Medical Billing Services Frequently Asked Questions

At ProMD Medical Billing, our team of American Academy of Professional Coders (AAPC)-certified medical billers and coders handles the complex billing processes so you can focus on providing exceptional care to your patients. We work with physicians in many specialties to help improve the revenue cycle management (RCM) process. If you have any questions not listed on this page, we’re here to help! Contact our team for additional questions.

What Is the Medical Billing Company's Name?

We are ProMD Practice Management Inc., doing business as ProMD Medical Billing. Our business is located at 12651 South Dixie Highway, Suite 404 in Pinecrest, Florida.

How Long Has ProMD Medical Billing Been in Business?

ProMD Medical Billing has been a full service medical billing company since 2004. Our company comprises various revenue cycle management professionals, including certified medical coders and billers with over 20 years of professional medical billing service experience.

What Is the Average Time the Company Has With Their Clients?

We have serviced several of our clients for over 17 years.

What Is the Cost of Medical Billing Services?

The cost of medical billing services consists of a percentage of the total monthly receipts from insurance, third-party payors and patients. Our fee depends entirely on successful payment collection for your medical services.

What Is the Cost of Medical Billing Services?

Are There Any Start-Up Fees?

No, our services do not incur hidden start-up costs.

Does ProMD Medical Billing Charge Termination Fees?

No, our services are free to terminate.

How Many Clients Is the Company Currently Servicing Overall?

We currently serve 60+ clients. We service the whole of the United States of America, but 90% of our clients are in Florida, followed by New York, New Jersey and Maryland. As a medical billing company, our top five specialties include:

Perinatal medical billing and coding.
OB/GYN medical billing and coding.
Infectious disease medical billing and coding.
Gastroenterology medical billing and coding.
Orthopedic/orthopedic surgery medical billing and coding.

How Are Client Accounts Managed by Company Staff?

ProMD Medical Billing assigns a dedicated account manager who will oversee the implementation and ongoing services and conduct monthly conference calls at the client’s discretion. In addition to ongoing access to the account manager, the client has access to the billing manager and unit supervisors upon request.

Are There References Provided That We Could Contact?

ProMD Medical Billing can provide a list of client references and testimonials for you before you partner with us.

What Electronic Medical Record (EMR) and Practice Management (PM) Software Systems Do You Work With?

ProMD Medical Billing can provide revenue cycle management billing services for medical practices using Nextech, Greenway Intergy, eClinicalWorks, Tebra (fka Kareo), NextGen Office (fka HealthFusion MediTouch), CareCloud and Veradigm (fka Allscripts Pro), as well as several other technology partners. Our medical billing services and the billing process will be carefully tailored according to your needs.

Our medical billers perform various services, such as:

Medical coding
Claims submission
Payment posting
Follow-up calls
Statement processing for patients, as well as sending statements to your patients
Management of denied claims
Report and analysis of monthly billing performance for your business

Is the Company a True Revenue Cycle Management Company That Provides Complete Medical Billing and Collection Services?

ProMD Medical Billing is a full-service medical billing services RCM company. Our services include:

Charge capture for medical billing
Claims scrubbing for medical billing
Claims submission for medical billing
Insurance payment posting
Denial management
Insurance claims follow-up
Patient statements
Key performance indicator (KPI) reporting and analysis

We also offer other RCM services, including medical practice assessments.

Are There Services the Company Does Not Provide That Would Be an Add-On Fee?

Yes. We offer additional services such as physician credentialing and physician insurance contract negotiation. We understand the importance of a physician’s qualifications needing to be verified, especially for compliance with insurance companies. The process can be time-consuming and complicated and involves significant admin, paperwork and documentation. Our physician credentialing services can assist you with:

Gathering the required documentation and information you must have for verification.
Verifying your information and credentials.
Assisting you with your Council for Affordable Quality Healthcare (CAQH) application.
Following up with your insurers.
Providing additional guidance and support for the process.
Negotiating your contracts.

Do Clients Have Access to All the Billing Information and Reporting?

Yes, since we typically utilize the client’s PM system for all billing functions. Our systems can be fully tailored to your practice’s needs, so if you require billing information to be stored for an extended amount of time, we can arrange for that to happen.

What Monthly Reports Are Provided, and How Often?

At the beginning of each month, ProMD Medical Billing provides a practice performance report with KPIs for the previous 12 months of medical billing services. Analyzing monthly medical billing reports for the previous 12 months will help your practice set realistic goals moving forward. Medical billing reporting is necessary to ensure accurate financial tracking, compliance with regulations and identification of trends and areas for improvement in health care revenue management.

Can Clients Customize Reports Based on Their Needs?

