Streamlined and Accurate Billing for Your Practice
At PMDS (Prominent MD Solution), we understand that accurate charge creation is a critical part of the medical billing process. It sets the foundation for successful claim submissions, timely reimbursements, and smooth operations. Our team ensures that every charge is accurately documented, categorized, and billed to reduce errors and prevent claim denials.
What is Charge Creation?
Our Charge Creation Process:
Accurate Data Entry:
We capture every detail from the patient’s encounter, including diagnosis codes (ICD-10), procedure codes (CPT), and any other relevant information, ensuring that nothing is overlooked.
Code Validation:
Using advanced coding software, our team cross-references the entered codes with current guidelines to ensure they are accurate and compliant with insurance requirements. This reduces the risk of claim denials and improves reimbursement rates.
Comprehensive Documentation:
We ensure that all services provided are clearly documented and matched with the appropriate charges, adhering to industry standards and best practices.
Insurance-Specific Charge Creation:
We customize charges based on the patient’s insurance plan, making sure that we account for any network restrictions, coverage policies, and billing rules specific to each payer.
Claim Submission Preparation:
Once charges are created and verified, we prepare and submit clean claims to insurance companies. Our thorough attention to detail ensures that claims are processed quickly, reducing delays and the potential for rejections.
Why Accurate Charge Creation Matters:
Maximized Reimbursement:
By ensuring all services are correctly coded and billed, we help you maximize your reimbursement rates, ensuring that your practice is paid fairly for the services rendered.
Minimized Denials:
Accurate charge creation reduces the likelihood of claims being rejected or denied, which can delay payments and create additional administrative work.
Compliance:
We stay current on the latest industry regulations and payer policies, ensuring your practice remains compliant with ever-changing billing rules.
Improved Cash Flow:
Timely and accurate charge creation leads to faster payments, reducing the time your practice spends chasing unpaid claims and improving cash flow.
Why Choose Us for Charge Creation?
Expert Coders:
Our team of certified medical coders is trained in the latest coding systems and payer guidelines, ensuring that every charge is accurate and compliant.
Tailored Solutions:
We offer customized charge creation services designed to meet the unique needs of your practice, whether you’re a solo practitioner or part of a large healthcare organization.
Efficiency and Accuracy:
We use the latest technology to streamline the charge creation process, reducing errors and improving the speed of claim submission.
