Individual and group billing
No matter what size your practice is we can provide you with
excellent service, qualified representatives and a billing methodology
that is based on your needs.
Assessment of your current billing methodology
We will meet with you to analyze your current case load, what
methods are being used to bill out your work, and discern if
your current biller is doing all that is necessary to maximize
Rescue for financially abused providers of any size:
Many providers, through no fault of their own, find themselves
the victim of inadequate, incorrect or improper billing practices.
Medical billing, and in particular anesthesia billing is a very
complicated field with many variables and changes. You need
a billing service whose staff is educated and informed about
all aspects of their field. You need a biller that will work
with your best interests in mind. Many of our clients come to
us because they suspect that the billing system they currently
use is not adequate to their needs. We are here to help and
often we will take over existent billing to see if we can cure
the problems of the past.
Easy and cost protective transition from previous billing
Change can be confusing and many providers avoid change for
fear of losing financial consistency. Expenses need to be met
and we do all that we can to help maintain an operating cash
flow during the transition period.
Electronic claims submissions
We bill electronically for all carriers who have made it available.
We currently use EMDEON through WEBMD. This system is the industry
Full credentialing services:
For providers already listed with insurance carriers, our in
house staff will help you to coordinate your records and submit
them to all carriers, prior to actual billing, so that there
is no lapse in payments during transition. For new providers
our in house staff will manage all your paperwork and establish
you with all insurance carriers.
Negotiate contracts with carriers:
It is no surprise to us that many providers are participating
with carriers at rates far below what they should be getting.
We have many years of experience and have done extensive research
in the area of contractual fees and always get our providers
the highest rate possible for their participation. We firmly
believe that a provider has the right to get the maximum amount
that the current market will bear and we will accept no less
Identify and eliminate bundled services and coding errors:
It is very important that anesthesia providers understand that
some of the work they do is included in the main procedure codes.
Constant unbundling of services is a red flag for audits. PBA
staff members keep current with all the bundled and unbundled
codes. They are certified and educated in proper coding procedures
Compliance review by certified compliance officer:
All claims are monitored prior to submission to determine if
all correct coding requirements are in place. Questions will
be referred to you if the need arises in order to prevent audits
and payment delays
Aggressive follow up of all primary and secondary unpaid
We do not pre-judge which claims should be called on. Regardless
of primary or secondary balances due, all claims will receive
our full attention.
Help with new practice formation:
If you wish to look into the possibility of forming a group
practice, we will sit down with you and help you to find the
right way to do it. Our in house staff will assist you with
the necessary paperwork. We can also refer you to professionals
who will make the process as quick and painless and possible.
Work load tracking for group monitoring:
Our reporting system will help both individual practitioners
and groups to determine if they are making the best use of their
time, personnel and resources.
Custom reports for specific needs (Accountability)
All practices are different. One solution doesn't work for all.
Many of our reports are flexible and comprehensive enough for
everyone to use, but there are occasions where specific needs
must be addressed. We can create reports to meet those needs.
If you are curious about a specific code, location, carrier
or any other aspect of your practice we can review and report
back to you on its performance and viability
Payment posting and balancing
PBA takes care of all your financial needs. We post all payments
and make your deposits. Each payment is reviewed immediately
upon receipt to determine if it is correct. Incorrect or insufficient
settlements are then inquired and followed up on until the correct
adjustment is made. Secondary carriers and patients are balance
billed as appropriate.
Safeguards for incoming work
We use several methods for receipt or transmission of your work.
We advise a daily or weekly submission either by fax or by traceable
We have a notary available as needed.
Secure storage of all documents:
We use an advanced automated indexing/scanning system that is
state of the art. We store all face sheet, super bills, correspondence
and explanations of benefits. Every paper document is scanned,
archived, and available for instant access through our proprietary
important to us. Our fax operates 24/7. Highly qualified staff members pick up the phone and talk to our clients and their patients Monday through Friday from
8am to 8pm. State of the art telephone messaging system operates when
the office is closed.