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PHYSICIAN BILLING SERVICES

Healthcare Overview Presentation
Revenue Cycle Management

Challenges you may face while managing the revenue cycle process?
    Low level of collections and large accounts receivable backlogs
    Retention and management of billing staff
    Rising costs of administration and processing services
    Lack of qualified personnel and billing resources
    Increasing need for IT capital expenditures
    Difficulty keeping up with ever-changing claims processing procedures
    Lack of follow through on low value claims and with insurance companies on
    Credentials, payment, etc.
    Distraction from core business objectives
Our RCM Offerings:
                                                 Secondary insurance billing Patient
Eligibility and benefits verification
                                                 statement processing and mailing
Authorization request and tracking
                                                 Patient pre-collections processes
patient registration Charge entry
                                                 Credit balance reconciliation AR
Medical coding Payment posting
                                                 analysis and management–policy
Electronic remittance posting
                                                 development Denial review and
(exceptions) Submission of paper and
                                                 management insurance and patient
electronic claims Manage
                                                 follow-up and collections Appeal of all
clearinghouse and payer rejections
                                                 denied or underpaid claims Return
                                                 mail processing




Denial review and management
Insurance and patient follow-up                 Medical record reviews Coding audits
Appeal of all denied or underpaid               provider enrollment and contracting
claims Return mail processing                   Customized management reports Old
Daily/Monthly close Fee schedule                accounts receivable clean-up
review and analysis
Benefits Of our Solution

 48 hour turn around time for claim submissions and cash postings
 Prompt follow up on every account before 30 days aging
 Greater than 95% accuracy with fewer denials
 Dedicated account manager and detailed monthly MIS reporting
 Up to 40% reduction in operating costs and up to 20% increase in revenue
 Faster collection cycle
 Decreased accounts receivable days
 Decreased financial delays
 Improved cash flow
 Improved document and data integrity
 Highly experienced billing resources
 Proactive approach to medical billing
 Eliminates employee retention and training headache
Overview of Physician Billing Services

1. Physician Billing Services, a subsidiary of a large national billing
   company, provides end-to-end business solutions for U.S. healthcare providers.
2. PBS has a strong horizontal focus with its medical billing, medical
   coding, hospital revenue cycle management, collection & EHR solutions.
3. We have a solid team of certified billers & coders and account managers who
   possess extensive expertise in billing and coding services across several
   specialties.
4. PBS has been serving 1500 physicians, and deals with 14 different specialties.
Partnership Program Key Highlights

PBS is looking for partnership opportunities with consulting groups. In this
partnership program, PBS will serve as a partner for providing the medical
billing, medical coding, collections and revenue cycle management services to
the clients of the consulting group.
Benefits by Partnering with PBS:

1. You can expand your service portfolio to all the services we provide.
2. PBS will act as a back end service provider while you will continue
   to be the front end provider for your clients.
3. You get PBS Sales team support for closing sale cycle for the services
   provided by PBS.
4. You Get Listed on PBS website as our partner for the services you
   provide.
5. You Earn Lucrative % commission on the invoice amount for the
   referred accounts.
To be a PBS partner you need to:

1. List us on your website as your partner for revenue cycle management
   services.
2. Introduce PBS to your clients for the services it provides via
   mailers, newsletters.
3. Provide Referrals for the services we provide
Contact Us

Physician Billing Services Inc.

1300 Iroquois Drive, Suite 205,
Naperville, Illinois 60563.


Phone : 877-204-6225

Fax : 877-204-6236


Web : http://www.pbills.com/
Revenue cycle management presentation

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Revenue cycle management presentation

  • 2. Revenue Cycle Management Challenges you may face while managing the revenue cycle process? Low level of collections and large accounts receivable backlogs Retention and management of billing staff Rising costs of administration and processing services Lack of qualified personnel and billing resources Increasing need for IT capital expenditures Difficulty keeping up with ever-changing claims processing procedures Lack of follow through on low value claims and with insurance companies on Credentials, payment, etc. Distraction from core business objectives
  • 3. Our RCM Offerings: Secondary insurance billing Patient Eligibility and benefits verification statement processing and mailing Authorization request and tracking Patient pre-collections processes patient registration Charge entry Credit balance reconciliation AR Medical coding Payment posting analysis and management–policy Electronic remittance posting development Denial review and (exceptions) Submission of paper and management insurance and patient electronic claims Manage follow-up and collections Appeal of all clearinghouse and payer rejections denied or underpaid claims Return mail processing Denial review and management Insurance and patient follow-up Medical record reviews Coding audits Appeal of all denied or underpaid provider enrollment and contracting claims Return mail processing Customized management reports Old Daily/Monthly close Fee schedule accounts receivable clean-up review and analysis
  • 4. Benefits Of our Solution  48 hour turn around time for claim submissions and cash postings  Prompt follow up on every account before 30 days aging  Greater than 95% accuracy with fewer denials  Dedicated account manager and detailed monthly MIS reporting  Up to 40% reduction in operating costs and up to 20% increase in revenue  Faster collection cycle  Decreased accounts receivable days  Decreased financial delays  Improved cash flow  Improved document and data integrity  Highly experienced billing resources  Proactive approach to medical billing  Eliminates employee retention and training headache
  • 5. Overview of Physician Billing Services 1. Physician Billing Services, a subsidiary of a large national billing company, provides end-to-end business solutions for U.S. healthcare providers. 2. PBS has a strong horizontal focus with its medical billing, medical coding, hospital revenue cycle management, collection & EHR solutions. 3. We have a solid team of certified billers & coders and account managers who possess extensive expertise in billing and coding services across several specialties. 4. PBS has been serving 1500 physicians, and deals with 14 different specialties.
  • 6. Partnership Program Key Highlights PBS is looking for partnership opportunities with consulting groups. In this partnership program, PBS will serve as a partner for providing the medical billing, medical coding, collections and revenue cycle management services to the clients of the consulting group.
  • 7. Benefits by Partnering with PBS: 1. You can expand your service portfolio to all the services we provide. 2. PBS will act as a back end service provider while you will continue to be the front end provider for your clients. 3. You get PBS Sales team support for closing sale cycle for the services provided by PBS. 4. You Get Listed on PBS website as our partner for the services you provide. 5. You Earn Lucrative % commission on the invoice amount for the referred accounts.
  • 8. To be a PBS partner you need to: 1. List us on your website as your partner for revenue cycle management services. 2. Introduce PBS to your clients for the services it provides via mailers, newsletters. 3. Provide Referrals for the services we provide
  • 9. Contact Us Physician Billing Services Inc. 1300 Iroquois Drive, Suite 205, Naperville, Illinois 60563. Phone : 877-204-6225 Fax : 877-204-6236 Web : http://www.pbills.com/