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Medical Billing Services

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Revenue Cycle Management

Medical billing services to optimize your returns and shorten your revenue cycle. Schedule a consultation with us for a FREE custom analysis of your practice’s medical billing


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Practice Management Software

Easily integrate with PrognoCIS EHR to manage your practice’s medical billing.


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Account Resolution Services

Accelerate Patient Payments with TSI – Collection. Simply sign up or reach out to your client manager for more information.


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Medical Credentialing

Credentialing Services for Provider Enrollment. Quick and easy medical credentialing in just a few short steps


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Every feature you need to expedite collections

Dedicated RCM client services manager.

Integrated 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.

Insurance payments, patient payments, and denials posted within 24 hours.

Denials management, appeals management.

All claims touched at day 30, if not paid.

Intuitive Workflow Design

Stay on top of your billing, productivity, and track your performance. We measure key performance indicators and look for ways to find your practice revenue.

Don’t let billing tasks slow you down. Manage all your tasks in one, easy-to-use inbox. And with PrognoCIS Mobile App you can view and complete tasks anywhere.

Follow your claims from charge submission to payment posting. Claim Tracking lets you monitor where your claims are and what's being done to get you paid.

Don’t let billing tasks slow you down. Manage all your tasks in one, easy-to-use inbox. And with PrognoCIS Mobile App you can view and complete tasks anywhere.

Our dedicated support staff are available 24/7 to answer queries and provide assistance to customers for all their needs and requirements.

MANAGED BILLING

While you provide the medical services, we will provide:

START SMART

To set you up for long-term success, your dedicated Success Coach will walk you through the data gathering process. You’ll understand what you need on the front-end so your medical billing can be streamlined on the back-end.


EQUIP STAFF

We support your office staff in the critical role they play. Our modern technology and proven processes automate time-consuming tasks and simplifies workflows with easy to learn and quick to navigate scheduling, check-in, billing tasks and more.


CODE RIGHT

Prognocis offers award-winning EHR, Native iPad EHR, and Charge Capture technology to reduce data entry and errors. Our built-in Rules Engine ensures coding is correct at the point of entry to save valuable time and help you get paid faster.


Know Where Your Claims Stand

By using PrognoCIS Medical Billing Services, your practice will benefit from our experts wealth of knowledge and years of experience. We will help you optimize your billing to maximize your practice needs.

Because we have streamlined the process of charting to include templates and assessment screens, there will no longer be a need to create or pass superbills from the practitioner to the biller. As part of our claims management process, we offer daily/monthly/YTD financial reports as well as customized RCM reports to help fine tune your practice billing and goals. Reports include:

  • Denials management report

  • AR analysis report

  • Month end report

  • Month End Report package includes

  • AR analysis

  • Patient Aging

  • Denial management and more.

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Ready to speed up your collections?

Quick Setup

Regardless of the size or location of your practice, PrognoCIS makes transitioning a simple, cost-effective, and painless experience.

We handle all system setup, documentation, EDI implementation, process coordination, and training at no additional cost. There are no software installation fees. You only pay us for the dollars we collect.

Our implementation team guides you through a simple program to set up and customize PrognoCIS to your practice – everything from electronic claims to procedures, fee schedule, follow-up parameters, and customized reports.

Sit back and forget about the complexities of medical billing. PrognoCIS will have your back, come ICD-10 or any other regulatory change that threatens your bottom line.

Starting a New Practice

We specialize in setting up new practices. We know how hard it is to invest money in expensive technology and services without knowing how many patients will walk through your door.

Unlike other vendors who charge an arm and a leg, our Medical Billing Service is designed to save you money, right from the start.

No upfront cost
No software or training cost
No server installation or upgrade fees
We will guide you through all phases of a startup, credentialing, implementation, and the critical first months of operation. Our expertise in billing helps us circumvent many start-up glitches while our software automates most processes in your practice, helping you run at peak efficiency with minimal staff from day one.

We are in this for the long haul. Come and grow your practice with us.

FAQ

What should you expect from your Medical billing Company?

Most billing companies offer the traditional set up: get the claims, send the claims, post the payments, work denials and AR. Some billing companies will not work claims below a set value. In my opinion, MB companies have the opportunity to offer more and we try to. Physicians like the ‘in house biller’ experience without the cost. They want some hand holding on coding, someone to catch their mistakes, payment posting, someone to remind them when they need to close their encounters, someone to work denials, trend the denials, tell them what they did wrong and how do we avoid it in the future, make them aware of issues among payers for their specialty or practice, and to get feedback on how they can improve and what their cash flow projection is for the next month.

When you outsource your MB, what does that company provide you/ or what should it provide you?

Outsourced MB companies tend to be more distant from providers and do not offer the ‘in house biller’ experience and instead follow the “send claims, post payments, call on claims over a set value” business model. However, the providers should look for a company that will offer them exactly what they would get if their biller was sitting in their office.

How does PrognoCIS provide a complete MB and RCM service that integrates seamlessly with its software?

We offer our clients the ‘in house biller’ experience. We assign them a manager they get to know and rely on, we customize reports for them, we offer to analyze their coding, assist them with new procedure pricing, we perform routine audits for clients to let them know if they would pass an audit or where they fall short, we compare specialties to their practice and will advise on ways they can bring in more cash flow, we offer Auth services, we have patient financial counselors, we work denials and trend them, we follow up on AR and flag any major issues. We want providers to feel as though we are sitting in their office and can help them when they need us.

How do we help providers in maximizing collection for the patient visit in the fastest possible way?

We have several reports we created to help a practice understand where they are falling short on collecting from patients. We offer training using these reports in addition to the eligibility checker so that the front desk staff can understand where they fell short and resolve it in the future.

What value do we provide to our customers as an integrated software provider?

We offer transparency. There are a lot of billing services out there that use a different software to send claims and the clients do not have access to this so they become reliant on what they are being told by their billers and can see the actual picture. We offer the transparency and let them see what we are doing to build confidence in the provider that we are sending and working their claims.

Explore our medical billing services

Practice Management

Easily integrate with PrognoCIS EHR to manage your practice’s medical billing

Medical Credentialing

Quick and easy medical credentialing in just a few short steps

Account Resolution Services

Accelerate Patient Payments with TSI – Collections

Revenue Cycle Management

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

Sign up for a quick Discovery Call from PrognoCIS EHR

Please fill out the fields below

* These fields are required.

By clicking submit you agree to our Terms of Use and consent to our contact process.
See our Privacy Policy to unsubscribe.