Medical Billing Services

The financial strength of your medical practice is directly related to timely billing and accurate reimbursement. Professional Practice Resources provides comprehensive billing and accounts receivable management services designed to provide your practice with proper and deserved reimbursement.

We offer our clients a superior and proven method for increasing their collection rate through our unique process of task oriented claims processing, aggressive follow-up, and insider knowledge of changes in the billing field.

Since each provider and/or practice is unique, we customize our billing services to meet the individual needs of each practice. We can offer anything from a full service off-site solution to a customized integrated on-site model.

Our proven billing technology is proprietary which enables us to be more flexible and provide our clients with a customized solution no matter what their needs may be. Through this flexibility, we are also able to integrate our services into an existing practice, utilizing their current practice management and electronic record system, offering our clients full off-site EMR billing support.

This includes all or some of the services, depending on the individual needs of the practice.

Coding

All information is reviewed for accuracy and maximum reimbursement by nationally certified professional coders.

Data Entry

We obtain information from the provider and/or practice and enter this information into our database in an efficient and timely manner. Being task oriented means the same person will be consistently entering and monitoring your information for any errors or possible problems.

File Claims

Most claims are filed electronically and only a few will go on paper. This decision is dependent upon the requirements of the insurance carrier.

Statements

Patient statements are mailed out from our office on behalf of your practice. The protocols of statements and collections are done specifically to your specifications.  Patients may choose to pay on-line using a secure payment portal.

Payments

As we receive payments and explanations of benefit (EOB’s) packages from our clients, we begin our task oriented process of posting these to our database. We audit each EOB for correct payment and benefit information. If any information is missing, we communicate these findings to our clients to assure the quickest reimbursement possible.

Appeals

Our clients require an aggressive follow up strategy to provide them with the maximum reimbursement. If a payment or denial has been made incorrectly, we challenge the insurance companies to receive the correct reimbursement for your practice.

Fee Schedules

It is vital to monitor fee schedules of insurance companies. We request these fee schedules and communicate our findings to our clients on a regular basis in order to provide our clients the maximum reimbursement allowed.

Electronic Charge Capture

Each practice chooses methods of charge input: mobile device, secure email,  secure fax,  scanned charge tickets, or even paper.  PPR can accommodate your choice for daily charge entry.

Client Liaison

Our client liaison team is available to assist with any questions or concerns that you may have with your account. This team member will also meet with you to go over your financial reports to ensure a firm understanding of your practice activity.

Reporting

Our comprehensive reporting package is distributed on a  daily, weekly and monthly basis. Because each practice is different, we provide a wide variety of reports for our clients to choose from. These reports can be delivered in paper or electronic format through our secure Reports Direct program. We make sure that we have an open line of communication with our clients so they have a full understanding of the information that they have been provided. During the first phase of our new client process, one of our client liaisons will personally walk our clients through each report line by line to assure a full understanding.

We believe that every practice has different needs. This is why we offer a wide range of options to customize our services and provide the services that you need today and the flexibility to provide solutions that you will need in the future. PPR – Solutions that Work!