Physician Medical Billing Services

Yes. ProMD reviews denied claims, identifies the reasons for denial, corrects eligible errors, and resubmits or appeals claims when appropriate. The team also monitors recurring problems involving coding, documentation, patient eligibility, prior authorization, modifiers, and payer-specific filing requirements. Although no company can prevent every denial, consistent analysis can help reduce avoidable issues.

Yes. ProMD can assess the current billing operation and develop a transition plan based on the practice’s software, payer information, existing accounts, and unresolved claims. The implementation process may include establishing system access, transferring relevant billing information, identifying outstanding issues, and defining responsibilities. The transition timeline depends on the complexity of the practice.

In many cases, yes. ProMD can integrate its billing services with a practice’s existing EHR, EMR, revenue cycle, or practice-management platform. The team has experience with systems such as eClinicalWorks, Tebra, Nextech, Greenway Intergy, CareCloud, Veradigm, and NextGen Office. Compatibility and access requirements are reviewed during the consultation.

Yes. ProMD is based in Pinecrest, Florida, and provides physician medical billing and revenue cycle management services to healthcare practices across the United States. Its remote service model allows the team to work with practices through compatible EHR and practice-management systems.

Yes. ProMD supports small physician practices as well as larger medical groups and healthcare organizations. The scope of service is adjusted according to the practice’s size, specialty, claim volume, payer mix, staffing structure, and current billing workflow.

The process begins with a consultation about the practice’s specialty, software, claim volume, payer mix, current billing workflow, and revenue cycle concerns. ProMD can then recommend a service plan and explain the transition process. Call (866) 509-8389 or submit the online contact form to speak with an expert.

The timeline depends on the practice’s existing accounts receivable, denial rate, claim volume, documentation quality, payer mix, and previous billing performance. Improvements may become visible after workflow problems and outstanding claims are addressed, but specific financial results cannot be guaranteed. ProMD tracks relevant billing KPIs so each practice can evaluate progress using its own performance data.

Medical billing fees generally depend on the practice’s specialty, monthly claim volume, payer mix, service requirements, and billing complexity. ProMD advertises medical billing services starting as low as 2.95%. Practices should request a customized proposal to confirm the services included and the applicable rate.

ProMD provides practice-performance reporting that can track relevant revenue cycle KPIs. Depending on the practice’s needs, reports may cover charges, payments, claim denials, outstanding accounts receivable, payment turnaround times, payer performance, and collection trends. Reports can be customized to support the practice’s financial and operational priorities.

ProMD’s services can include charge capture, claim scrubbing, electronic claim submission, insurance payment posting, denied-claim follow-up, patient statements, collections support, and performance reporting. ProMD can also assist with medical coding, credentialing, payer contract support, practice assessments, and revenue cycle management.

Physician medical billing is the process of converting documented healthcare services into claims that can be submitted to insurance companies and other payers. It includes charge entry, claim preparation, claim submission, payment posting, denial management, insurance follow-up, patient statements, and financial reporting.

Medical coding converts documented diagnoses, procedures, supplies, and services into standardized codes such as ICD-10-CM, CPT, and HCPCS. Medical billing uses those codes and other required information to prepare claims, submit them to payers, post payments, address denials, and follow up on unpaid balances.

ProMD has experience with more than three dozen medical specialties, including cardiology, OB/GYN, maternal-fetal medicine, gastroenterology, endocrinology, infectious disease, family medicine, orthopedics, pediatrics, podiatry, dermatology, otolaryngology, and sleep medicine. Services are tailored to the coding, documentation, and payer requirements of each specialty.

Outsourcing medical billing can reduce the administrative burden on physicians and office employees. It gives the practice access to professionals who focus on payer requirements, claim accuracy, denials, unpaid claims, and billing performance. This allows internal staff to spend more time supporting patients and clinical operations.

Yes. ProMD typically performs billing functions through the client’s practice-management system, allowing the practice to retain access to its billing information. Clients can also receive performance reports and communicate with the professionals assigned to their accounts.