Serving Your Needs
Professional Medical Services (PMS) provides a wide
range of financial services designed to assist healthcare providers in the battle
to effectively manage the ever growing number of Third Party Insurance claims.
PMS'
blend of professional healthcare expertise and automation makes
it's approach to accounts receivable management highly effective.
PMS'
broad scope of financial services may encompass the following payor types:
|
MEDICAID |
HMO/PPO CONTRACTS |
PMS maintains specialists in each payor class to provide a competent and knowledgeable
review of each claim to insure proper reimbursement to the healthcare provider.
PMS' outsourcing services cover a broad spectrum of healthcare providers such as:
Acute Care, Home Health, DME, SNU, Psych, Rehab. etc...
Accounts Receivable Management Programs
PMS' Accounts Receivable Management Programs are designed to assist healthcare providers
in their goal to effectively manage all Third Party Insurance claims.
PMS establishes
Accounts Receivable Management Programs that enable the healthcare provider's staff
to focus on and resolve the larger balanced claims in a timely manner.
PMS, acting
as an extension to the healthcare provider's business office, assumes full responsibility
of expeditiously and thoroughly resolving the small balanced outpatient claims through
staff located in the healthcare provider's business office and at
PMS' location.
PMS' Accounts Receivable Management Programs have produced very positive results.
Within a 60 day time frame healthcare providers have experienced the following:
1) An increase in cash flow.
2) A decrease in Accounts Receivable days.
3) A decrease in bad debt write off.
4) A more manageable claim load per collector.
5) An improved patient/healthcare provider relationship.
6) A sharp reduction in losses due to missed timely filing deadlines.
Accounts Receivable Clean-up Programs
PMS provides Accounts Receivable Clean-up Programs designed to assist healthcare
providers through backlogs created by a computer conversion, staff turnover and/or
work redesign.
PMS' staff provides a competent and knowledgeable review of each
claim in each payor type to insure proper reimbursement to the healthcare provider.
With
PMS' staff focusing on and resolving the aged backlogs of claims, the healthcare
provider's staff can focus on and resolve the current claims and have the time to
repair whatever may be ailing the accounts receivable recovery process without experiencing
a sharp drop in cash flow and/or a rise in accounts receivable days.
Supplemental and/or Secondary Billing Programs
PMS provides Supplemental and/or Secondary Billing and Accounts Receivable Management
Programs designed to assist healthcare providers in the timely submission and adjudication
process of what is normally classified as a low balance and low priority claim that
is usually manually prepared.
PMS' staff would assume full responsibility of gathering
all pertinent information needed in submitting each claim (i.e. Medicare RAs, EOBs,
UB92, 1500s, Itemization, Assignments of Benefits, etc...).
Interim Billing Programs
PMS provides Interim Billing Programs to assist providers through backlogs in billing
created by work redesign, computer conversions, and staff turnover. This will allow
the healthcare providers staff the time needed to focus on current claims processing.
Credit Balance Resolution Programs
PMS provides Credit Balance Resolution Programs designed to assist healthcare providers
in resolving current backlogs as well as ongoing management of credit balanced accounts
due to staff turnover and/or staff reduction.
Third Party Claims Billing Reviews
PMS provides a Billing Review of Third Party Claims Billing Reviews designed to
assist healthcare providers in identifying and correcting errors that occur at billing.
PMS analyzes the Rejected Claim Log from the Electronic Billing System to categorize
the errors by department.
PMS then proceeds with educational in-services and departmental
meetings all designed to increase the number of "CLEAN" Third Party Claims generated
from the healthcare provider.
Training Seminars
As specialists in A/R Management, we are aware of the need for education in today's
ever changing environment. We at
PMS, provide a variety of training seminars (designed
to enhance and build a working knowledge of Third Party Reimbursement) tailored
to meet the needs of the client.
Take the first step in developing a strategy in successfully managing your accounts
receivable by
contacting Professional Medical Services at
sales@p-m-s.com or
(800)
880-4767 for a complimentary consultation.