SERVICES OVERVIEW
Professional Reimbursement, Inc. (PRI) offers a wide range of services to meet the accounts receivable management needs of infusion and specialty pharmacy providers. You can choose one or more services from our full range of capabilities:

          Billing and Reimbursement Outsourcing
          Reconciliation and Recovery of Outstanding A/R
          Operational Assessment and Consultation
          Medicare Compliance Audits and Chart Review

 

Billing and Reimbursement Outsourcing
Our complete billing process outsourcing program offers an excellent alternative to an in-house billing department. Each of our clients receive personal and timely attention through our dedicated team approach. Each team is comprised of a Clinical Reimbursement Analyst, a Billing and Reimbursement Specialist and a Payment Recovery Technician. From insurance verification through payment resolution these individuals jointly serve as our client's billing department.  > Learn More 

Reconciliation and Recovery of Old A/R 
Reconciliation and Recovery Services are designed to supplement the third party payer collection efforts of existing billing personnel. These services focus on older, complicated receivables that require individual and more aggressive attention. These services are tailored to our clients' individual needs.  > Learn More

Onsite Assessment and Consultation Services
Our Onsite Assessment and Consultation Services identify problems that can seriously interfere with our client's revenue stream and ultimately their success. We meet with each member of the billing staff and assess their skill level, aptitude, and effectiveness. We analyze intake, billing and collection processes and offer recommendations for improvement of efficiencies and results.  > Learn More

Medicare Compliance Audits
With Medicare Compliance Audits, PRI verifies your company's compliance with government regulations and helps you avoid the high costs of noncompliance. Proactive general audits identify additional uncollected revenue, areas of over-utilization and other inefficiencies that can disrupt your cash flow and profitability.  > Learn More