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Physician Revenue Cycle Management PowerPoint Presentation
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Physician Revenue Cycle Management

Physician Revenue Cycle Management

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Physician Revenue Cycle Management

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Presentation Transcript

  1. PHYSICIAN BILLING SERVICES Healthcare Overview Presentation

  2. Revenue Cycle Management Challenges you may face while managing the revenue cycle process? Low level of collections and large accounts receivable backlogs Retention and management of billing staff Rising costs of administration and processing services Lack of qualified personnel and billing resources Increasing need for IT capital expenditures Difficulty keeping up with ever-changing claims processing procedures Lack of follow through on low value claims and with insurance companies on Credentials, payment, etc. Distraction from core business objectives

  3. Our RCM Offerings: • Eligibility and benefits verification Authorization request and tracking patient registration Charge entry Medical coding Payment posting Electronic remittance posting (exceptions) Submission of paper and electronic claims Manage clearinghouse and payer rejections • Secondary insurance billing Patient statement processing and mailing Patient pre-collections processes Credit balance reconciliation AR analysis and management–policy development Denial review and management insurance and patient follow-up and collections Appeal of all denied or underpaid claims Return mail processing • Denial review and management Insurance and patient follow-up Appeal of all denied or underpaid claims Return mail processing Daily/Monthly close Fee schedule review and analysis • Medical record reviews Coding audits provider enrollment and contracting Customized management reports Old accounts receivable clean-up

  4. Benefits Of our Solution • 48 hour turn around time for claim submissions and cash postings • Prompt follow up on every account before 30 days aging • Greater than 95% accuracy with fewer denials • Dedicated account manager and detailed monthly MIS reporting • Up to 40% reduction in operating costs and up to 20% increase in revenue • Faster collection cycle • Decreased accounts receivable days • Decreased financial delays • Improved cash flow • Improved document and data integrity • Highly experienced billing resources • Proactive approach to medical billing • Eliminates employee retention and training headache

  5. Overview of Physician Billing Services Physician Billing Services, a subsidiary of a large national billing company, provides end-to-end business solutions for U.S. healthcare providers. PBS has a strong horizontal focus with its medical billing, medical coding, hospital revenue cycle management, collection & EHR solutions. We have a solid team of certified billers & coders and account managers who possess extensive expertise in billing and coding services across several specialties. PBS has been serving 1500 physicians, and deals with 14 different specialties.

  6. Partnership Program Key Highlights PBS is looking for partnership opportunities with consulting groups. In this partnership program, PBS will serve as a partner for providing the medical billing, medical coding, collections and revenue cycle management services to the clients of the consulting group.

  7. Benefits by Partnering with PBS: You can expand your service portfolio to all the services we provide. 2. PBS will act as a back end service provider while you will continue to be the front end provider for your clients. 3. You get PBS Sales team support for closing sale cycle for the services provided by PBS. 4. You Get Listed on PBS website as our partner for the services you provide. 5. You Earn Lucrative % commission on the invoice amount for the referred accounts.

  8. To be a PBS partner you need to: List us on your website as your partner for revenue cycle management services. 2. Introduce PBS to your clients for the services it provides via mailers, newsletters. 3. Provide Referrals for the services we provide

  9. Contact Us • PhysicianBilling Services Inc.1300 Iroquois Drive, Suite 205,Naperville, Illinois 60563. • Phone :  877-204-6225 • Fax : 877-204-6236 • Web :

  10. Thank You