We have over 15 years of experience in effectively maximizing collections for medical practices through our ability to adapt to technological changes.
Our team includes veteran billers who understands the nuances of dealing with different insurances policies, amendments on reimbursement rates and ICD 10 code updates, allowing them to efficiently fix errors and fill gaps on claims before sending them to Insurance.
Our proactive approach follows the Six Sigma CAPA strategy to ensure corrective and preventive actions are taken to avoid denials; eliminating practice from financial losses.
We have robust process for performing RCA (Root Cause Analysis) after assessing trends on denials and rejections with different parameters and prepare corrective plan for our new clients to address their piled up ARs. This helps us in maintaining a negligible rate of rejections and denials and achieving over 98% of first pass acceptance claim ratio.
We never compromise on eligibility and prior authorization verification and take it very seriously.
Our verification specialists ensures to check insurance eligibility and prior authorization at least 48 hours prior so it can help us do a smart work and avoid any potential rejections or denials, which not only saves us time and effort but also benefits our clients.
Assigning Strategic Account Manager (SAM) – A dedicated point of contact to optimize overall practice workflow by sharing latest updates from your EHR vendor and healthcare industry. Our SAMs work as Strategic Partners with clients for overall success in business operations.
EST to PST Customer Service: Highly trained professionals always available to connect with you and your patients over call to address your queries. We have our support team available to assist you in EST and PST working hours. We are just a call away to connect.
We pride ourselves on providing complete transparency throughout the revenue cycle management process. Our team works directly in your office EMR or PMS software, ensuring that you are informed every step of the way.
Rest easy knowing that we have a powerful practice management system that is equipped with the latest mechanisms and smart algorithms, in caseyour EMR lacks a billing module.
Our PMS provides a comprehensive 360-degree view client dashboardforpractice billing health; giving you complete transparency on overall RCM operations.
We pride ourselves on our deep understanding of the unique industry requirements for healthcare providers in the United States.
We prioritize building personal connections with our clients through one-on-one meetings, allowing us to gain a comprehensive understanding of their goals and requirements. With our dedicated team of Business Analysts ready to visit your practice whenever necessary, we are confident in our ability to outshine our competitors in the market.
We are dedicated to keep our clients with the most up-to-date and relevant information on regulatory and compliance issues, specialty billing & coding practices, industry trends, and much more.
Pro Clinical Solutions is HIPAA compliant, ISO 9001:2015&ISO/IEC - 27001:2013 certified billing company. We always keep our Quality & Security Management Systems compliant as per international standards.
As a HIPAA compliant medical billing company, we follow strict procedures to ensure that patient information is protected at all times. This includes implementing secure technologies, regularly training our staff on HIPAA regulations, and conducting regular audits to ensure compliance.