Inspired by excellence & innovation

“We offer the highest quality of End-End Medical Billing Services”

Our mission is to boost medical practice by guaranteeing 100% revenue through a team of world-renowned experts in the billing industry and creating appropriate technology platforms for front office and back office automation. We work as a team, ready to take charge of your billing load from day one and allow you to focus on the quality assurance of your patients. We are available 24 hours a day, 7 days a week to help our customers personally, listen to their problems and offer the best solutions in the industry.

We provide cost-effective and efficient customized medical billing programs for any size practice and have over twenty five years of proven sustained success in getting clients paid quicker, maximizing revenue collected and improving cash flow. We can help to substantially lower your costs, increase revenue collected and reverse your Revenue Leakage.

With PreMD, medical practices can achieve a remarkable outcome: the ability to manage higher patient volumes with improved productivity & financial outcomes.

Here’s a list of services we offer;

  • Practice Development

  • End to End Medical Billing

  • Revenue Cycle Management Team

  • Claims Management

  • Verification of Benefits

  • Appointment Confirmation

  • Practice Analysis

  • Medical Billing Software (EHR/RCM)

  • Patient Services

  • Credentialing & Enrollment

  • Debt Collections

PreMD’s Medical Billing Services

In recent years the concept of a health care service, that is continuously adapting and improving to meet the needs of service users, has been gaining ground. There has been growing emphasis on defining standards of practice, implementing evidence-based practice and encouraging innovation in organisations and clinical teams.

The term practice development covers a wide range of activities, including the introduction of changes in practice, the support and development of practitioners, setting standards and quality improvement. It is often used loosely and interchangeably with other terms, such as the implementation of research evidence.

Practice developers are whole systems thinkers and leaders that have an eye on demonstrating the impact and value of innovation for sustainable change. Practice Development offers a creative methodology and person-centered design bridging the gap between the rhetoric and the practice of values and culture.

We believe that practice development:

  • is a continuous process of developing person-centered and evidence informed cultures
  • is enabled by facilitators who authentically engage with individuals and teams to blend personal qualities and creative imagination with practice skills and wisdom
  • provides learning that brings about multiple transformations of individual and team practices; this is sustained by embedding both practice development processes and outcomes in service, corporate and commissioning strategy

Practice development is an internationally recognized and sustainable approach that achieves multiple aims in healthcare workplaces and organisations to improve patient or service user experiences of care including:

  • Transforming care and services so that they are person-centered, safe and effective
  • Creating good places to work
  • Ensuring that the best evidence and research informs everyday practice

PreMD works to embed new and more effective and person-centered ways of working within teams and workplaces. Our practice development approach brings a fresh spark of life into teams and patients or service users care in a different way from other improvement and social research approaches. It is based on specific practice development activities which are strongly influenced by local factors in the team and organisation. Practice development complements numerous quality and clinical governance methods.

At PreMD for Practice Development, we use blended methodologies, approaches and theories to test, refine and make our methods and processes work in busy healthcare workplaces including:

  • Action research
  • Evaluation research such as stakeholder evaluation and realistic evaluation
  • Appreciative Inquiry
  • Critical Creativity
  • Narrative Methodologies
  • Co-operative Inquiry
  • Action and Active Learning
  • Discovery Learning
  • Work Based Learning
  • Practice clinical micro-systems framework
  • Solution Focused Methods

Practice development complements numerous quality and clinical governance methods with its focus on person centered care; knowledge translation and embedding effective workplace cultures.

Benefits Verification is getting to be essential prepare when it comes to charging patients, getting paid by protections suppliers, and the in general administration of practices’ income cycles. With the rise in high-deductible and cost-sharing protections plans, increasingly patients are required to create installments at the time of benefit, in spite of the fact that numerous patients are ignorant of that fact. Eligibility verification—particularly when tired advance—solves this issue, permitting you to allow vital data to your patients some time recently their arrangements.

1. Discover the Proper Confirmation Method
Initially, each practice has special needs, as well as assets, when it comes to eligibility verification. Whereas more conventional practices like calling or faxing patient data to insurance suppliers might work for a few smaller practices, other high-volume practices might discover that dull and time-consuming methods.

2. Verify Eligibility at the Right Time
In addition to finding the correct verification strategy for your practice, it’s too important to make sure that your staff is confirming patient eligibility at the correct time(s) and to set a plan for schedule batch verification. In spite of the fact that your practice should discover a plan that’s right for your staff and your needs, there are a number of events that are regularly prescribed for eligibility tests

3. Save Verification Details
Moreover, after you confirm patient eligibility, save the data. Keep a record of the date and time you called the provider, or went to their website, as well as patient and staff data. Being proactive like this will get ready you for the unfortunate and irritating occasion of a debate between you and a patient’s provider. In case you outsource your verification processes or use mechanized confirmation software, make sure your merchant or software application saves this data as well.

