Prime Care Billing

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Chart Auditing Services
/ DRG Review

Inpatient DRG Review

Through direct physician leadership, PCB Inpatient DRG Review Services provides a complete solution integrating care delivery with clinical documentation across the population of healthcare organizations. Led by expert physicians with coding and documentation credentials, our unique approach complements value based initiatives by focusing on complete and accurate documentation and coding which define the severity and risk of the population treated. Whether in an ambulatory or inpatient practice, quality of care is reflective of the quality of documentation and coding. Our clients achieve a demonstrable improvement in coding accuracy, quality metrics including risk adjustment, and physician alignment with an average return on investment over 100%.

Better Accuracy Means Better Results

Maximize your returns and reduce your accounts receivable with a team that ensures proper coding, and adherence to regulations and each insurance company’s unique guidelines.
Inpatient DRG review and chart auditing is a crucial part of any healthcare facility. It is required to ensure that your charts are accurate and in compliance with the complex and often fluctuating rules and regulations of the billing and coding world. Chart auditing is necessary for hospitals to ensure maximum return on reimbursables.
Proper documentation is the source of your revenue. Proper documentation of services and accurately using the codes will ensure your claims are not being denied. It is also a way that physicians can check their performance and determine areas that need improvement. Another reason to perform an audit is to identify reimbursement deficiencies. There are many benefits for having regular chart audits for your facility. This service will help keep you up to date on the codes for procedures and to show the effectiveness of the care provided. These audits will keep you running smoothly and increase your revenue stream.
Insurance companies do not make it easy to get reimbursed for the valuable services your facility provides to your community. Patient care and providing the best healthcare services should be your only priority when it comes to your healthcare facility. The business aspect of this not only deters your focus from your patients, but also is a source of stress. You heal. Leave the revenue cycle management to Prime Care Billing!

Prime Care Billing Ensures Accuracy

Your facility will have a team of experts continuously monitoring your documentation. Your dedicated team not only monitors your documentation, but also ensures you are charting correctly. They will immediately bring to your attention any documentation errors that is causing your reimbursements to decline. We manually correct each error in your EHR system, and if all else fails, aggressively pursue appeals.
Comprehensive chart auditing is the best way to improve the financial health and documentation. By doing this, you can determine areas that need improvements. We will bring to your attention any inconsistencies, errors and the areas you can improve. Prime Care Billing is an extension of your staff.

Why you should outsource medical billing and coding services to PCB?

Prime Care Billing is a one-stop-shop that offers you complete revenue cycle management services. We are experts in all areas of medical billing and coding. Here are some of the advantages of outsourcing medical billing and coding services to Prime Care Billing:

  • HIPAA compliant (Complete Data and Document Security).
  • Save up to 40% on operating costs per employee.
  • 100+ highly skilled support personnel are available.
  • Reports are available in real-time.
  • Innovative systems and software.
  • Access to Certified Experts.
  • Timely filed claims.
    Strict quality control and information security policies are in place.
  • Reduce turnaround time.
  • Provide correct coding across specialties consistently.
  • 100% transparency with data and processing.
  • Secure information and data flow between Right
  • Medical Billing and our partners made possible by dependable networking software and infrastructure.

Contact Us for Comprehensive Chart Auditing Services

Contact Prime Care Billing today at (+19295647581) for your consultation. There are multiple advantages to allowing us to become a part of your team. We will help you increase your cash and patient flow while also helping you to streamline your work. Our team is more than just a billing company. Contact us to learn more about how we can help you.

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