Revenue Cycle Management Services

PBI delivers a full range of proven medical billing services to streamline your billing processes and achieve fast and predictable collections. We apply our vast learning and extensive knowhow to build edits at every stage of the claim generating process. We do this without affecting your practice management system or your business processes. We guarantee that our attention to detail to the source of data and ensuring tighter edits at that stage shows an increase in first pass rate by 2-6% with a corresponding positive impact on collections and outstanding days. We have seen that our audit methods slash another 20% of your denials.


We provide a broad spectrum of billing services including, but not limited to the following. Depending on your requirements PBI can work on your entire revenue cycle or on individual processes. Trust us, either way your benefits are assured.


Eligibility verification

We perform accurate and detailed verification of patient’s insurance eligibility beforehand to reduce denials.

Patient Enrollment

Patient documents are carefully scrutinized before entering all demographic information in order to prevent claim denial and payment delays.

Charge entry/validation

Be it entry or validation of pre-loaded charges we make sure it is error free and clean claims are submitted.

Payment posting

Payments are posted accurately to the respective claims and 100% reconciliation done appropriately in order to maintain actual receivables.

Denial Management

We do extensive analysis of accounts to address denials and fix them. We also take care of the appeals process for claims that require it.

Appeals & Correspondences

Appealing is an integral part of our AR process. Our team will work closely with your staff to prepare necessary documentation for appealing.

Insurance Follow-up

Our staffs ensure prompt follow-up is done on claims that require the insurance to be called. We document call proceedings and take actions as appropriate.

Reports

We generate standard reports for our clients at the end of every month. We can also do customized reports as per client needs.

Resolution of Credit Balances

Incorrect adjustments, erroneous credits, misuse of debit codes, etc cause credit balances. Our credit balance analysts can handle it for you.