Medical Billing Solutions

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

EXPLORE OUR MEDICAL BILLING SERVICES

Practice Management

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

Revenue Cycle Management

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

Account Resolution Services

Accelerate Patient Payments with TSI – Collections

Medical Credentialing

Quick and easy medical credentialing in just a few short steps

Every feature you need to expedite collections

Dedicated RCM client services manager.

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Integrated Eligibility Checking.

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Processing of patient statements.

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Build customized scrubber checks to meet state, specialty and practice specific billing guidelines.

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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

1 Billing Analytics
2 Billing Tasks
3 Claim Tracking
4 Denials & Appeals management
5 Designated call center
1 Billing Analytics

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.

2 Billing Tasks

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.

3 Claim Tracking

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.

4 Denials & Appeals management

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.

5 Designated call center

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

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.

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.

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.

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