MEDICAL BILLING SERVICES
UNLOCK THE FULL POTENTIAL OF YOUR PRACTICE TODAY.
OUR TEAM
At “P A Enterprises”, our highly experienced team of medical billers, certified coders, and client managers allows us to ensure unmatched quality medical billing services. We understand that clients have unique service, resource, security, and technical requirements. Our flexible, client-oriented service help us fulfill their requirements.
Client satisfaction is always our priority. That is why we offer the best client referral and retention rates that shows the trust of our clients in us. Our strategic decision help us exceed client expectations in service, quality and productivity.
Revenue Cycle Management
Revenue Cycle Management (RCM) refers to the financial process in the healthcare industry that encompasses the management of claims, payment collection, and revenue generation for healthcare services provided to patients. It involves the coordination of various administrative and financial tasks, from patient registration and eligibility verification to claims submission, denial management, and payment reconciliation.
We custom design our RCM services around your unique needs to ensure maximum reimbursement for your practice. With our RCM Services error-free claim submissions and innovative coding methodology guarantees that you are paid the maximum amount of reimbursements.
- EMR Setup
- Billing Setup
- Clearing House Setup
- Coding & Posting
- A/R Management
- Denial Management
- Follow-Up with Insurance
- Appeal Management
- Billing Reports
Medical Billing Services
Medical billing services play a crucial role in the healthcare industry by managing the complex process of submitting and tracking claims for healthcare services rendered to patients.
Our medical billing services are backed by a highly experienced and dedicated team of medical billers, technical coders, and client managers. Their expertise and in-depth knowledge of the healthcare industry enable us to provide unmatched quality medical billing services to our clients.
Our medical billers have extensive experience in navigating the complex landscape of medical billing and coding. They stay up-to-date with the latest industry regulations, coding guidelines, and payer policies, ensuring accurate and compliant claim submissions. By leveraging their expertise, we strive to maximize your reimbursement potential and minimize the risk of claim denials.
Advanced Eligibility
Advanced eligibility in medical billing refers to the process of verifying a patient’s insurance coverage and determining their eligibility for specific medical services or procedures. It involves gathering detailed information about the patient’s insurance plan, such as coverage benefits, pre-authorization requirements, and co-payment or deductible information.
As part of our comprehensive medical billing services, we proactively communicate with insurances to address any payment responsibilities that patients may have before or after receiving treatment. Our team is dedicated to ensuring a seamless and transparent billing process for both healthcare providers and patients.
A/R Management
We pride ourselves on providing an efficient and robust Accounts Receivable (AR) management methodology that offers valuable support to practices and providers within the medical industry. Our dedicated team of experienced and skilled accounts receivable experts is committed to delivering the highest level of service and expertise to ensure the most effective management of your accounts receivable, ultimately benefiting your practice in numerous ways.
Prominent Features
- Eligibility verification before claims submission
- Submission of clean claims to avoid maximum denials
- Regular processing of claims for faster reimbursements
- Posting of payments precisely
- Denial working on a daily basis
- Aggressive follow-up with insurances
- Denial’s analysis and effective implementation of resolutions
- Complete HIPAA compliance
Credentialing
As part of our comprehensive AR management services, we go the extra mile by assigning a dedicated project manager to oversee and coordinate your project. Your project manager serves as your main point of contact, ensuring that all aspects of your AR management are handled seamlessly and efficiently.
Your project manager will take care of making subsequent follow-ups with insurance companies, utilizing various communication channels such as telephone calls, emails, and messages. They will act as a liaison between your practice and the payers, addressing any issues, inquiries, or discrepancies that may arise during the claims process. With their expertise and experience, they will navigate through any complexities and help resolve issues promptly.
HIPPA Compliance
At our organization, we prioritize the confidentiality and security of patient information. We are proud to declare that we are a 100% HIPAA compliant organization, committed to upholding the highest standards of data privacy and protection.
HIPAA, the Health Insurance Portability and Accountability Act, sets strict guidelines and regulations to safeguard patients’ protected health information (PHI). As a HIPAA compliant organization, we have implemented comprehensive measures to ensure the privacy and security of PHI throughout our operations.
- At "P A Enterprises", every employee signs a confidentiality agreement
- Entry of employee into the facility is controlled via access cards and biometric access
- Only authorized personals are given full access to the server room
- Every employee access to computer systems is restricted by unique logins and passwords
- A dedicated Compliance Officer ensures compliance management processes
WHY HIRE US !!
By partnering with us, you can consider our team as an extension of your own, dedicated to supporting your practice and helping you achieve your financial goals.
Our goal is to help you save valuable time and resources by taking on the complex tasks associated with revenue cycle management. Our experienced professionals will handle the intricacies of claims submission, follow-ups, denial management, and payment posting, allowing your staff to focus on delivering exceptional care to your patients.