- Many doctors agree that they studied medicine in order to help those in need, but they often find themselves doing menial tasks like accounting and billing.
- You can't change the fact that medical accounting is a very necessary aspect of the job when you work in a doctor's office, but you can change how you handle it. By outsourcing with Prowess Medical Billing, you will open up lots of time and space for more important things, and you will save money at the same time! Outsourcing your medical accounting duties will lead to less stress, more time, and more money.
- The objective of Prowess is to improve your cash flow by reducing days in A/R and improving profitability by increasing your collections ratio.
- If your medical practice is being weighed down by unnecessary accounting work, then we are here to help.
- Our trained medical billing staff does not only have extensive experience with medical terminology and billing services, they also have many years of accounting experience and knowledge.
- Our skilled staff is trained to identify patients accounts that require follow up and take necessary action to collect unpaid/under paid claims.
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- These days, it seems as though everything is done online – from shopping to dating – so why not conduct your medical billing online too?
- Electronic insurance claim submissions guarantee the fastest rate of payment for your claims. Medical claim submissions are a timely process, so outsourcing to Prowess will increase your workflow management!!
- Insurance companies give priority processing to electronic claims rather than paper claims.
- You won't even have to worry about conducting any communication with the insurance companies directly – we do it all! Leave all the tedious billing works to us!
- Due to everything that goes into medical claims submissions, it is often difficult to get it all done with an in-house medical staff. Our experienced billing staff will take care of it all, from submitting medical claims to processing medical claims. In using our error-free system, we will make sure that all of your patients' claims are submitted in an accurately and timely manner.
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- In fact, most of doctor offices complain that 47% of denied claims don't ever get appealed. That is outrageous!
- Claims that have been rejected or denied are carefully reviewed and resolved as quickly as possible.
- You can automatically flag denials and rejections automatically that require review, efficiently resolve denials, resubmit insurance claims, identify and address the root causes of your denials.
- If there are any problems with your electronic claims, you will receive a claim processing report that provides a list of rejections that must be resolved before your claims can be forwarded on to the government payer or commercial insurance company.
- With the help of Web-based software, you can easily categorize your insurance claims as "Rejected" or "Denied"; your insurance claims are automatically organized into a work list of rejections and denials.
- For each rejection or denial, you'll see information about the insurance claims and a rejection or denial message.
- We provide you denial management reports that group your denials and rejections by reason, this helps you identify frequently recurring denials and rejections that can be addressed through process changes in your practice.
Clean claim. More money. Less work!!
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- Insurance carriers often deny claims for not being coded to the highest level of specificity or they may consider the diagnosis truncated. There is no denying that medical coding is a daunting task, as many billers are not coders, they often don't understand what has gone wrong or how to fix it so why not consider outsourcing your medical coding with us, which will give you more time that could be spent on your patients, and money.
- We assist you in sending clear and clean insurance claims the very first time. This ensures the maximum re-imbursement at the minimum time possible.
- Medical coding is generally coined as "claims scrubbing" or "code scrubbing". Your claims are scrubbed and submitted, which helps you get rid of the tiring insurance claim rejections and denials. Also reviewing rejected claims and re-submitting the same is also curtailed to a greater extent. You get paid much faster for all your raised claims.
SEND ERROR FREE, CLEAN CLAIMS AND LESS WORK!
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We provide Financial reports such as:
- Summary Report:
Provides a real-time overview of all charges, payments and adjustments for each provider and location. Performs analysis by individual insurance and government payers, or by patient. - Claim Payment Report:
Allows you to examine each individual payment for any provider, location or facility. Details the unpaid claims for the timeframe you have selected. - Daily Billing Activity Report:
Provides a detailed review of all billing entries for any date of service selected. Displays total charges, payments and adjustments for each billing entry. -
Electronic Remittance Advice (ERA) Report:
Provides detailed payment information received electronically from various governmental and commercial insurance payers. - Accounts Receivable:
Outsourcing your medical accounting duties will lead to less stress, more time, and more money. The objective of Prowess is to improve your cash flow by reducing days in A/R and improving profitability by increasing your collections ratio. If your medical practice is being weighed down by unnecessary accounting work, then we are here to help.
- Summary Report:
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Practice analysis reports such as
- Summary Report:
Provides a real-time overview of all charges, payments and adjustments for each provider and location. Performs analysis by individual insurance and government payers, or by patient. - Claim Payment Report:
Allows you to examine each individual payment for any provider, location or facility. Details the unpaid claims for the timeframe you have selected. - Daily Billing Activity Report:
Provides a detailed review of all billing entries for any date of service selected. Displays total charges, payments and adjustments for each billing entry. -
Electronic Remittance Advice (ERA) Report:
Provides detailed payment information received electronically from various governmental and commercial insurance payers. - HIPPA Compliant:
Since all successful medical practices have to be compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), we remained an ardent follower of HIPAA guidelines. Therefore, at Prowess Medical Billing the data will always be secure and in safe hands. - Denial Management:
Claims that have been rejected or denied are carefully reviewed and resolved as quickly as possible. Get paid faster by eliminating denials and rejections - Patient Statements:
We send out patient statements on a monthly basis right after your AR Reports have become available. The process is easy, and we work together to make sure no patient goes unnoticed.
- Summary Report:
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- According to debt collection agencies, 29 percent of patients have medical debt or trouble paying medical bills. From these numbers, it's obvious that something needs to be done to improve accounts receivables.
- Usually Patients pay their co-pays and deductibles upfront, but is not the case in most medical practices. While getting the insurance payments is our top priority that is only half the battle. Patients more likely than not will have a policy that deems them responsible for a portion of what is owed to you.
- You can use patient statement printing and mailing services that are tightly integrated with in your web-based software medical billing and collections workflow.
- We send out patient statements on a monthly basis right after your AR Reports have become available. This is because we adapt to your timetable and the frequency of your mailing in an instant. We generate automated reminders to the patients on their billing information's boosting the payment process. We generate reports based on the mailing dates containing information on the patient mailed, patient balance, and date of mail dispatch. The process is easy, and we work together to make sure no patient goes unnoticed.
SAVE TIME AND MONEY WITH PATIENT STATEMENTS
