Top Benefits of Choosing Physicians Revenue Experts for

Medical Billing Services & Revenue Cycle Management

Fast Claim Processing

Leveraging electronic claim processing solutions, we expedite payouts, improving cash flow for physicians. Our consultants identify and resolve issues delaying payments, ensuring quicker reimbursements. With subject-matter experts in various specialties, we address billing and coding workflows efficiently, helping providers receive every dollar they’ve earned. Our 24/7 consultancy offers tailored solutions for practices of all sizes.

Reduced Administrative Burdens

By automating claim processing and identifying errors, we minimize administrative tasks, allowing physicians to focus on patient care. Compliance and regulatory requirements are met seamlessly, reducing claim processing time and costs associated with hiring and training medical billers.

Cost Savings

Our services eliminate the need for expensive medical billing software, reducing overhead costs for practices. With streamlined revenue cycle management programs, we prevent revenue leakage and ensure efficient prior authorization and denials management, optimizing revenue recognition.

Enhanced Health Equity

Through our Revenue Cycle Optimization solution, we empower healthcare providers to bridge the gap between expected and realized reimbursements, ultimately improving patient access and care delivery.

Financial Analysis

Beginning with a complimentary assessment of your revenue cycle management, we provide in-depth insights into trends, competitive data, and business intelligence, ensuring you surpass every benchmark and achieve optimal financial outcomes.

Advanced Technology Solutions

Leveraging advanced partnerships, automation tools, and AI technology, we seamlessly integrate with your existing software and EHR platform, delivering a top-tier revenue cycle management workflow. Our technology empowers you with actionable insights for a deeper understanding of your business both now and in the future.

Streamlined RCM Processes

Physicians Revenue Experts enhances your revenue cycle from end to end, streamlining patient intake, expediting claims processing, and maximizing collections. This optimization translates into increased liquidity, reduced expenses, and enhanced patient satisfaction.

Enhanced Revenue Generation

Working closely with healthcare facilities, our consulting team ensures accurate claims submission, leading to prompt and complete reimbursements. With payments arriving in full and on schedule, healthcare providers experience sustainable revenue growth, facilitated by our strategic consultancy services.

Advanced AI Technology

Equipped with cutting-edge AI technology and an in-depth understanding of medical billing intricacies, our solution ensures that practice staff can optimize revenue by up to 10% and receive payments 35% faster. Whether you’re a multi-specialty group or a solo practitioner, Physicians Revenue Experts empowers you to take control of your billing operations and maximize revenue.

Continuous Improvement

We stay ahead of industry changes by constantly updating our rules engine, which boasts over 4 million rules to automatically detect claim issues before submission. With a 96% acceptance rate on initial submission, our solution minimizes delays and accelerates cash flow. In the rare event of a denial, our expert team manages the process efficiently, continually enriching our database to prevent future occurrences.

E-Super Bill

Physicians Revenue Experts’ EHR surpasses conventional systems by offering advanced functionalities. Not only does it generate diagnosis codes based on documentation, but it also recommends the appropriate Evaluation and Management (E&M) code level and highlights any missing components for accurate coding. This feature significantly mitigates the risk of coding errors, eliminating the need for hiring additional coders to review documentation for each claim, particularly beneficial for small practices.

Advanced Reporting

By partnering with Physicians Revenue Experts, practices retain full control without compromising on outsourcing benefits. Our online reporting and analytics tools provide comprehensive financial visibility from any location, ensuring you’re always in the know. Our medical billing software furnishes pre-formatted reports for assessing practice performance and identifying areas for enhancement. Moreover, we offer customized reports tailored to address your unique challenges and performance goals, empowering informed decision-making and strategic planning.

Revenue Cycle

Management

Physicians Revenue Experts offers a comprehensive solution tailored to the needs of over 32 specialties, facilitating faster and more efficient payment processes. Our experienced team manages the entire billing lifecycle, from claim creation and submission to proactive follow-up, denial management, appeals, payment posting, and detailed reporting. Physicians Revenue Experts offers a customized Revenue Cycle Optimization solution aimed at enhancing revenue recognition for healthcare providers. By focusing on streamlining manual processes such as authorization and denials management, our solution empowers providers to bridge the gap between expected and realized reimbursement. Leveraging cutting-edge technologies like Machine Learning and Artificial Intelligence, we reduce denials across service lines and automate back-office tasks such as eligibility checks, prior authorization, and physician referrals. With our expertise, healthcare providers can transform their revenue cycle management programs, leading to improved financial outcomes and operational efficiency.

Contact Us

Billing & Revenue Cycle Management

Services We Offer

Medical Billing and Coding

Our dedicated team ensures accurate billing and coding to guarantee reimbursements for healthcare services, minimizing delays and maximizing revenue. We meticulously handle billing and coding procedures, ensuring precise documentation for timely payments and optimal revenue generation.

