At PMI, medical billing is our business. Our industry longevity, experienced team, and proprietary technology deliver exceptional revenue cycle management performance that yields the financial results your practice is looking for. Take a moment to explore our services, and you’ll see how PMI delivers.

Transitioning to PMI’s Revenue Cycle Management Platform

Transitions to PMI’s RCM platform are personally managed by a team with the expertise to facilitate a clean start-up with optimal turn-around time, and minimal business interruption.

  • Practice Analysis including comprehensive fee schedule and contract review
  • No set-up fees for new clients
  • Enrollment process facilitated by team experts with established payer relationships
  • Technical support for data feeds and related processes
  • Banking support securing merchant services, EFT/ERA set-up, and bank fee management

Coding

PMI’s coding process is designed to reduce denials, improve days in AR, and meet quality performance program requirements for successful reporting.

  • In-house team of ICD.10 certified coders
  • Payer specific pre-submission editing reduces denials and improves days in AR
  • Quality reporting management for best value modifier payment outcome

Charge Analysis and Reconciliation

PMI’s charge analytics identify missing encounters and ensure all billable services for encounter types are captured.

  • Charge capture analysis monitoring for missing CPT code pairs, add-on codes, drug codes, CPT modifiers
  • Missing accession number reporting and reconciliation
  • ED log reconciliation

Claims Filing

Our electronic payer mappings paired with direct claims filing for major payers yield average days in AR consistently below industry benchmarks.

  • Eligibility verification with automated demographic corrections based on eligibility
  • Direct claims filing for major payers
  • Comprehensive electronic payer mapping

Customer Service

Outstanding, personalized customer service is the corner stone of PMI’s success.

  • PMI is auto-attendant free, we personally answer all patient and client inquiries
  • One Call policy aims to resolve patient inquiries in a single call
  • Web-portals for online payments and convenient patient and provider access
  • 3-Way Insurance calls to support patients resolving payer issues

Remittance Management

PMI’s proprietary technology yields the most accurate remittance management methods and secures the fastest turnaround times.

  • Rapid turn-around of insurance remittances speeds delivery of patient responsibility invoices
  • Monitor contracted payers for negotiated rates
  • Monitor claims payment for re-pricing variances to optimize reimbursements
  • Proven self-pay strategy improving collections in the high deductible plan environment

Denial Management

PMI’s denial management standard will secure every dollar your practice is rightfully owed.

  • Specialty expertise in Pathology, Emergency Medicine, Radiology, plus a team led by a Certified Procedural Coder
  • Highly skilled team with an average of over ten years of RCM experience
  • Proven success appealing denied claims for reimbursement
  • Monitor payer policies for adherence to CPT guidelines and accurate processing

AR Follow-Up

Our team of RCM claims follow-up experts consistently maintains over 90 days in AR% well below industry benchmarks.

  • Management by payer turn-around timeframes
  • Payer trend identification, tracking payer trends across client base to manage cash flow
  • Gross and net collections ratio performance management
  • Proven AR Follow-up accuracy by payer

Reporting

PMI’s proprietary technology provides customized analytics developed to provide multiple ways to monitor your practice’s performance.

  • Analytical data for payer negotiations
  • Internal performance metrics derived from work RVUs
  • Reporting analytics customized to your practice’s needs
  • Dashboard for daily monitoring

Compliance

PMI Is committed to the business of compliance.

  • Living Compliance Plan Document
  • Regulatory policy monitoring with comprehensive analysis and application to your scope of practice
  • Monitoring regulatory payment rates and tracking overpayments
  • HIPAA Administrative Simplification: Privacy and Security
  • PCI Data Security Standard Compliance for credit card transactions
  • FDCPA compliance
  • Commercial payer compliance with regulatory standards

Quality Performance

PMI Registry is a CMS PQRS Qualified Registry, easing the administrative burden of quality reporting.

  • PMI’s clients have successfully reported quality performance since program inception
  • PMI Registry is a Physician Quality Reporting System Qualified Registry
  • CMS Enterprise Portal Management for QRUR and PQRS Feedback Reports
  • Assistance monitoring quality program changes to avoid payment penalties
  • Monitoring Physician Compare and evolving CMS payment methodologies