Medical billing

End-to-end revenue cycle management that includes all below services.

• Coding ( CPT, ICD-9, and HCPCS)
• Patient Demographics Entry
• Insurance Eligibility Verifications
• Charge Entry – All specialties
• Payment Posting (Manual and Electronic)
• Payment Reconciliation
• Denials/rejections analysis, re-billing
• Accounts Receivable Follow-up
• Systemic A/R projects, re-billing
• Collection Agency Reporting
• Refunds
• Referrals and Authorizations support

Coding and Chart Reviews

Our team of certified coders perform in-depth chart reviews to identify all services rendered so they can appropriately billed. We also perform chart reviews to identify chronic conditions (ICD_10) code for Medicare Risk Adjustment and HEDIS/GPRO quality measures.
Our coding specialties include

• Anesthesia / Pain Management Coding
• Surgical Specialty Coding
• Cardiovascular coding
• Emergency Medicine Coding
• Radiology Coding (Interventional and Non-interventional Radiology)
• Pathology Coding
• Hospital Facility Coding
• Evaluation and Management Coding
• ICD 10 Coding

Health Plan Services

Our health plan services include claims adjudication of all types, Credentialing, Configurations and any such services required by TPAs or health plans. We can also help enrollment forms scrubbing and portal verifications. We can perform large volume data entry works, forms filling, format conversions, marketing brochures etc
Contact:
Please email us on info@pbicare.com for any questions.

HIPAA and PHI

All our team understands HIPAA and PHI. All employees must complete a 30-day training and assessment test to ensure they understand HIPAA compliance before they become a member of the production team. The test ensures that all team members are familiar with their responsibilities when dealing with patient information.

Our goal is to maintain the highest levels of integrity through compliance with applicable laws, regulations, and ethical standards in accordance with HIPAA regulations for the markets in which we operate.

All employees are expected to adhere to these laws, regulations and ethical standards and management is responsible for ensuring such compliance. We prevent unauthorized access by encrypting all production floor workstations, limiting employee clearance levels, issuing unique IDs and access cards that cannot be forged or shared with others outside the company.