient Scheduling
- Verification of Benefits
- Authorization & Referral
- Medical Billing
- Medical Coding
- Charge Entry & Payment Posting
- Billing & Coding Audit
- Denial Management
- AR Management
- Old AR Recovery
- Patient Billing & Statements
- Collections Services
- Patient Help 24/7
Here are the top specialties, We are helping healthcare physicians throughout the United States to address their Medical Billing challenges.
If you are searching for a dependable Medical Billing Company - You've found it - Contact us today to learn more about Our services!
Groups we serving!
- Patient Scheduling
- Verification of Benefits
- Authorization & Referral
- Medical Billing
- Medical Coding
- Charge Entry & Payment Posting
- Billing & Coding Audit
- Denial Management
- AR Management
- Old AR Recovery
- Patient Billing & Statements
- Collections Services
- Patient Help 24/7
Medical Billing Software We Leverage for Revenue Cycle Management
Here are some Industry top listed EHR being operates by Us.
Our Valued Clients
