At Precision Medical Billing, we understand the challenges and complexities that healthcare providers face in staying compliant with ever-evolving regulations. With the recent implementation of the No Surprise Act, it is now more critical than ever for medical practices to ensure they are adhering to its guidelines and protecting their patients from unexpected medical bills.

Our primary goal is to help healthcare providers avoid fines and penalties associated with non-compliance with the No Surprise Act. With our comprehensive approach to compliance, we offer a range of services to ensure that your practice remains fully compliant and minimizes the risk of fines. Here's how we can help:

1. Thorough Compliance Assessment: We begin by conducting a thorough assessment of your billing processes and procedures to identify any potential areas of non-compliance with the No Surprise Act. By understanding your current practices, we can proactively address any issues and implement necessary changes to align with the Act's requirements.

2. Policy and Procedure Review: Our experienced team will review your existing policies and procedures related to billing and provider networks. We will work closely with your practice to update and establish robust policies that align with the No Surprise Act. This ensures that your team follows proper billing procedures, reducing the risk of fines resulting from inadvertent billing errors.

3. Real-time Updates on Regulatory Changes: Healthcare regulations, including the No Surprise Act, may undergo updates or modifications. We stay vigilant in monitoring any changes to ensure your practice remains up-to-date and compliant. By promptly adapting your policies and procedures to new regulations, we help you avoid potential fines resulting from outdated practices.

PMB's comprehensive medical billing and collections services help augment revenue, enhance accuracy, and alleviate the complexities tied to patient billing. We achieve this through:

• A dedicated physician liaison to ensure your needs are always met
• Flexibility to quickly expand business and services as needed
• Lower operating costs, compared to internal resources
• Significant return on investment through increased revenue collections
• Decreased administrative burden placed on you and your staff
• Single point of invoice accountability and revenue reporting

Navigating the intricate world of insurance collections can be a daunting task. Precision Medical Billing's Insurance AR Collection services are designed to help healthcare providers streamline their billing processes and enhance revenue recovery. Our expert team meticulously works to collect on outstanding insurance claims, freeing your staff to focus on patient care.

Leveraging in-depth industry knowledge and advanced technologies, we provide a robust service that includes

• Detailed reporting
• Follow-ups on denied or underpaid claims
• Persistent efforts to ensure maximum reimbursement for your service

With PMB, rest assured that your revenue cycle is in capable hands.

PMB will handle posting of ALL payments made as part of the insurance collections agreement

• Follow up on all claims until they are resolved.
• Claims will be touched daily
• Monthly update meeting with client
• Bi-weekly aging report
• Direct contact with a department supervisor or director

PMB can investigate to recover claims for any payers for services rendered prior to the execution date of the billing contract, given that they are a billing client. If not, we can conduct a revenue recovery for the timeframe specified by the client.

Clients can opt for various recovery options, such as a

• Medicare Only Recovery
• Managed Care Only Recovery
• All-Payer Recovery

Each option is tailored to cater to different needs and can be chosen according to the client's preference or the nature of the uncollected claims.

Let PMB handle over-payments and keep your books balanced, all while remaining in compliance with federal regulations. Our credit balance services include:

• Timely Reporting
• Processing Credit Balances
• Patient Credits
• Secondary Insurance Payments

MCV allows your patients to choose a time to see you seamlessly, either by calling or virtually choosing a time that is convenient for them and your practice-scheduling and confirm appointments

MCV will retrieve all your patient’s demographics, their signed consents and even their chief complaints for coming in to see you giving you the opportunity to proactively triage each patient before their visit.

MCV will verify and gather all of your patient’s insurance benefits information including front and back of insurance cards, proof of identification, copays and deductions.

MCV, when needed, will communicate with your patient’s insurance company to get authorization in advance of you performing any service or procedure to ensure payment to your practice.

MCV will speak with your patients, when needed, to explain any of their insurance questions they may have regarding their benefits and costs when it comes to being serviced by your agency.

The patient will receive written cost estimations prior to their first visit.

MCV collects the estimated Patient Responsibility amounts prior to the nurses first visit such as co-pays, deductibles and co-insurance

MCV promotes a calm, pleasant arrival and experience for your patients allowing them to skip the waiting area process.

Triage emails for HMO referrals from PCP, faxes, voice mails, follow up on no shows and rescheduling. Ensure all information is in the EHR.