Contact phone: 972-330-9533
PROLIFIC MEDICAL BILLING SERVICES LLC
We take care of everything you need starting with provider enrollment through payment to ensure that you get every penny you earn, and that your practices run as efficiently as possible. You'll never regret your decision to trust your business with Prolific.
Proven track record with guaranteed results. All staff are CMBS, CPCS, CPC certified through Medical Association of Billers and NAMSS.
If your AR is backed up and your reimbursements are behind contact us for your accounts receivable review.
National License Servicing 49 States
No services in Nevada
WE FIGHT FOR YOU!
Understanding Insurance Reimbursement & Medical Billing
Patient Care
Medical billing and coding takes information about diagnoses, treatments, procedures, medications and equipment and translates them into alphanumeric codes. This information comes from a range of sources, including transcriptions, medical notes, electronic records, lab results including blood work, urinalysis and pathology and radiologic assessments.
Medical billing and coding takes information about diagnoses, treatments, procedures, medications and equipment and translates them into alphanumeric codes. This information comes from a range of sources, including transcriptions, medical notes, electronic records, lab results including blood work, urinalysis and pathology and radiologic assessments.
Regulatory & Contractual Compliance
Medical billing and medical coding fall under many state and federal guidelines. Perhaps the most significant is the Health Insurance Portability and Accountability Act (HIPAA). HIPAA protects patient confidentiality, requiring any medical practice or hospital to take safeguards to protect confidential patient information. HIPAA guidelines also cover electronic medical records and the International Classification of Diseases (ICD-10) uniform diagnostic codes issued by the World Health Organization (WHO). Furthermore, medical practitioners are bound by contracts with insurance companies. Contracts spell out negotiated rates for various medical procedures and treatments. Accurate coding and billing ensure that practices are in contractual compliance.
PROLIFIC MEDICAL BILLING SERVICES LLC
Basic Billing Services
Charge Entry Claim Submission Payment Posting Accounts Receivable Claims Appeals Management Patient Statements Patient Inquiries Basic Reporting
Full Service Billing
Credentialing Coding Charge Entry Claim Submission Payment Posting Accounts Receivable Claims Appeals Management Patient Statements Patient Inquiries Patient Collections Assistance Basic Reporting Advanced Analytics Responsive Customer Service Software Flexibility HIPAA Compliance Assistance Value-based Care (MIPS) Assistance U.S. based Account Management
Clinic Coding
Accurately abstracts information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines.
Reviews supporting medical record documentation to ensure accurate code assignment (ICD, CPT, HCPCS) of professional charges in compliance with third party payer, NCCI guidelines and PMBS policies. Maintains documentation to record/track coding variance. Performs charge reconciliation. 30%Validates charges using appropriate tools and validates diagnosis with the medical documentation provided.
Maintain or exceed 97% accuracy standards.
Standard Billing Service
Charge Entry Claim Submission Payment Posting Accounts Receivable Claims Appeals Management Patient Statements Patient Inquiries Patient Collections Assistance Basic Reporting Software Flexibility U.S. based Account Management
Inpatient/Outpatient Coding
Assign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS
Compares hospital charges posted against procedures coded and identifies any discrepancies.
Utilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/ DRGs
Maintain or exceed 97% accuracy standards.
Billing & Coding Specialties
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Anesthesiology
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Pain Management
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Gynecology
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Orthopedics
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Gastroenterology
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Plastic Surgery
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Ophthalmic Surgery
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Dermatology
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Diagnostic radiology
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Emergency medicine
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Family medicine
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Internal medicine
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Neurology
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Nuclear medicine
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Ambulatory surgical centers
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Clinics and medical offices
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Hospitals
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Urgent care
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DO NOT SERVICE Behavioral or Mental Health
Prolific Medical Billing Services LLC
8751 Collin McKinney Pkwy
McKinney, TX 75070
972-330-9533