Medical Revenue Cycle Management Solutions
for Practices Across South Florida and the United States

A smooth revenue cycle is essential to the financial stability, operational efficiency, and overall success of your practice. It ensures timely reimbursement, reduces denials, enhances patient satisfaction, promotes compliance, and optimizes revenue capture. The revenue cycle begins as soon as a patient schedules an appointment and ends when all payments for the appointment and treatment have been collected.

Services

At Prosperis Consulting, our goal is to identify any points of friction in your revenue cycle and resolve them. By optimizing your revenue cycle, we help you to maximize claim reimbursements and increase revenue.

We commonly handle the following aspects of the revenue cycle:

• Eligibility Verification: We verify the patient's insurance coverage and determine their financial responsibility, such as co-pays or deductibles.
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• Claims Submission: We prepare the insurance claims, ensure they are accurately coded, properly documented, and submitted to the appropriate insurance companies or third-party payers in a timely manner.
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• Claims Follow-Up: We track the status of submitted claims and follow up with insurance companies to ensure timely processing and reimbursement. We investigate and resolve any claim rejections, denials, or payment discrepancies, including the submission of necessary appeals.
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• Patient Billing and Statements: We generate patient statements or invoices for any remaining balance after insurance reimbursement and handle inquiries.
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• Payment Posting: We post and reconcile payments received from insurance companies, patients, or other payers. We accurately record payment details, allocate payments to the appropriate patient accounts, and reconcile any discrepancies.
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• Accounts Receivable (AR) Management: We manage accounts receivable, which involves tracking outstanding payments, monitoring aging accounts, and proactively following up on unpaid claims or patient balances.
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• Coding and Documentation Review: We provide coding and documentation review services to ensure accuracy and compliance with coding guidelines. We review medical records and encounter documentation to identify any potential coding errors or documentation gaps that could affect reimbursement.
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• Financial Reporting: We generate financial reports for healthcare organizations, providing insights into key performance indicators, revenue trends, and financial metrics.
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• Compliance and Regulation: We stay updated on the latest healthcare regulations, coding guidelines, and payer requirements.

How We Partner with Your Practice

What You Can Expect from Prosperis Consulting

• Ease and Simplicity: Our team will ensure efficient and profit-focused processes
• Done for You: We remotely submit clean claims, work aging, post payments and adjustments, update patient ledgers, appeal denials and more
• Proven Process: We take pride in getting you paid and are experts in this field.
• Consistent Income: Daily claim submissions, fewer rejections, timely appeals, steady focus on AR aging to ensure consistent cash flow
• Peace of Mind. Eliminate your worries and concerns. We’ve got your billing and collections handled.

Schedule an Appointment

Contact Prosperis Consulting today for a complimentary consultation regarding revenue cycle management needs. Ensure the success of your medical practice with help from our professional team.