Medical Billing & Coding
We are dedicated to providing optimized coding and medical billing services. Our mission is to educate and work with physicians and staff to reduce claim errors, decrease turn-around time on payments and optimize reimbursement of claims. Our certified coders alleviate the pressure off the medical providers by having a deep understanding of the specialty and services provided at your clinic.
Insurance Contracting and Credentialing
Our relationships with Insurance Carriers are important. PCPMS can help practices renegotiate their insurance contract rates as well as manage all credentialing including (CAQH, Hospital Reappt applications or any other credentialing documents required by the insurance carriers.
PCPMS also assists practices with acquiring new insurance contracts with both commercial and government plans.
Medical Practice Assessments
A medical practice assessment performed by PCPMS will cover every aspect of your practice from coding and billing to staffing, hiring independent contractors and reviewing vendors to optimize cost of operations. Our specialized team will perform an operational and practice audit to determine the strengths and weaknesses of your business. Each segment of your business is scrutinized with practice effectiveness and cost efficiency in mind. The major portions of the medical practice assessments are : ​
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Payor Contracting audit
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Fee schedule analysis
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Human resources
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Staffing and salary analysis
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​Complete practice audit
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Billing and collections
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Receivables management
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Practice management system
Practice Management System
Setup and Training
A crucial step to ensure your practice will run as efficiently as possible is to adopt the right medical Practice Management System (PMS), which is a healthcare software that typically has the ability to:
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Capture patient demographics
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Schedule appointments
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Preregister patients (including insurance eligibility)
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Send appointment reminders
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Track HEDIS Measures for Medicare or Medicaid Incentive Programs
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Financial Reporting
PCP Management Solutions understands what practices need to manage their business successfully. Healthcare practices of all sizes constantly face regulatory changes and reimbursement challenges. The correct integrated EMR and PMS system can help practices more easily adapt to these industry changes as well as operate efficiently. Having the wrong EHR system can affect the patient flow, doctors charting and employee efficiency.
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We can help your practice select, setup, create workflows and/or change PMS software for optimal business performance. We assist practices with selecting the most cost efficient, as well as optimized, workflow EHR system. From one on one training to self-guided, PCP Management Solutions is uniquely prepared to help practice admins, staff and physicians get off on the right start.
Revenue Cycle Management
The team at PCPMS knows how difficult it can be for physicians to provide care to countless patients while also juggling practice management, billing, coding and collections. That is why our physician billing agency provides a wide array of medical biller and coding services meant to alleviate stress and give you more time to focus on your medical practice, no matter the size or specialty. Not only that, but we can help educate staff and physicians on unknown billable codes to maximize reimbursements in less time. This is achieved by maximizing your reimbursements and lowering your costs.