4. Calculate Cost Estimates for Patients
After you verify benifits, utilize the data given by the patient’s insurance provider, as well as your practice’s contracted rates, to calculate a cost appraise for your patients. Just as with verifying eligibility, the sooner you’ll be able offer this estimate the better. In the event that you give estimates, your patients won’t be caught off protect after you inquire to gather a payment—so it’s recommended you give them when planning appointments. Numerous mechanized verification program platforms will also do this step for you, saving your staff the time and brainpower.

5. Emphasize Payment Responsibility at Check-In
In case you get your staff into the habit of verifying eligibility and calculating cost estimates for patients over the phone when planning appointments, it’s still vital to repeat their payment responsibility at check-in, and to remind them what copay they need to give, for example. Your practice should also have a written patient payments policy accessible to patients, either within the office or on your website, that can reply patients’ billing-related questions.

6. Console That Verification is to help the Patient
In case you’re confronted with any complaints when asking patient insurance information over the phone (or indeed at the front work area), guarantee the patient that you’re gathering the data to benefit them. Educate them that by accepting the information up front you’ll make the process of managing with the insurance providers smoother, you’ll be able give them with an estimate, and you can make sure they receive their full benefits.

Improving patient care has become a priority for all health care providers with the general objective of accomplishing a high degree of patient satisfaction. Greater awareness among the public, increasing demand for better care, stronger competition, more health care regulation, the rise in medical malpractice litigation, and concern about poor outcomes are factors that contribute to this change.

The quality of patient care is vital, without the powerful effect of marketing, patient expectations would probably be far simpler, less expensive and straightforward than much of what healthcare organizations are attempting to provide. Patients normally want what any susceptible person who finds themselves relying on strangers wants from those they are dependent on. They want safe, effective, timely clinical care from skilled clinicians who are able to make them feel personally cared for, included in decision making and relaxed.

PreMD PS Department works together with other internal and external functional areas to effectively, seamlessly, efficiently and ethically manage patient accounts receivables.

PreMD PS department ensure both customer satisfaction and revenue integrity. Our Services includes the following;

  • Eligibility
  • Patient Ledger Verification
  • Insurance Verification
  • Follow-Up & Collection
  • Cash Posting
  • Payment Review
  • Denial Management
  • Charge Capture
  • Revenue Reporting
  • Patient Payment Analysis

Over the past 20 years, patient satisfaction surveys have gained increasing the attention as meaningful and important sources of information for recognizing gaps and developing an effective action plan for quality enhancement in healthcare organizations.

Here are the common questions that a patient can ask you after receiving a statement.

Patient Services FAQ’s

How often will I receive a statement from you?
At least once a month, you will receive a statement that lists what your insurance company still owes and what you owe. Statements continue until all payments are made in full.

Why does the statement show a total account balance when I have insurance coverage?
If your insurance plan does not cover the services you received, you are financially responsible for your charges.

What does an adjustment mean?
“Adjustment” refers to the portion of your bill that your hospital or doctor has agreed not to charge you.

What happens if I cannot make the payment in full?
Then it’s up to the physicians if they agree to offer you an installment plan or give you a discount and we will settle your account and adjust the remaining balance.

May I pay by credit card over the phone?
We are not allowed to receive payments however for the payment either you need to call the office directly or cut down a check and mail out to the office.
Or
Yes, we accept Visa, MasterCard, Discover, and American Express for few clients.

Why are there two charges for the same department and date of service listed on my bill?
We use a combined billing statement, which means we bill you for both the doctor and the use of the facility and equipment on the same bill. This allows you to receive one bill and make one payment for both charges.

What happens if I see a mistake on my bill?
We will cross verify the information with the insurance carrier and will adjust the balance accordingly and you will be receiving another statement with the correct balance.

Why did I receive a bill from a doctor I did not see?
Medical professionals assist in your care even though you may not meet them.
Nurse practitioners; pathologists; radiologists; and X-ray and imaging technicians involved in your care may be listed on your statement.

Why am I getting calls from a collection agency?
After a 120-day billing cycle, your balances may transfer to an outside agency.

I called my insurance company and they said you have coded this wrong—can you re-code and re-bill it?
We can have it reviewed by coding and compliance.

Why am I being billed from your facility when I have never been there?
Please confirm if it’s a correct bill and after receiving the confirmation, please get back to the patient.

Why do I receive separate bills from the hospital and from the physician?
When a physician specialist performs these services, he/she is generally required to submit their bill separate from the hospital’s bill.

