Pro-Active is a leading provider of innovative health information systems and services that transform the administrative and clinical operations of healthcare organizations of all sizes. Our solutions simplify decision making, streamline operations, and ensure compliance with industry standards and best practices; ultimately saving time and effort to maximize value and returns.
We have expert billers and coders in the field who precisely put extreme accuracy to streamline healthcare billing processes with error-free coding, claim preparation and claim submission, so the claim passes to insurance in first submission. Clean and clear submissions surely impact your revenue cycle management very positively.
Proactive ease the clients by providing round the clock facilitation as a help desk and guarantee turnaround time with 24x7 services upon need. We entertain all related requests, as for the sake of payments, statements or any related issue. This process is helpful to streamline patient’s interactions from scheduling to post encounter communications.
Our expertise in physician credentialing is always first. If you want to do right without any errors, then proactive is your best bet. We collect all the requested data / documents for filling up credentialing applications, credentials faster, and improve cash claims.
Pro-active provides all types of scheduled and requested customized reports in easy-to-read format which shows the clear picture of requested data with performance. It helps you better understand your current operations and resulting cash flow.
We have specialized team in aging A/R recovery. We pursue every old claim by assigning our dedicated team. If your in-house billing team can’t keep up with aging, we can help.
Our setup is tractable with HIPAA regulations. We committed the complete security of the patient's data or information. As a well-certified healthcare billing company, we strictly follow HIPAA compliance guidelines and protocols to keep the data of healthcare providers safe and secure. We are 100% HIPAA compliant and keep ourselves updated with all the latest HIPAA requirements.
Pro-Active offering complete healthcare solutions by leading medical billing, coding, credentialing and revenue cycle management services to healthcare providers. We have highly experienced billing and client management team who proactively strive to catch the billing’s spots and provide supreme billing services that are most cost-effective, secure, and reliable. Our teams of experts are committed to do top quality work which in real maximizes the physician’s revenue, upraises the collection along with dropping the overall billing cost. So the healthcare professionals and physicians are fond to engage with us to better their billing, coding, and improve their revenue cycle management.
With our trusted team, you can avail the quality solution to manage the rejections, denials, RCM, billing and coding assessment, healthcare consultancy, patient billing management, credentialing management and much more. Our billers and coders have vast experience and knowledge about the billing so they surprisingly increase the collection within a few months by handling the AR as we offer one in all solutions for healthcare providers.
We dedicate our knowledge and resources in supporting our clients for the growth of their medical practices by taking care of all aspects of the Medical Billing Process so they can focus on patient care.
We SAVE YOUR TIME AND MONEY investing our time and resources in developing Medical Billing procedures, technology and human resources to maintain a revenue cycle management team capable of being your business extension.
Whether you starting a new practice, or running an established one, proactive can assist you by providing the ultimate billing solution. Its customized according to medical billing requirements which will increase your collections significantly by 10-20%.
Proactive provides quality billing services at more stumpy and affordable rates than today's market. Our medical claims processing support services covers a range of sub-services to polish the financial performance of a practice that includes.
Checking the eligibility prior to claim submission is an important step and it not only increases the claim acceptance rate but also assures timely reimbursement for the claims . We are utilizing all available resources to verify a patient's eligibility to see whether they qualify to meet the minimum requirements of their insurance provider.
Our experts have necessary qualifications to handle complex data capture tasks with both precision and great care. We provide superior data capturing, extracting and archiving services for a wide variety of records. We assure the charges entry process within 24 hours of getting super bills through our detailed and error free entry process.
We have a complete set of rules based on billing/coding guidelines to scrub each claim. Our teams make sure that charges are audited by the quality team and the clean claims are sent for processing.
Proactive creates electronic setup with all the relevant payers for fast billing submission to achieve the estimated revenue within the filling time period. In case electronic setup is not available, we have a separate set of contacts to file claims as paper including UB-04, HCFA, CMS-1500, UB92.
For any rejections, we proactively solve claim’s errors for direct and indirect submission. We will also take necessary actions on denials to make sure the reimbursement is on time. It’s the billing part to keep you updated about claim’s reprocessing and appeals until they get paid.
Payment posting is as essential as claim submission. So, for the best account management we actively post payments from electronic remittance (EOB), paper vouchers and patient payments.
In case of any contradiction, we fill necessary appeals to get the held payments timely.
Our billing process is automated to send the clear statements to patients to get paid on time for out of pocket amounts (copay, coinsurance, deductible, other patient responsibility). We intermittently dispatch high-quality patient statements and billing summaries for recordkeeping and to effectively backtrack expenditures. This gives you a comprehensive look at every component of the final bill.
We are billing for all types of medical specialties, including below, but not limited to:
"Accurate medical billing isn't just about numbers, it's about patient trust and keeping healthcare running smoothly."
– CEO Pro-Active Billing
837 Bay Street Fall River, MA, 02724
Info@proactivepbs.com
888-855-1649