Premium Medical Billing Solutions is a medical billing company that holds strong experience working with payor companies and healthcare providers. Our experts are eligible enough to provide the services to providers that make them focus on a completely hassle-free practice. We provide specialized services for checking eligibility and benefits are designed to meet the specific needs. This is no matter of issue what practice scope you are holding. We are dedicated to providing services equally to each of our clients.
By focusing on these important medical billing services, PMBS aids healthcare organizations to run their operations more smoothly and reduce error claims. This will result in more profits and reimbursements. Suppose you partner with us for your Revenue Cycle Management (RCM) needs. In that case, you can trust that your Eligibility and Benefits Verification will be taken care of, leading to a better experience for your patients.
The medical billing process is expanding its components for better enhancements for the providers. Medical Eligibility verification services play a vital role in the healthcare industry. This is a process in which the medical billing companies confirm that the information regarding the insurance plans of the patient is accurate. And it is eligible for the services it is taking from the provider. Patients’ Eligibility within the medical services, it is taking must be very important. It ensures their payments from the payor companies.
If the medical eligibility fails to verify this will put the doctor or provider in serious financial loss. Eligibility and insurance are the main steps of focus in medical billing. Healthcare providers must get authentic information about whether a patient is eligible for coverage right from the start is crucial for healthcare providers. This process is helpful for them to understand what services are insured and what services are out of network plans and for that patients need to pay. Here is a little insight into what makes us more efficient form other medical billing services providing companies:
First, we put a deep and authentic sight on the volume of your practice. It is important to find the verification method that matches and works according to your needs. We recommend
Ultimately, the right verification method will enhance efficiency, accuracy, and overall practice performance, ensuring optimal patient care and revenue cycle management
By serving for 10 years in all states of USA we are very familiar with the time zones and working hours. Hence we are providing our services to healthcare-providing companies and practitioners, we understand how busy they are. This is why we have a dedicated customer support department which can be bothered anytime.
We adopt a proactive approach to risk mitigation by conducting thorough assessments of potential risks and vulnerabilities in the verification process. By identifying and addressing these issues upfront, we minimize the likelihood of claim denials and revenue loss for our clients. Our focus on risk management ensures peace of mind and financial security for healthcare practices.
Even if you have done with the eligibility verification process and have enlisted all the details in your database still it remains crucial to reinforce payment responsibility upon patient check-in. We offer this service which includes reminding them of their co-pay obligations. Additionally, we provide a readily accessible written patient payments policy, either displayed in the office or available on your website, to address any billing inquiries patients may have
Medical billing service has captivated almost 90 percent of the healthcare industry. At PMBS we provide the fastest authorization or pre-certification services. Pre-authorization helps the practice avoid denials from the insurance companies on higher dollar value procedures. The absence of pre-authorization in medical billing most likely results in non-payments of the claims. We help you take over the burden of prior- authorization by submitting the necessary records and obtaining the pre-authorization two days in advance. Our robust and transparent system helps the practice to keep a daily tab on the status of all pre-authorizations which has been initiated by us.
Pmedical Billing Services is highly experienced in providing prior-authorization services. Our dedicated experts gain approvals from the insurance payer for the proposed treatment or services. As a utilization management Prior approval is its aspect. Specifically, prospective utilization review, where an insurance payer looks at a number of factors such as medical necessity, prior treatment, clinical indications, and total therapy cost to determine whether a cost-saving can occur.
Eligibility verification services by Premium Medical Billing Solutions can benefit your practice in each aspect by verifying eligibility upfront you will get minimal denied claims, reduced administrative costs and accelerated revenue cycle.
Eligibility verfication ideally be performed for every patient encounter. Whether it is a follow-up appointment or procedure or a new patient visit, eligibility verfication should be a must to have.
If the patient’s eligibility is failed in verfication, we quickly communicate with the patient. There are certain reasons of this failure and by gathering patient’s details we can fix the errors. In some cases we need to reschedule the appointment until eligibility can be confirmed.
Normally, most of the eligibility verifications are done within few minutes or with few hours. But in some cases, the time to verify patients eligibility varies.
The eligibility verification process typically require confirmation of the patient’s insurance coverage details including plan type, co-payments, deductibles, prior or retro authorization and effective dates or any other service or procedure.
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