AR management can be a dreadfully frustrating process for most providers as medical claims can be denied for a variety of reason affecting your revenue generation and bottom-line. Therefore, PMN offers a comprehensive approach addressing all aspects of AR management in order to maximize your revenue.
Claims may get denied for many reasons at different levels of the process from the claim level all the way through the payer level. Our state-of-the-art practice management software allows us to scrub claims to capture many errors before claims reach the payer level for reimbursement.
According to the American Medical Association (national Health Insurer Report Card), payment accuracy rates among insurance companies may be as low as 62.08%. Therefore PMN routinely monitors reimbursement rates to capture any unjust underpayment claims and submits appeals for reconsideration.
Claim Correction & Follow-up
Although PMN places a great deal of emphasis on quality of service in order to achieve above 99% accuracy, claims may get denied for a variety of reasons such as incorrect patient demographics, missing/incorrect pre-authorization, lapse in coverage, etc. Therefore our team carries out a comprehensive follow-up process to ensure all claims are properly reimbursed.