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What We Offer?

At ProMed Professionals, we pride ourselves in providing full spectrum Revenue Cycle Management Solutions, in the most cost effective manner. We specialize in major specialties & work with a team of professionals who have been in the industry for long. Every biller and account receivable representative is trained to deliver quality and compliance.

Complete Medical Billing Management Cycle:

We understand the problem a practice has to face from eligibility verification to receiving payment for rendered services. Our services are proven to accuracy and reliability. We offer complete services that help you manage focus on patient care.

  • HIPPA Compliance
  • Eligibility Verification
  • Daily Charge Entry/Claim Scrubbing
  • Billing & Coding Accuracy Checks
  • Daily Claim Submission
  • Daily Clearing House & Payer Rejection Handling
  • Daily EOB/ERA Payment Posting
  • Appeals & Denial Management
  • Worker Compensation & No Fault Billing
  • Aggressive Follow Up on The Unpaid Claims
  • Electronic Remittance Advice & Electronic Funds Transfer
  • Primary/Secondary Billing/Re-Billing
  • Monthly Patient Statements
  • Patient Calling – Support Services
  • Superbill/Fee Schedule Review
  • 24/7 Access to Reports
  • Bi-Weekly and Monthly Financial & Aging Reports

Physician/Practice Credentialing & Enrollment:

Let ProMed Professionals be your partner in starting your business. Credentialing has a well-earned reputation of a tedious process. The process requires a persistent effort to ensure that application does not just waits on the payer’s desk. Credentialing is no longer a part-time assignment; it requires the full-time attention of trained Medical Management specialists. ProMed Professionals understands that enrolling as a new physician or starting a new practice is a hassle for healthcare providers.

  • Individual/Group NPI Application
  • CAQH Profile Setup
  • Medicare & Medicaid Credentialing
  • Top Commercial Insurances Agreement Filing
  • HMO and PPO Contracting & Enrollments
  • Payer Enrollments & Contract Negotiation
  • Setup – Electronic Funds Transfer To Your Bank
  • Fee Schedule Review

Customized Solutions for Billing Companies:

ProMed Professionals know that running a billing company in the USA is tough. We bring you customized solutions, which can help you save time and cost. We can help you streamline your workflows and allow you to focus more on customer relations and getting new business. You keep control of your clients and business, we will just help you lower your cost and diversify your services. We are capable of working on any EHR/ EMR software you may name.

  • Bulk Eligibility Verification
  • Bulk Charge Entry
  • Claim Scrubbing & Claim Submission
  • Bulk EOB/ERA Payment Posting
  • Bulk EOB/ERA Denial Posting
  • Demographics Entry
  • Assistance with New Client Implementation
  • Assistance with Insurance Enrollments
  • Assistance with EDI/ERA/EFT Enrollments

Medical Billing Practice Audit:

For providers who work long hours with a busy schedule we provide medical billing practice audit services. Providers with a hectic and busy schedule do not have time to dig deep for practice insights. Our services can give you a detailed look at your practice without you having to spend time on it. We analyze your accounts receivable, work flows, pending billing, reimbursements, coding errors, insurance enrollments, practice trends and thus helping you understand where your practice stands, what you are losing or how much more you can make.

Medical Billing Practice Audit:

Patient billing and support services are as important as insurance claim submission and follow up. Usually practices are incapable to answer patient questions regarding statements and billing. Patient billing is atleast 5% – 20% of the practice revenues. This is ignored revenue as often patient accounts receivable are ignored. We have dedicated support staff to work on patient AR.

  • Monthly Patient Statements
  • Patient Answering Services
  • Outbound Calls to Get Missing Information
  • Outbound Calls to Update Information with Insurance
  • Balance Reminder Calls
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