I see the same item listed on the physician’s bill and the hospital bill. Why?
Every hospital visit involves both physician and hospital resources. Although the hospital and the provider may use the same language to describe each charge, their bills are for separate services. The physician’s bill will be for professional assessment, direction and oversight. The hospital’s bill will be for the technical resources, including procedures and equipment, medications and supplies.

Will you bill my primary and secondary insurance carriers?
Please investigate and explore the system in order to give them the appropriate answer.

My insurance should have paid my bill, what should I do?
Please verify that your insurance carrier has received and processed the claim. If the claim has not been processed, then carefully review your insurance policy or contact your insurance carrier to determine if the services and procedures are covered.

Why am I getting a bill now, when services were provided so long ago?
PreMD will process and send a bill to a patient after payment is received from the insurance carrier and it is confirmed that the balance is owed by the patient. The length of this process depends on how long it takes to receive a response from your insurance carrier, and whether there is secondary insurance.

Already paid?
Please investigate and then inform the patient that the Payments received after the Statement Date will appear on your next statement.

What does “in-network” and “out-of-network” mean?
If you receive your health care services from a hospital, physician or other health provider that participates in your health plan, they are considered “in-network.” Hospitals, physicians or other health care providers who do not participate in your health plan may be referred to as “out-of-network.” You may have a higher co-insurance and/or co-pay for out-of-network services. In some cases, out-of-network services are denied totally.

What should I do when my insurance carrier has changed?
When you experience any changes regarding your health insurance you should advise the front desk at the time of service.

The PreMD is more than a medical billing company. After almost 25 years related to HealthCare Industry we know how successful practices work and the information physicians and managers need to make sound decisions for their practice. We go way beyond usual end-of-month reporting and dig deep for the practice intelligence you need to thrive. We continuously working every day to add values to our client and provide the customize reporting to make crystal clear to everyone.

Fee Schedule and Reimbursement Analysis
Our PreMD specialized team believes that Effective provider reimbursement analytics are a critical health plan function. Provider payments represent the large majority of healthcare premiums. Reimbursement can differ significantly among providers for the same services and is heavily impacted by the provider negotiations.

On the other hand use of a standard fee schedule often provides a more efficient way to evaluate provider reimbursement levels. By re-pricing the data to a standard Medicare Fee schedule for comparison purposes.

The main advantages of re-pricing claims to a standard are:

  • The process can be automated time efficient.
  • Makes comparisons across providers, patient populations, lines of business, and time periods possible.
  • Facilitates trend analysis.

Trends Analysis
PreMD practice management experts help you make sense of the data using long term trends analysis reporting. Examples include one Year Trends by Charges, Payments and Allowances and Long Term Payor/CPT analysis.

PreMD Custom Reports
We don’t want you to see the information you need in your EHR score card, PreMD provides on-demand atomized reports at the end of every week/month. As your Billing Company we can create the exact report you need to make informed decisions about your practice.

At your request PreMD billing analysis professionals can create custom reports to meet either on-going information requirements or one-time analysis. We will do everything we can to provide valuable data and meaningful analysis to our valuable clients.

Appointment reminders help you increase revenue by reducing the number of patients that do not show up for their scheduled appointments.

The first step to using appointment reminders is to make sure you document the patient’s telephone number (mobile and/or home) and the patient’s email address. This is often accomplished during registration or when scheduling an appointment.

Our PreMD appointment confirmation team normally pulls up the scheduler on the daily basis for the future appointment and performs the appointment confirmation task with the advance eligibility check.

Your office staff spends a significant amount of time calling patients to remind them of upcoming appointments. Let us do it for you! We can reduce your number of no-shows while also freeing up your staff to focus their time and energy on other critical office tasks.

The financial health of a practice mostly depends on the performance of the billing office. Increasing demands on providers with decreasing reimbursement requires healthcare offices to have highly skilled medical billers. Understanding of medical insurance, the claims process, the appeals process, and the impact on the practice’s revenue gives the medical biller the tools to successfully enhance and maximize a practice’s revenue performance on a monthly basis.

  • Direct through various insurance rules and regulations in order to reduce A/R days.
  • Understand the hints of various types of insurance carriers along with their claim requirements.
  • Provide successful follow-up efforts for A/R including the appeals process for denied claims.
  • Implement best practices for insurance and patient collections while maintaining excellent public relations.
  • Decrease risk by understanding Fair Debt collection practices, professional courtesy regulations, clean claims and timely filing guidelines, refund requirements. etc.
  • Use data and reports as indicators for potential enhancement areas.

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We have partnered with a variety of healthcare organizations to extend our reach to 40+ states.