Why Outsource


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Compare inhouse vs Outsource Billing Cost.

Benefits

PRG Inc. help physicians & medical practices collect more. We believe in a team approach & use time tested processes to help you collect more of your reimbursable dollars. Within our organization we have developed various departments, including but not limited to Data Entry, Eligibility Verification, Claim Postings, AR follow up, Quality Control, Reporting, Patient Statements etc. Our process keeps strict check on the entire billing cycle. We are your true partners when it comes to running an efficient revenue cycle management process.  It’s a proven fact that Outsourcing Medical Billing improves cash flows and significantly reduces costs and unnecessary headaches.

Advantages:

  • No training costs
  • No extra billing software cost & ongoing expensive upgrades
  • Minimal staff size thus lower employees’ expenses
  • No sick pay, vacation pay, insurance benefits, workers compensation, etc.
  • Detailed reporting
  • Monthly AR Reporting with detailed working
  • Less call volume
  • Optimize patient care & no billing headaches
  • No cash-flow interruptions due to staff turnover
  • Help minimize revenue cycle cost
  • Eliminate “non-medical” business office space
  • Advanced Eligibility
  • Receive detailed reports
  • No provider/patient conversations about payments
  • Increase in cash flow

Get Paid Faster

We at PRG Inc. strongly believe that clean claim is a better claim. We make sure to take eligibility before submitting a claim. In other words, we scrutinize every claim before submission. This can result in faster payments & less denials.  In these challenging environment where payers and providers are in constant conflict over insurance compensation, where  payers apply more resources toward  finding ways to reduce reimbursements. Miscoding and errors cause rejected claims and delayed payments. Our expert medical billing process ensures accuracy and thus help fast collection of insurance payment. Our process eliminates all hiccups from start to finish.

Minimize Denials

Our timely & aggressive approach towards denial management help increase cash flows while delivering a proper message to the insurance industry that your practice is unwilling to accept the status quo & will not forgo any reimbursable dollars due to you.

Over the last few years Managed Care trend in the health care industry has resulted in an exponential increase in the number of payer denials. Not properly understanding the financial impact it can have on the practice can be devastating to the practice existence.

We at PRG Inc. chase every denial & use timely appeal process to help the practice grow & sustain in these ever challenging times faced by the health care industry.

Lower Cost with No Headaches

  • Biller’s Compensation
  • Other Benefits due to in-house biller
    • Workmen compensation
    • Social Security/ Medicare
    • Healthcare insurance
    • 401K/ Pension
    • Vacation and sick leaves
    • Bonus
  • Computer hardware purchase & maintenance
  • Software purchases
  • Clearinghouse fees
  • Postage & Delivery
  • Office supplies related to billing
  • Office Space
  • Training costs

Human Resource Hassles

Outsourcing helps eliminate multiple staffing headaches

  • Management
  • Turnover
  • Retention and
  • Practice growth

Employee Turnover Issues

It takes a while for a Medical Billing Staff to understands all aspects of a Medical Billing Process. Process is kind of the same but every practice & a physician is unique in his or her approach. Constant employee turnover is a common problem faced by many practices. When a medical biller leaves, it can delay your cash flow significantly. This can also result in lost revenues due to timely filling guidelines. Even if you are able to find an experienced biller it can still delay the collection process as an experienced medical biller needs time to acclimatize himself/herself and can also make errors. Training medical billers to learn your practice particulars is an inefficient use of your time and can drain resources for other staff members. PRG Inc. can help you avoid all these problems. An experienced and reliable medical billing service is a much better solution.

Medical Billing Outsourcing a Cost Effective Approach

As the compensation to a medical billing company is directly linked to the dollars collected, its certain that you will pay more only if we collect more.

In house billing staff is not always paid the percentage of the amount collected, thus their incentive to work hard can sometimes be questionable. With low productivity & over staffing it’s difficult to sustain a profitable practice in these challenging times when reimbursements are getting reduced & cost to run a practice is ever increasing.

Timely, Flexible Information Reporting

PRG Inc. Billing process & refined reporting help you focus on areas which can increase patient volume while plan for sustained growth.

Technology

Our clients do not need to invest in expensive technology that only obsolesces over time. We emphasize leveraging our expanding expertise and technologies rather than risking your capital. We provide a secure and HIPAA-compliant system for your vital data. Avoid technology headaches, the risk of obsolescence, and the heavy costs of servers, storage, networks, upgrades, service and support. PRG Inc. will manage all of this for you, as we stay abreast of the latest technologies to ensure you get the best solutions. We offer front-office software for scheduling, patient registration or we interface with most major practice management systems. If you are interested in a clinical solution, we also offer an EMR system that is completely integrated and seamless with our practice management and billing software.

PRG Inc. your Revenue Cycle Management Solution

Higher Reimbursements, less hassles, more focus on strategy, little administration can help increase patient volume and more billable clinical time. You do what you are good at & lets PRG Inc., do what we are best at which is our unmatched Revenue Cycle Management expertise. We are your true partners in success.