How many years in business?
|Answers to Frequently Asked Questions
PBMI has been providing physicians with quality revenue cycle management since 2001. Combined, our Management team has over 80 years
of experience in the healthcare industry.
Are there certified coders on staff? Several staff members are certified by the American Academy of Professional Coders.
Who is responsible for CPT, ICD--CM and HCPCS code selection?
The provider is always the best source for accurate code identification. As your
billing company, we provide education and will always research your questions and give assistance as needed.
How often are claims submitted to insurance carriers?
We submit claims daily.
What is the average “front-end” denial rate?
Our denial rate is less than 5%.
What services are provided to resolve denials?
Most “front-end” denials are due to changes in patient insurance or insufficient information. We will work
with your staff to insure they are familiar with current insurance requirements. After all, once the patient is treated, there is often little that can be done if the insurance is not active or an authorization
is not obtained. A knowledgeable front desk is a practice’s best defense to prevent providing free services. Our goal is to empower your staff and implement policies and procedures to insure you are
reimbursed for the care you provide.
How are rejections tracked and resolved?
PBMI records and reports rejections back to our clients as part of our monthly standard reporting. Again, educating
our clients and their staff is key to preventing costly rejections.
From the time data is received, how much time is needed to process a claim?
“Clean Claims” are processed within 24-48 hours of receipt during normal business
Are payments posted electronically?
Yes. Medicare, BCBSM, Medicaid and many commercial carriers will be posted electronically.
Can the practice access the practice management system to perform inquiries?
Is there a department that handles patient collections?
Our collection department will work with you to define a collection process that meets your practice
PBMI currently manages “soft” collections in our office, and works with an outside collection agency for “hard” collections.
Who answers patient phone calls?
PBMI has on site Call Center staff that answers all patient questions regarding their invoices and will assist them in understanding the ever challenging insurance terminology.