The Accountable care market is now explored by many newbies from the healthcare market trying to be an ACO. Recently a survey was conducted to examine the motivators and challenges (including the tools required to meet goals) for those organizations that were interested in risk based or shared savings programs such as Accountable Care Organizations and Patient-Centered Medical Homes. It came to light that
We use one of the best claim scrubbers in the industry and every single claim goes through automated, as well as manual edits.
Every claim is checked using payer specific rules engines. We maintain insurer guidelines information in our database and update it every week.
This is what sets us apart
(3.99% of collections)
|Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time.||Only Insurance Eligiblity Info is avaialble.|
|Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.|
|Creating clean claims.||7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle|
|Claim Scrubbing to zero down denials.|
|Transmitting claims to the insurance companies within 12 hours from the time of visit.|
|Acting on clearing house report instantly|
|Following-up with the insurance companies over the phone from the seventh day of claim transmission.|
|Posting the EOBs and ERAs.|
|Following-up with denied claims (Denial Management) and resubmitting claims on the same day||
but not on the same day
|Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected.|
|Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number.|
|Access to summary/progress/analysis reports through iPhone/iPad/Blackberry.||
but access only to a few reports
We are just around the Conner. Click here to have our Regional RCM Expert come down to your office immediately to get all your questions answered !
Are you in need of prognocis emr support ?
It certainly helps that we are well-versed with the Prognocis EMR system and understand its features and workarounds like no other. We provide a 24/7 Prognocis EMR helpdesk
Speed up your revenue cycle and send ou< cleaner claims through our three tier scrubbing process.
An answer for your every need
BillingParadise has helped several Prognocis EMR users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.Read More
Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. Prognocis EMR users can now code right!Read More
We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our Prognocis EMR revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.Read More
AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with Prognocis EMR users every single day and offer flexible, practice specific support.Read More
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%