PMMG can provide a team that categorizes and tracks all your patient billing that saves you time and money – no matter how big or small your practice.
PMMG billing team can also help your practice increase the percentage of reimbursements and lower the percentage of denials and uncollectable claims. Our team is proficient in ICD-10CM, CPT, and HCPCS codes and standards, insurance and governmental regulatory requirements, and payer-specific coding requirements.
REVENUE CYCLE MANAGEMENT / BILLING SERVICES
- Claims filing electronic/paper and insurance/patient follow up collections’ activities.
- Statements mailed out from our office on behalf of the practice or facility.
- The protocols of statements and collections are done specifically to client specifications.
ELIGIBILITY / PRE-COLLECTION / COLLECTION SERVICES
- We provide high deductible screening and pre-payment/time of service payment management.
- We provide a pre-collection service on those accounts that aren’t quite ready for full collection. The pre-collection service offers an effective and more cost-effective way to notify customers of how serious their past due account bill is – while still providing respective leniency and professionalism.
- Confirm patient eligibility for almost all commercial insurers instantaneously! Our comprehensive practice management system provides instant online checks for insurance eligibility across key government and commercial insurance payers. This feature eliminates the need for paper transactions and repeated calls to insurers to coordinate insurance checks. Practices using this feature are no longer concerned about lost revenue due to delays or errors in eligibility verification.
- As we receive payments and explanations of benefits from clients, we post these in to our database. Each EOB will be audited for correct payment and/or benefits.
- The appeals process integral to increasing clients revenues, we spend much time and effort pursuing cases where a payment or denial has been made incorrectly, we challenge the insurance companies to receive the maximum reimbursement.
Reports and analysis
- Done on a monthly basis customized to each provider and/or practice.
- Claims filing electronic/paper and insurance/patient follow up collections’
- Manage functions with regards to recruitment and selection and staff management, including coaching and professional.
- We provide high deductible screening and pre-payment/time of service payment management.
- We provide a pre-collection service on those accounts that aren’t quite ready for full collection. The pre-collection service offers an effective and more cost-effective way to notify customers of how serious their past due account bill if, while still providing respectful leniency and professionalism.
- Confirm patient eligibility for almost all commercial insurers instantaneously! Our process provides instant online checks for insurance eligibility across key government and commercial insurance payers. Practices using this feature are no longer concerned about lost revenue due to delays or errors in eligibility verification.
BILLING REVIEW
Review and provide details for
- Collection rates
- Aged account disposition
- Billing metrics
- Contract terms and insurance rates