Why the need for our services

Billing management - For many companies, the single most compelling reason for outsourcing is that several of the 'how' types of issues (i.e. coding & review, follow up, hardware/software, ancillary services, etc.) are siphoning off vast amounts of management's time and attention. Too often, the resolutions of these issues are stuck in a middle management 'decision gridlock.' This creates a financial and opportunity cost that will affect the organization's future.

Disaster Recovery Options
In the wake of Hurricane Katrina, and many other disasters of late, the need to store data off-site has become readily apparent. Professional Billing offers its clients the option of storing their data off-site electronically. Learn more here

Employee management - PBI relieves physician's offices of frequent employee turnover in billing management and/or clerks.

Today's healthcare environment - C Complex federal and private payer regulations and updates (HIPAA, CPT, ICD-9, Credentialing, etc).

Hospital practice spin-offs - C Many hospitals have purchased physician practices and failed at operating them. They are now searching for assistance in transitioning these practices back to private offices and need the type of services provided by PBI to effect that transition.

Efficient billing software - Necessitates a substantial capital expense ($25K to $30K). Upgrades and adjustments are essential in maintaining the ever-changing requirements of insurance carriers in order to preserve a competent practice management system.

PBI's technological edge - C Electronic claims filing directly to Medicare, Medicaid, Blue Cross and up to 500 other carriers through our alliance partner; precise electronic payment posting for Medicare, Blue Cross and up to 500 other payers, decreasing the amount of time a charge remains in insurance status; daily electronic statement processing that allows the patient to receive a bill before they forget which physician treated them and for what reason they were treated.

Coding Review - C In addition to our internal coding review and charge editing, we also pass all claims through UnicorMed's Alpha II coding system. This adds another level of assurance that coding will be accurate and specific; compliant and payable. We routinely evaluate our technology and enhance our claim-submission process as the need arises.