Billing

1. Flexible data base structure: PRMC is able to work with your current EMR’s to receive daily demographics, billing information and charges through: 
   1. Electronic interface:  
   2. Manual/paper documents 
   3. Combination of manual/paper documents and electronic interface. 
2. The data will then be checked for accuracy of insurance and demographic information, procedures and diagnosis will be verified, balanced and posted electronically into the PRMC system
3. Electronic filing of insurance will be processed daily using a national clearing house.
4. Payments are received and processed daily. 
5. Patient statements, electronic phone calls and delinquent letters etc. will be processed in exactly 30 day billing cycles and mailed out on a daily basis
6. Patients can make payment or update insurance via the telephone, internet, or contact our office.
7. Because of specialization in the insurance staff of PRMC, routine follow-up of major third party insurance carriers is performed to speed payments and assure our clients the proper positioning in getting delinquent insurance companies to pay their claims in the shortest span of time.
8. Our electronic telephone process will follow-up with patients who have balances after insurance has paid or those who have no insurance. They can set up budget payments and work with the patients to get the bills paid. We accept major credit card (Discover, MasterCard & Visa) payments, posted directly to your bank account. 
9. Cash and paper check payments will be deposited into your bank account on a daily basis, or as significant amounts are available for deposit.
10. Credit balance refunds to patients or insurance companies will be researched, documented and processed monthly for proper disposition.
11. Annually, we will perform a physician fee schedule evaluation with recommended ranges. Also diagnosis (ICD-9 and ICD-10) and procedure charge coding (CPT-4) will be evaluated and updated periodically as well as annually to assure we are keeping you compliant with HCFA and CMS changes and updates.
12. A monthly report will be produced with statistics pertinent to the practice in key areas with month-to-date and year-to-date statistics as well as custom reports upon your request.
13. PRMC carries a professional liability policy which provides coverage for actual or alleged acts, errors and omissions in the rendering or failure to render professional accounts receivable management services for others.

Choose PRMC as your Medical Receivable Management Company.