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ProMed Billing Solution
Optimizing the business of healthcare
As healthcare evolves, so should the way you manage your healthcare business. At ProMed Billing Solution, we have a proven track record of partnering with companies to meet their individual needs and business objectives. We combine our years of experience and advanced technology with scalability and some of the brightest minds in the industry to provide you with healthcare business solutions that can meet all of your needs.
HEALTH CARE SERVICES PROVIDER
Excellent Experience in the Industry
If you are a healthcare provider and need financial management services, count on ProMed Billing Solution Services. We will help you increase your profit by providing efficient medical billing solutions. With our briliant experience in the healthcare industry, you are guaranteed to get a full range of services customized to fit your specific needs.
OUR MISSION
Our Mission We help clients maximize their profitability through implementation of cost-effective systems and procedures. According to industry statistics, one-third of all claims submitted to insurance carriers contains errors or omissions and are returned to the provider for correction or additional information. Approximately half of these are never re-filed, costing healthcare providers hundreds of thousands of dollars each year through lost revenue and excessive overhead.
INDUSTRY INSIGHT
Healthcare revenue services can analyze your accounts receivable. We’ll tell you where your money is and make the necessary corrections for you to receive maximum reimbursement from third party payers. We will also help you follow-up your pending claims for your convenience.
Our Services
Advance Eligibility/Benefits Verification
The success or failure of the revenue cycle management process begins at the front desk – from the moment the patient contacts your office. We access online verification portals and call the insurance companies to get the required information. We are using advance eligibility tools which help us to reduce eligibility denials.
Denial Management/AR Follow Up
We Experienced in Medical Billing Denials. Denials Management acts as an advocate for your family, helping you pursue the reimbursement necessary to cover your treatment costs from the insurance company. We quickly and easily determine the causes of denials, mitigate the risk of future denials, and get paid faster.
Charge Creation
We create charges through superbills, eSuperbils and quickbills. We also submit charges to insurance via electronically or paper submission with high quality. We deals with professional charge and institutional charge creation
Patient Statements
We are providing patient inbound/outbound services. We are highly taking care of your patient's question and solving at high priority. Patients can call us and we will provide them their statements
Claim Submission
We submit claims to insurance via electronic and paper claim submission. Before a claim submission, we do scrub claim and filter out error claims and then send for electronic reporting to file claims to insurance. We submit claims to insurance through different clearing house such as Emdeon, Capario and Navicure.
Payment Handling
We post payments immediately into the respective patient accounts. We post payments via EOB(explanation of benefits) and ERA (electronic remittance advice). Payments will go directly into your accounts but we will post into your Practice Management system.
Credentialing
We offer the following Credentialing Services:
Credentialing & contracting with Commercial Payers Provider Enrollment Services with Medicare & Medicaid.
All type of Demographic Updates i.e. DBA (Doing Business As) Name Legal Name Adding or Removing Location Updating Pay To and/or billing address Changing TIN or NPI numbers Specialty related updates provider's DOB, email ID and other information. In addition to this we also deal in creating & maintaining CAQH & UHC online Portals in terms of provider attestations.
Contracting:
This is the second phase of the credentialing process, if a provider is credentialed, they must be contracted with the Network Products offered by the insurances.
Reporting
Reporting We provide Daily, Weekly, Monthly and yearly reports to our clients so that they can analys their practice.
