Billing & Collections
Nationwide Medical Billing Services
Increase Revenue and Maximize Profitability with Our Revenue Cycle Management Solutions
At ProMD we are experts at managing medical practices, therefore our billing and collection services are done from an operations perspective. The combination of expertise in practice operations along with certified coding medical billers results in outstanding collection performance on behalf of our clients. ProMD uses Medical Group Management Association (MGMA) industry key performance indicators to monitor internal performance to assure desired outcomes are achieved. Ensuring the proper use of compatible CPT/ICD-10 while using the indicated modifiers in conjunction with the review and accuracy of patient demographics results in a high "first pass" claims submission success rate and overall increase of client's revenue over 20%.
ProMD provides complete revenue cycle management for your practice. When you put us to work with you, our certified billing and collections experts are at your service and committed to your success. We’ll have you up and running within 7 days of implementation and on your way to a 20% increase in your revenue within 90 days!
By outsourcing your medical insurance billing to ProMD you will be assured of billing services, timely charge posting, collection, and detailed monthly billing and collection reports. Our billing and collection services include:
An experienced and certified coder is assigned to review each encounter and enter charges with accuracy.
Our billing professionals are coding experts who keep up with the most current CPT, ICD-10, and HCPCS coding standards to minimize denials and unnecessary delays in reimbursement.
Each encounter is reviewed for accuracy of selected CPT, ICD-10, HCPCS, and use of modifiers as per payer guidelines to minimize denials by submitting clean claims at initial pass.
Whether electronic or paper, we bill all payers and handle third-party billing for prompt payment.
We take on the painstaking process of posting paper and electronic remittances on a timely basis to assure systems reflect accurate and real-time data.
We review and correct transmission rejections to assure clean claims are submitted at first pass. We identify and communicate denial trends with our billing clients for corrective actions to assure optimum collection levels are achieved.
We handle the re-work for denials and follow up on claims without responses.
We process and send out statements to patients with balances on a monthly cycle.
We provide a monthly billing performance report that tracks and trends key data used to analyze performance while implementing any necessary corrective actions to achieve desired results.