Revenue Cycle Management Services

Maximize Your Revenue, Minimize Your Hassle

How Important Is Revenue Cycle Management?

We at Primax Medical Billing Solutions provide top-notch and affordable RCM solutions to clients worldwide. Numerous advantages come from using our thorough revenue cycle management services, such as HIPAA compliance, cost savings of up to 60%, and strict security protocols. We specialise in pursuing insurance companies for prompt settlements, boosting revenue from unpaid claims, and collecting payments on submitted claims.

Key Features

Get maximum reimbursement at minimum cost as our end-to-end medical billing services don’t just monitor your account and do easy claim submission but actively manage it from top to bottom to improve financial performance of your practice.

Patient Registration

At the heart of our service is our commitment to providing a personalized experience for each patient. We understand that every patient has unique needs and requirements, Our team of highly trained professionals is committed to providing excellent customer service

Verification of Eligibility

A crucial step in the billing process is confirming that patients are qualified for the services they receive. In order to make sure that patients receive the care they deserve, our team works with insurance companies and has extensive experience navigating complicated eligibility rules.

Accurate Coding

Any medical billing business must succeed with accurate coding. We have a group of very skilled coders at Primax Medical Billing Solutions that are authorities in their area. We verify that codes are accurate and current using the most recent software and technology.

Charge Entry

Our charge entry process is designed to be fast and efficient, reducing the time it takes to submit claims and ensuring that our clients receive timely payments. We use advanced software and tools to streamline the process, allowing us to handle high volumes of claims with ease.

Monitoring/Quality Control

We regularly audit and evaluate each claim to ensure the highest level of quality in our work. Our highly skilled and knowledgeable team of auditors makes sure that all claims are correct and comprehensive before submission.

Reported Transmission

The key to our success is prompt and effective claim submission. At Primax Medical Billing Solutions, we employ cutting-edge hardware and software to send claims promptly and securely, minimising the possibility of mistakes and holdups.

Rejections from Clearing House

Rejections from clearing houses can be a time-consuming and irritating component of the billing process. Our team has extensive experience resolving these denials, working with insurance companies to address any concerns and successfully resubmit claims.

Payment Posting

Our payment posting process is designed to be fast and efficient, ensuring that our clients receive timely payments for the services they provide. We use advanced technology and software to streamline the process, reducing the risk of errors and delays.

Denials Management

Handling denials is an essential part of the billing process. Our team is highly skilled in handling denials, working with insurance providers to resolve any issues and resubmit claims quickly and efficiently. We take a proactive approach to denials management, identifying and addressing issues before they become problems.

AR Recovery

Our team has extensive experience managing AR recovery, working with insurance companies to guarantee that our clients are paid on time for the services they render. We streamline the procedure using cutting-edge software and technology to lower the possibility of mistakes and delays.

Patient Declaration

We recognise that patients sometimes have queries or worries regarding their bills. Our crew has received extensive training in delivering exceptional customer support and service, and will promptly and effectively resolve any queries or worries patients may have.

Collections

Part of the billing process that can be challenging and time-consuming is collections. Our team has extensive experience managing collections, and we work together with insurance companies to make sure that our clients are promptly paid for the services they render. We tackle collections in a proactive manner, spotting and resolving problems as they arise.

Why Choose Pro Medical Billing Solutions for Verification & Prior Authorization?

Our comprehensive guide explores the crucial role these tools play in the healthcare industry, including how they help improve patient outcomes and streamline administrative processes. Master VOB and PA and elevate your healthcare practice today.

Stay ahead of the game with Verification of Benefits (VOB) and Prior Authorization (PA). 

Days in AR

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Days

Customer Satisfaction

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Pass Resolution

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Rejection

5% – 10%

Client Retention

0

%

Net Collection

0

%

Electronic Claim

0

%

Electronic Payment

0

%

POS Collection

0

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Revenue Increase

0

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    We're here to help

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    Phone: +1 307-459-0947
    Email: info@primaxbillingsolutions.com

    Maximize Your Revenue, Minimize Your Hassle

    Services We Provide For Revenue Improvement

    Getting patient data, such as medical histories and treatment plans, is the first step. To prevent any discrepancies during the procedure, our team makes sure that all patient information is accurately obtained and confirmed.

    Reviewing the proposed therapy or service’s appropriateness and medical need comes next. The suggested therapy or service is evaluated by our team of specialists to see whether it is both medically required and suitable for the patient’s condition.

    After determining the appropriateness and medical need, the PA request is sent to the insurance provider for approval. To prevent any delays in the delivery of medical care, our team makes sure that the PA request is submitted as soon as possible.

    The insurance provider will then indicate whether the PA request has been approved or denied. To ensure prompt acceptance, our team of professionals regularly monitors the PA request’s progress and follows up with the insurance provider.

    Pimax billing solutions supports outsourcing, IT solutions, revenue maximisation, and corporate cost reduction.