Provider Enrollment & Credentialing
Accurate and timely provider enrollment ensures that claims are processed correctly from day one. Working closely with our clients, we process provider enrollment applications to make certain that a provider’s effective date aligns with their employment start date. This close communication reduces the potential of lost revenue due to delayed enrollment. At PBC we apply our knowledge and expertise regarding each insurance carrier’s guidelines and requirements to make sure applications are approved in the most time effective manner possible. Our provider enrollment services don’t end when initial enrollment is complete. We actively manage each provider’s re-credentialing and re-validation as required by the carrier.
For more information visit: www.procred.net
Billing, A/R and Revenue Cycle Management
PBC has a proven reputation for increased reimbursement. Our on-going coding and payment reviews identify lost income opportunities and ensure maximum revenue potential. Offering a complete array of Physician Management and Reimbursement Services; PBC can support your practice with billing, provider enrollment, coding, consulting, and accounts receivable services. The PBC goal is to establish process that provides our clients with the highest degree of billing accuracy and maximum reimbursement in the most time efficient manner possible.
Coding, Auditing and Training
PBC’s core competency is Outpatient coding, employing a proprietary automated coding process. Importantly, the PBC coding process is accurate, timely and well supported by certified coders to manage truly exceptional, interpretative situations.
A Staff of Experienced Certified Coders
• Centralized coding at our corporate office or on-site at location
• Diversified coding knowledge to serve all specialties
• Baseline and Monitoring Audits
• CPT-4, HCPCS
• CD-9 to ICD-10 training (onsite or virtual)
• Coding certification classes
• Customized seminars and workshops
• Complete OIG and HIPAA Compliant Processing
• Client consulting on coding strategies to increase revenues
Training with our Partner
Our partner the Healthcare Business Resource Center is a training organization created to offer practical and affordable training in the field of medical coding and billing. The health care industry has been undergoing revolutionary change in information technology, clinical applications as well as regulatory policies. Continuous education is imperative to maintain compliance and competency in the work force.
66 West Gilbert Street Suite 200
Red Bank, NJ 07701
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