Medical Billing Services & Revenue Cycle Management (RCM)

Medical Billing Services & Revenue Cycle Management (RCM)

Medical billing services to optimize your returns and shorten your revenue cycle

Sign Up for Medical Billing Services and EHR is Included

PrognoCIS Revenue Cycle Management (RCM) and Medical Billing services combine EHR workflow and payment collections into a simple, single source. While you provide the medical services, we will provide:

  • Dedicated RCM client services manager
  • Eligibility checking
  • Processing of patient statements
  • Build customized scrubber checks to meet state, specialty and practice specific billing guidelines
  • Claim follow-up to ensure payer acceptance
  • Designated call center to take patient calls
  • Posted updates on insurance payments, patient payments, and denials
  • Denials management, appeals management
  • All claims touched at day 30, if not paid
Doctor shaking hand with patient

10 Key Financial Reports for Successful Practice Management Webinar

Join our medical billing expert and PrognoCIS Director of RCM, Kristen Nehk, as she discusses the 10 key financial reports to assist your practice using PrognoCIS medical billing services. Jump to the key points listed below or download the 10 Key Financial Reports for Successful Practice Management Webinar Slides.

1. EMR: Daily Collection by User (3:08)
2. Average Reimbursement by Code by Insurance (6:47)
3. Charge Reimbursement Report (8:40)
4. Billing: Daily Collection Report (11:43)
5. Groupable Billing and Collection YTD (13:27)
6. Waterfall Report (15:25)
7. AR Rollover Report (17:48)
8. Denial Report (19:09)
9. Copay Deductible Collection vs. Resp-Detail (21:10)
10. Insurance Paid less than Contract Amount (22:10)
11. Questions (24:05)

Know Where Your Claims Stand

By using PrognoCIS Medical Billing Services, your practice benefits from combining thousands of man-hours, as well as optimizing returns to shorten cycles. Because the billing data and codes from the assessment are automatically forwarded to claims there is no need to create or pass superbills from the practitioner to the billers. As part of our transparent claim management process, we offer daily/monthly/YTD financial statements and RCM reports to help fine tune the efforts of a medical practice, and are provided at no extra charge, so you always know where your claims stand. Reports include:

  • Denials management report
  • AR analysis report
  • Month end report
  • Industry standards report
    • First pass rate – 92% or higher
    • Percent AR over 90 days – less than 15%
    • Days in AR – our goal is under 45 days
Medical Charts & Reports

Request Medical Billing Services

When you sign up for PrognoCIS Medical Billing Services, we also offer you a comprehensive package of our Premier features, including:

PrognoCIS Medical Billing Services offer account resolution to manage your billing. Our partners at Transworld Systems will work with you to contact patients to settle statements. Learn more about Medical Account Resolution Services.