Welcome
Professional Revenue Management Services
Achieve your revenue cycle management goals through PRMS
About Us
Professional Revenue Management Services (PRMS) is a full service revenue cycle management company that offers in depth solutions to complex reimbursement needs
Our Services
PRMS offers client specific solutions based on needs- there is no "One size fits all" reimbursement approach. Our services include the following:
- Consulting Services
- Complete Revenue Cycle Management (RCM) Services
- Clinical Documentation Reviews
- HCC Risk Adjustment Coding
- Ongoing Staff Training
Consulting Services
Our Consulting Services include:
- Credentialing and contracting
- EHR and Clearinghouse selection, setup and implementation
- Revenue cycle reviews
- Client operation policy and procedure reviews and/or development
Complete Revenue Cycle Management Services
Our RCM services include:
- Coding
- Charge capture
- Billing
- Electronic claim submission
- Clearinghouse rejection resolution
- Payment posting
- Denials management
- Accounts receivable management
- Patient statement processing
- Customer service for patient inquiries
- Key Performance Indicator (KPI) reporting
Clinical Documentation Reviews
PRMS is staffed with RHIA certified professional coders that provide services to a multitude of various specialties. Our coding staff has the ability to ensure:
- CMS standards are met
- Procedure and diagnosis coding selection are appropriate
- Correct modifier selection and usage
- Coding query processes are being followed
- Record retention laws are being followed
- Record storage standards are met
HCC Risk Adjustment Coding
The purpose of Hierarchical Condition Category (HCC) is to accurately reflect the health of your patient population
- PRMS assists in the implementation of HCC risk adjustment programs for healthcare organizations, Accountable Care Organizations (ACOs) or insurance carriers
- PRMS certified coders complete retrospective, concurrent or prospective HCC chart reviews
- PRMS provides HCC education to clinicians, office staff or billing departments, educational materials including live or prerecorded webinars, specialty specific content, provider coding tips and more
Ongoing Staff Training
PRMS has the ability to stabilize a practice's cashflow by empowering client's staff to make sounds decision relating to cash collections at all levels of an operation:
- Front end staff training:
- Demographic and insurance information collection, verification and retention
- Verification of benefits and practice (specialty) specific referral and prior authorization requirements
- Patient payment collection procedures and methodologies
- Clinician/ care provider training:
- Diagnosis and procedure coding requirements and usage
- Modifier selection requirements and usage
- Clinical documentation improvement
- Back end staff training:
- CPT and ICD coding
- Physician querying process
- Charge capture
- Clearinghouse rejection resolutions
- Denials management
- Payment posting
- Accounts receivable management
- Patient statement processing procedures
- Administration
- Deliver Key performance indicator (KPI) reporting to guide financial decision making