why we are loved

Our Services Combine Profit Enhancement and Consultative Guidance

Our diverse service mix is where the rubber hits the road, and provides the backbone for how PRM helps businesses thrive.

How your Practice Billing and Patient Journey align with our Services

Start Here

Scheduling &
Registration

Scheduling and Registration plays a major role in patient visits, satisfaction, and retention. Our dedicated team members can help ease your workload, take full responsibility for patient calls, and optimize your number of appointments.
‍

Increase answered call ratio progressively.
Eliminate call overflow to other employees outside the scheduling department.
Reduce voicemail messages to a minimum in all departments.

Eligibility &
Verification

As insurer plans and associated fee schedules continue to become increasingly complex, our experts optimize your practice revenues and operations with detailed and accurate patient insurer plan eligibility and verification.
‍

Copays, Coinsurance, Deductibles, Services.
Streamline Practice Operations & Reduce Errors.
Seamless 24 Hours or Less & Real-Time Services.

Medical Coding

Our medical coding specialists will do soup to nuts to obtain patient medical records from your practice EHR system via a secure, encrypted cloud connection, review and validate information, assign CPT/ICD codes and optimize your coding to maximize revenues.
‍

Expedite Medical Coding to Charge Entry Process.
Reduce Potential Processing Delays & Denials.
Reduce Administration Time & Costs.

Coding Audits

PRM is the authority on Billing and Coding Verifications, because after 26 years of working with physicians, we have the subject matter expertise to know what you're doing well, what may need attention, and what should be a risk mitigation and cost reduction priority across all 13 billing management areas.
This is truly an educational process, to verify that you and your staff are working optimally, and there is no requirement to move forward with PRM on any other services.

Our billing and coding verification services provide:

Accounts receivable collection performance Review
Coding Optimization to Maximize Revenues.
Claim Audits, Consulting & Training Services.

A lot more across a review of 13 billing management areas

Prior Authorization

Pre Authorization requires physicians to jump through administrative hoops to get insurers’ green light. Our dedicated team of specialists operate as an extended member of your practice staff with a guaranteed 24 hours or less turnaround, with Real-time available.
‍

Detailed Knowledge of Insurer Plans & Nuances.
Fast Insurance Clearances = Patient Satisfaction.
Reduce Administrative Costs & Time.

Charge Entry

Charge entry, scrubbing and submission processes play a critical role in expediting claim workflow.
Our proprietary claim scrubbing technology verifies the accuracy of coding for every claim submitted, scrubs for missing codes, modifier requirements and other exceptions; and alerts specialists to initiate rapid edits, resubmission and processing.
‍

Highly Automated Workflow.
Customized to Physician & Specialty Requirements.
Advanced QA Processes.

Claim Denial/ Appeal
Management

Our specialized Claims Denial & Appeal Management Team has experience in virtually every major medical specialty to shorten your accounts receivables cycle.
‍

Detailed Knowledge of Insurer Nuances & Roadblocks.
Proactively Manages Denials & Expedites Appeals.
Physician & Client Service Advisor Continuous Improvement.

Payment
Posting

Often overlooked, payment posting services demonstrate the effectiveness and efficiency of your practice revenue cycle. Our team of payment posting specialists, precision workflows and quality control are focused to get your payments posted accurately and as fast as possible.
‍

Insurer ERA Processing & Corrections.
Secondary Insurer Transfer & Patient Balances.
Patient Payments & Statement Services.

Credentialing
& Enrollment

Professional Reimbursement Managers provides comprehensive credentialing, enrollment and licensing services to relieve your practice of the administrative burden for you or staff. Our team of experienced credentialing experts actively manages and navigates complex applications, processes and documentation saving physicians and practice management critical time and costs.
‍

AR
Optimization

AR Optimization is crucial for the profitable operation of your practice. At PRM, we study your accounts receivable and establish causes and possible solutions.. We submit claims after ensuring they are accurate as well as tracking them right up until reimbursement.
‍

Business Intelligence
& Analytics

We provide powerful business intelligence and analytics solutions designed for independent and group physician practices.
These are critical tools that provide actionable insights to manage and pinpoint financial and operational challenges and opportunities.
Benefits include accelerating claim workflow, reducing errors, increasing practice efficiencies and getting you paid faster.
‍

Critical Revenue Cycle Functions.
Practice & Benchmarked Performance.
Interactive Dashboards & Reports.

Start Here

Scheduling &
Registration

Scheduling and Registration is a highly time consuming task and it plays a major role in patient visits, satisfaction, and retention. Our dedicated team members can help ease your workload, take full responsibility for patient calls, and optimize your number of appointments.
‍

Increase answered call ratio progressively.
Eliminate call overflow to other employees outside the scheduling department.
Reduce voicemail messages to a minimum in all departments.

Eligibility &
Verification

Copays, Coinsurance, Deductibles, Services.
Streamline Practice Operations & Reduce Errors.
Seamless 24 Hours or Less & Real-Time Services.

Prior Authorization

Detailed Knowledge of Insurer Plans & Nuances.
Fast Insurance Clearances = Patient Satisfaction.
Reduce Administrative Costs & Time.

Billing &
Coding Audits

PRM is the authority on Billing and Coding Verifications, because after 26 years of working with physicians, we have the subject matter expertise to know what you're doing well, what may need attention, and what should be a risk mitigation and cost reduction priority across all 13 billing management areas.
This is truly an educational process, to verify that you and your staff are working optimally, and there is no requirement to move forward with PRM on any other services.
Our billing and coding verification services provide:
‍

Accounts receivable collection performance Review
Coding Optimization to Maximize Revenues.
Claim Audits, Consulting & Training Services.

A lot more across a review of 13 billing management areas

Medical Coding

Expedite Medical Coding to Charge Entry Process.
Reduce Potential Processing Delays & Denials.
Reduce Administration Time & Costs.

Charge Entry

Highly Automated Workflow.
Customized to Physician & Specialty Requirements.
Advanced QA Processes.

Claim Denail/ Appeal
Management

Our specialized Claims Denial & Appeal Management Team has experience in virtually every major medical specialty to shorten your accounts receivables cycle.

Detailed Knowledge of Insurer Nuances & Roadblocks.
Proactively Manages Denials & Expedites Appeals.
Physician & Client Service Advisor Continuous Improvement.

Payment
Posting

Insurer ERA Processing & Corrections.
Secondary Insurer Transfer & Patient Balances.
Patient Payments & Statement Services.

Business Intelligence
& Analytics

Critical Revenue Cycle Functions.
Practice & Benchmarked Performance.
Interactive Dashboards & Reports.

AR
Optimization

Credentialing
& Enrollment

A Service Mix Primed to Enhance Your Business

Our Services Combine Profit Enhancement and Consultative Guidance

How your Practice Billing and Patient Journey align with our Services

Start Here

Start Here

From Core RCM to One-off Supplementary Services, We Help You Succeed.

Book your Complimentary Consultation Right Now

Book your Complimentary Consultation Right Now