We specialize in providing professional billing services to health care practitioners. We strongly believe that our services should increase your reimbursements and reduce your costs.
We offer complete billing service to all insurance carriers, managed care organization (MCO), IPA as well as private parties. Our proven record for quick and accurate reimbursement is due to our efficient office staff with over 25 years of experience.
Our services also includes monthly meetings to evaluate performance, review charges, balances and aging status, monthly reports, electronic billing to all payers with contracts.
Patient statements are generated and mailed at your request. We follow up and do collection on pending or denied claims. We offer weekly reports on claims status. In addition we audit all claims for accuracy, correct/resubmit claims when necessary, prepare and submit a verification report showing the status of all claims, and handle patient inquiries and provide monthly practice analysis reports.
Fees vary from one practice to another depending on specialty and volume. The average medical billing fee is 8.5% nationwide. Our fee is below the national average. There are no set-up or start-up fees, no supply costs, and no equipment to buy.
For further details and specifics please Contact Us, we will send you detailed information and contract materials to sign and register to start our service.
Individual and group billing
No matter what size your practice is we can provide you with excellent service, qualified representatives and a billing methodology that is based on your needs.
Assessment of your current billing methodology:
We will meet with you in person or online to analyze your current billing system, what methods are being used in your billing, and if your current system meets the necessary requirements to maximize your income.
Rescue for financially abused providers of any size:
Many providers, through no fault of their own, find themselves the victim of inadequate, incorrect or improper billing practices. Medical billing is a very complicated field with many variables and changes. You need a billing service whose staff is educated and informed about all aspects of their field. You need a biller that will work with your best interests in mind. Many of our clients come to us because they suspect that the billing system they currently use is not adequate to their needs. We are here to help and often we will take over existent billing to see if we can cure the problems of the past.
Easy and cost protective transition from previous billing:
Change can be confusing and many providers avoid change for fear of losing financial consistency. Expenses need to be met and we do all that we can to help maintain an operating cash flow during the transition period.
Negotiate contracts with carriers:
It is no surprise to us that many providers are participating with carriers at rates far below what they should be getting. We have many years of experience and have done extensive research in the area of contractual fees and always get our providers the highest rate possible for their participation. We firmly believe that a provider has the right to get the maximum amount that the current market will bear and we will accept no less than that.
Compliance review by certified compliance officer:
All claims are monitored prior to submission to determine if all correct coding requirements are in place. Questions will be referred to you if the need arises in order to prevent audits and payment delays
Aggressive follow up of all primary and secondary unpaid claims:
We do not pre-judge which claims should be called on. Regardless of primary or secondary balances due, all claims will receive our full attention.
Help with new practice formation:
If you wish to look into the possibility of forming a group practice, we will sit down with you and help you to find the right way to do it. Our in house staff will assist you with the necessary paperwork. We can also refer you to professionals who will make the process as quick and painless and possible.
Work load tracking for group monitoring:
Our reporting system will help both individual practitioners and groups to determine if they are making the best use of their time, personnel and resources.
Custom reports for specific needs (Accountability)
All practices are different. One solution doesn't work for all. Many of our reports are flexible and comprehensive enough for everyone to use, but there are occasions where specific needs must be addressed. We can create reports to meet those needs. If you are curious about a specific code, location, carrier or any other aspect of your practice we can review and report back to you on its performance and viability
Payment posting and balancing
PBA takes care of all your financial needs. We post all payments and make your deposits. Each payment is reviewed immediately upon receipt to determine if it is correct. Incorrect or insufficient settlements are then inquired and followed up on until the correct adjustment is made. Secondary carriers and patients are balance billed as appropriate.
Safeguards for incoming work
We use several methods for receipt or transmission of your work. We advise a daily or weekly submission either by fax or by traceable mail
Let us partner with you to improve your productivity, reduce staff recruiting and training time, and boost your revenue.
Our highly trained agents, proprietary workflow technology, and compliance processes will speed your administrative operations, allowing you free to concentrate on building your business. Our processes will help increase your revenues while reducing your costs.
