The Billing Process


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  1. We work with the client in building a charge capture system. This can be done electronically (i.e. PDA / EDI), with paper super bills, hospital charge slips, or client entry.
  2. PRG will review all ICD and CPT codes and provide a fee analysis annually at no additional charge.
  3. Bills and demographic data can be sent to us electronically or by fax.
  4. Once we receive the bills, we establish a batching system, and post services within 24 to 48 hours of receipt.
  5. Extensive claim scrubbing is performed to all the claims sent to us that is consistent with the Correct Coding Initiative (CCI).
  6. Claims are filed immediately electronically or through hard copy when required.
  7. Once primary payment is received we immediately bill secondary insurance, and bill patient responsibility as needed. Each client has the option to customize their billing cycles, statement messages, and pre-collect letters.
  8. We establish Electronic Funds Transfer (EFT) for payers to forward payments directly to the client’s account when applicable.
  9. Comprehensive Month End Reports are available online or hard copy, and are provided to the client the first week of each month.
  10. Our Marketing Executive will meet with our clients on a regular basis to discuss financial trends as they relate to industry standards, improve upon policies and procedures, and educate our clients on current payer trends.Comprehensive Month End Reports are available online or hard copy, and are provided to the client the first week of each month.