Accounts Receivable Management

Aggressively managing your accounts receivable, we identify outstanding payments and pursue patients or payors to ensure prompt settlements, facilitating a streamlined billing process. We proactively manage your accounts receivable, posting payments promptly and efficiently to maintain optimal cash flow and financial stability.

Credentialing & Contracting

Negotiating contracts with insurance payers and ensuring up-to-date agreements, we help you attain the highest reimbursement rates and establish strong relationships with insurance companies and patients. We handle credentialing and contracting processes meticulously, ensuring your facility is well-positioned to maximize reimbursement rates and foster positive relationships.

Out-of-Network Negotiation

With expertise in negotiating out-of-network claims, we aggressively advocate for fair pricing with vendors to optimize reimbursements and navigate the complexities of out-of-network billing effectively. Our negotiation specialists excel in securing favorable terms for out-of-network claims, leveraging decades of experience to ensure optimal reimbursement outcomes for your facility.

Eligibility and Benefits Verification

Providing accurate information about insurance coverage and reimbursement, we verify patient eligibility and benefits meticulously to ensure payment for services rendered. We assist in verifying each patient’s eligibility and benefits, guaranteeing that your facility receives accurate information essential for reimbursement and financial planning.

Complete RCM Services

From patient intake to payment receipt, we offer comprehensive revenue cycle management services, educating your staff on compliance, streamlining workflow, and maximizing productivity.

Claim Submission and Follow-Up

Our team handles the entire process of claim submission, ensuring accuracy and completeness, and follows up persistently to expedite payments and minimize delays. We meticulously prepare and submit claims, leveraging our expertise to navigate payer requirements efficiently. Our proactive follow-up procedures guarantee prompt resolution of any issues, accelerating payment cycles for your practice.

Denials Management and Appeals

With a focus on minimizing claim denials, we identify root causes, appeal rejected claims, and implement strategies to prevent future denials, maximizing your reimbursement potential. Our denials management experts analyze and address the underlying reasons for claim denials, pursuing appeals vigorously to overturn rejections. We strive to optimize your revenue stream and enhance financial stability by implementing preventive measures.

Revenue Cycle Analysis and Optimization

Utilizing advanced analytics tools, we conduct comprehensive evaluations of your revenue cycle, identify inefficiencies, and implement tailored strategies to optimize revenue generation and streamline processes. Through detailed analysis of your revenue cycle, we pinpoint areas for improvement and implement targeted optimization strategies. Our goal is to enhance revenue generation while promoting operational efficiency and compliance within your practice.

Patient Billing and Payment Plans

Offering transparent and accurate patient billing statements, we facilitate prompt payment processing and offer customizable payment plans to accommodate patients’ financial needs, enhancing patient satisfaction and revenue collection. We ensure clear and concise patient billing statements, simplifying the payment process and promoting transparency. Our flexible payment plans address patients’ financial concerns, fostering positive relationships and facilitating timely payments for your practice.

Revolutionize Your Revenue

Our Revenue Cycle Management service streamlines manual authorization and denials management processes, boosting revenue recognition. Through innovative technologies such as Machine Learning and Artificial Intelligence, we minimize denials and automate tasks like eligibility checks and prior authorizations. Experience enhanced revenue efficiency and seamless operations with Physicians Revenue Experts.

Our end-to-end revenue cycle management ensures efficiency and compliance at every step, serving as an extension of your staff to optimize revenue generation and operational performance.

Our Approach to Deliver Healthcare Billing Services and

Revenue Management

Patient Billing

Efficiently manage patient billing, ensuring accurate invoicing and timely collection of payments for medical services rendered.

  • Generate and send invoices promptly after patient visits.
  • Provide clear breakdowns of charges and payment options

Payment Scheduling & Registration

Organize payment schedules and streamline patient registration processes for seamless revenue management.
– Schedule payment plans to accommodate patient needs.
– Collect and verify patient information accurately during registration.

Insurance Verification

Verify patient insurance coverage to ensure accurate billing and minimize claim rejections.

  • Thoroughly check insurance details before submitting claims.
  • Address any discrepancies or issues with insurance coverage promptly.

Patient Co-Pay Collection

Collect patient co-pays efficiently and professionally, improving revenue flow.

  • Clearly communicate co-pay amounts to patients.
  • Facilitate convenient payment methods for co-pays.

Documentation Of Visit

Ensure comprehensive documentation of patient visits to support accurate billing and coding.

  • Capture all relevant details of patient encounters.
  • Maintain organized and secure records of patient visits.

Medical Coding

Accurately assign medical codes to procedures and diagnoses for proper billing and reimbursement.

  • Utilize current coding standards and guidelines.
  • Review documentation carefully to assign appropriate codes.

Build A Clean Claim

Construct clean claims with accurate information to expedite payment processing.

  • Double-check claim details for accuracy and completeness.
  • Eliminate errors or inconsistencies in claim submissions.

Claim Submission

Submit claims efficiently to insurance providers for timely reimbursement.

