Medical Billing Companies & Consultants in Laguna Hills, CA

Physicians Management Network Inc., commonly known as PMN, is a family-owned revenue cycle firm based in Laguna Hills in Southern California. It handles billing and coding work for physicians and medical centers across Orange County and elsewhere in California, and since 2010 it has been extending its client base to practices in other states.

The firm is aimed at practices that are frustrated with their existing billing setup, that wait too long to get paid, that struggle to collect patient balances, or that see many payer denials they consider unjustified.

Services

PMN offers a fully outsourced billing function built around certified coders and active follow-up on claims. Its core offerings include:

• Coding, preparing and submitting claims
• Management of accounts receivable and follow-up on unpaid claims
• Tracking denials for individual claims and across each payer
• Help collecting patient balances such as co-pays and co-insurance
• Physician services that review how a practice is performing and recommend changes in strategy
• Reports broken down by provider, by payer and by procedure code
• Audits of billing and coding accuracy
• Negotiating payer contracts and revising superbills

Specialties

PMN's coders are trained to handle claims in any discipline, but the company highlights its experience in family and internal medicine, surgery (both general and specialized), pain management, gastroenterology and physical therapy. It also publishes educational articles on topics such as gastroenterology coding and checklists for billing audits.

How PMN Works With Clients

The firm trains practice staff in person at their own offices and keeps supporting them remotely afterward, so practices still have someone to call once onboarding is done. Claims and reporting run on NextGen's practice management and clearinghouse platform. This gives clients access to their financial data at any hour, plus insurance eligibility checks in real time.

PMN puts weight on transparency. Physicians can see all of their data and financials, and the company says it charges no hidden or setup fees and doesn't require long-term contracts. Its staff also answer billing questions from the practice's patients.

Background and Credentials

PMN has provided billing services since 2000. CEO Sunny Sadri founded the company and is a Certified Professional Coder credentialed through the AAPC. Dr. Ray Ghodsi, a medical doctor who also holds a master's degree in healthcare administration, joined in 2010 to help grow the company nationally. The two leaders report more than four decades of combined industry experience, and the company says it assigns coders with similar credentials to every client account.

For buyers comparing vendors, PMN points to its published performance figures. These include a very low denial rate at the claim level, a first-pass acceptance rate for claims that it reports at 99.98 percent, and over $150 million collected for client practices.

The firm also stresses that its leadership includes both a certified coder and a physician, and that it trains staff in person at the client's office. Together, these are the main ways it sets itself apart from billing providers that only work remotely.