Yes, our monthly reports are customizable. We can personalize your monthly reports based off of:

Report type and frequency: Receive customizable templates for different report types, and choose
your preferred frequency of reports – schedule them for a specific date each month, or choose on-demand reports.
Data filters and parameters: Get reports based on date ranges, specific patient demographics (like
age and gender), service types or categories, and type of payer (insurance companies or patient cash).
KPIs: See customizable metrics such as claim denials and payment turnaround times, and get specific
KPIs based on your requirements.
Visualizations and charts: We can include imagery such as bar graphs and pie charts and offer
custom visualizations to highlight specific trends.
Detailed versus summarized information: Customize the level of detail by choosing summarized
reports or detailed line items. Physician annotations will also be included.
Client-specific branding: Your reports can include logos and branding elements and customized
headers and footers.
Access and distribution: Choose your preferred method for report distribution, such as email,
secure online portal or postbox. You can also set permissions for report access and determine who can view or
download the reports.

How Would the Company Describe Their Communication With Clients?

ProMD Medical Billing offers clients monthly conference calls to discuss ongoing billing services. Your assigned account manager is available anytime during normal business hours via telephone or email. Our clients also have direct access to the billing personnel assigned to their accounts.

What Training Does the Company Staff Receive to Keep up With Billing Rules and Guidelines?

ProMD billing staff consists of AAPC-certified coders and experienced medical billing professionals and collectors. Staff members continuously attend webinars and conduct research to ensure they remain up to date with all current and upcoming billing industry rules and insurance-specific guidelines.

Our technological partners use complex systems, so our staff requires ongoing training to stay aware of new guidelines and software.

Is the Company Utilizing the Most Recent Guidebooks and Resources — CPT, ICD-10 and HCPCS Software?

Yes, our company uses updated guidebooks and resources, including CPT, ICD-10 and HCPCS software. Here are the details:

Current Guidebooks and Resources

Current Procedural Terminology (CPT): We employ the latest edition of CPT codes, which are
essential for describing medical, surgical and diagnostic services accurately. We provide regular updates and
training sessions to our team to stay abreast of any changes or additions to the CPT codes, ensuring precise coding
and billing.
International Classification of Diseases, 10th Revision (ICD-10): We use the most up-to-date
ICD-10-CM (Clinical Modification) for diagnosis coding and ICD-10-PCS (Procedure Coding System) for inpatient
hospital procedure coding. We offer continuous education and resources to ensure our coding staff is proficient in
the latest ICD-10 updates, improving accuracy in documenting patient conditions and procedures.
Healthcare Common Procedure Coding System (HCPCS): The HCPCS Level II codes classify products,
supplies and services not included in the CPT codes, such as durable medical equipment, prosthetics and outpatient
hospital services. Our team regularly reviews updates to the HCPCS codes to ensure compliance and correct
reimbursement.

Software and Technology

Updated coding software: We utilize state-of-the-art coding software that is regularly updated to reflect the most current coding guidelines and resources. This software includes features for automated updates, error checking and compliance alerts, ensuring coding practices align with the latest standards.
Electronic health records (EHR) integration: Our systems integrate with EHR platforms, allowing for seamless updates and real-time access to the latest coding resources. This integration supports accurate and efficient coding processes, minimizing errors and maximizing compliance.

Training and Continuing Education

Ongoing training programs: We provide continuous training programs for our staff to keep them
updated on the latest changes in CPT, ICD-10 and HCPCS codes. We regularly offer workshops, webinars and
certification courses to enhance the skills and knowledge of our coding professionals.
Resource libraries: Our company maintains an extensive library of the latest coding manuals,
guidelines and reference materials. These resources are easily accessible to our staff, supporting accurate and
innovative coding practices.

Compliance and Quality Assurance

We conduct regular internal audits and quality reviews to ensure our coding practices adhere to the latest standards. Any discrepancies or updates are promptly addressed to maintain the highest level of accuracy and compliance.

Contact ProMD for Medical Billing Services Today

ProMD is here to simplify the medical billing process and maximize your revenue. Our comprehensive medical billing services are designed to streamline your operations, reduce errors and ensure you get paid faster. With ProMD, you gain a trusted partner who understands the intricacies of medical billing and is committed to your financial health.

Our experienced billing specialists utilize the latest technology and best practices to handle everything from claim submissions and payment postings to patient billing and RCM. We stay informed of changing regulations to ensure your practice remains compliant and efficient.

Partnering with ProMD means more than outsourcing your billing — it means gaining access to a dedicated team that works tirelessly to optimize your revenue. We provide detailed reports and insights so you always know where your finances stand. Let us take the burden of billing off your shoulders so you can focus on what you do best — providing excellent patient care.

Take the first step toward a more profitable and efficient practice. Contact ProMD online today or call us at 866-960-9558 to learn how our tailored billing solutions can transform your medical practice.