  • Utilize electronic claim submission whenever possible.
  • Monitor claim status and follow up on any delays or rejections.

Payment Processing & Posting

Streamline payment processing and posting procedures for efficient revenue management.

  • Process payments promptly upon receipt.
  • Record payments accurately in patient accounts.

Denial Management:

Proactively manage claim denials to minimize revenue loss and ensure timely reimbursement.

  • Identify reasons for claim denials and address them promptly.
  • Implement strategies to reduce the likelihood of future denials.

AR Follow-Up & Appeals

Conduct thorough follow-up on outstanding accounts receivable and pursue appeals when necessary.

  • Track and prioritize accounts receivable for timely follow-up.
  • Prepare and submit appeals with supporting documentation to challenge claim denials.

Why Choose Us?

Get Paid On Time

Our team of medical billing consultants ensures efficient claim filing, precise coding, and vigilant A/R follow-up, guaranteeing that healthcare providers receive every dollar they’ve earned promptly

Enhance Patient Care

By optimizing revenue streams and handling billing intricacies, we enable providers to focus on delivering superior patient care without worrying about financial matters.

Improve Cash Flow

We expedite claims payments, enhancing cash flow for healthcare practices and ensuring financial stability.

Resolve Billing Issues

Our experts identify and resolve any billing issues that may be delaying payments, ensuring streamlined revenue cycles.

Automate Claim Processing

We minimize administrative burdens by automating claim processing, freeing up valuable time for healthcare professionals.

Prevent Revenue Leakage

Through meticulous auditing and error correction, we prevent revenue leakage, maximizing revenue potential for practices.

Ensure Compliance

Our services help practices meet compliance and regulatory requirements, ensuring adherence to industry standards.

Accelerate Reimbursements

With reduced claim processing times, we facilitate quick reimbursements, optimizing cash flow for healthcare providers.

Cost Efficiency

By eliminating the need for in-house billing staff and expensive software, we reduce operational costs for practices.

Comprehensive Support

Whether you’re a large healthcare facility or a small practice, our 24/7 consultancy offers tailored solutions to meet your medical billing needs effectively.

Choose Physicians Revenue Experts for comprehensive medical billing solutions that ensure financial success and allow you to focus on what matters most—providing exceptional patient care.

FAQs On

Medical Billing services

A medical billing company manages the intricate processes involved in getting payments from insurance companies and patients for medical practices. Our experts handle tasks such as coding, filing claims, follow-ups, and posting payments. With cutting-edge knowledge and technology, we streamline the entire procedure, allowing healthcare providers to benefit from reduced expenses, improved cash flow, fewer claim rejections, and the freedom to concentrate on patient care rather than administrative duties.

Physicians Revenue Experts offers a comprehensive array of services, including provider enrollment, insurance verification, charge entry, claim submission, payment posting, account receivable management, denial management, appeal management, patient billing, reimbursement tracking, and collections.

Our approach to medical claims reimbursement extends beyond merely submitting accurate claims. We proactively engage with payers to ensure each claim is efficiently processed to resolution. We closely monitor claim statuses, allowing us to swiftly address any issues that arise. We diligently pursue underpayments and denials, advocating for appeals when warranted. With our wealth of experience, we are equipped to overcome challenges and secure timely and complete reimbursement for our clients.

Certainly. Physicians Revenue Experts enables providers to assess the effectiveness and outcomes of our billing services. We furnish reports on daily invoicing, critical performance indicators, and provide insights for optimizing the revenue cycle.

At Physicians Revenue Experts, we specialize in delivering advanced and specialized medical billing services, particularly tailored for Medicaid and Medicare patients. We stay abreast of the unique regulations and guidelines in each state, ensuring compliance and maximizing reimbursement. From form completion to code utilization, we manage every aspect of the billing process with precision. We vigilantly track each claim to ensure prompt payment and manage appeals to secure all owed payments for our clients.

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Our Solutions

Medical Coding

Exemplary coding practices ensure accurate medical coding for error-free claims, optimizing reimbursement processes and minimizing denials.

Claims Management

Master the intricacies of claims management, seamlessly guiding submissions through to approval with precision. Minimize bottlenecks and optimize revenue streams for unparalleled financial success.

Credentialing Services

Effortlessly navigate insurance network enrollment, expanding your patient base and broadening service offerings with seamless precision.

Accounts Receivable Solutions

We diligently track accounts receivable, closely monitoring them and taking prompt action when necessary to maintain financial health with great efficiency.

Consultative Guidance

We offer customized consultations and specialized guidance to navigate the complex terrain of medical billing, guaranteeing personalized support.

Compliance Assurance

Adhere to healthcare regulations and industry standards, maintaining a steadfast commitment to ethical conduct and compliant billing practices that uphold integrity and foster trust.

Billing Consultancy for

All Specialties

As the leading medical coding company, physicians Revenue Expert follows a multi-step and scientific process to provide the best services. Our working process follows these steps.




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