ADVANTAGES
Integrity
PRI's staff is a dedicated team of experienced reimbursement analysts and support personnel. Each of our clients is assigned to one analyst who then becomes intimately familiar with their day to day operations and special needs. When necessary, the expertise of other analysts may be considered to assist with the more complicated or unusual cases. At PRI we are pro-active, not reactive. It is our policy to thoroughly research payer authorization and billing requirements prior to submitting claims rather than by..."let's see what happens if we do this." Claims data is checked and rechecked for accuracy before it is submitted to the payer.
Technology
Real time, secure, read only, remote access to your live data allows our analysts to work seemlessly with your staff. Utilizing the ingenuity of Rock Pond Solutions, we provide a second level of quality assurance by reviewing each of your confirmed deliveries for any discrepancies. Your clean charges are submitted for payment almost immediately. We know within 48 hours the disposiiton of your claims and have the opportunity to make immediate modifications thus greatly improving billing accuracy and payment turn-around time. We incorporate The SAGE Medical ManagerTM billing and reporting software to manage our clients' patient accounting needs and provide them with detailed monthly reports. All electronic claims are transmited through the Practice Insight Claims Clearinghouse. Practice Insight is a leading national provider of revenue cycle management solutions and is an early adopter in implementing the HIPAA 5010 Electronic Transaction Standards and ICD-10 Rules.
Experience
Over the 25 plus years we have developed, implemented and perfected operational policies and procedures that work. We are not theoretical. We are hands-on, realistic. Our clientele includes hospital-based, retail and closed-shop infusion pharmacies; ambulatory infusion centers; rehabilitation facilities; home health agencies and similar organizations. All of our clients are accredited by JCAHO and/or ACHC and our processes and forms have been approved in every case.