Medical Billing Companies & Consultants in Jacksonville, FL

P.A.M.I., formally Physician's Account Managers, Inc., is a Jacksonville, Florida firm that handles medical billing and revenue cycle work for specialty physician practices. The company says it has more than 35 years of experience in healthcare billing. Its main focus is getting specialty claims paid correctly when they are first submitted, so practices lose less revenue to rework, resubmissions and write-offs.

Specialties Served

P.A.M.I. works mainly with specialty practices, where coding and payer rules tend to be more complicated than in general primary care. Its coding staff handle specialty-specific claims in several clinical areas:

• Orthopedics
• Urology
• Podiatry
• Wound care
• Gastroenterology
• Cardiology
• Nephrology

The firm notes that it also serves other specialties beyond this list. That makes it a possible fit for many kinds of specialty groups, not just one type of practice.

Revenue Cycle Services

The firm covers the full revenue cycle. At the front end, it enrolls new providers and new practice locations with insurers. It also checks eligibility and benefits before scheduled visits and procedures. It gets prior authorizations for procedures and infusions before the patient is seen.

In the middle of the cycle, it handles charge entry and CPT coding, sends out claims and posts payments. Each payment is matched against the remittance the payer returns. After submission, its staff work denials and appeals. This includes reviewing NCCI bundling edits, planning modifier use and writing appeals for each payer.

Its accounts receivable team follows up on aging balances and goes after underpayments on all open claims, including the harder ones.

Workers' Compensation and Operational Support

One feature that sets P.A.M.I. apart is its workers' compensation work. The firm negotiates single case agreements and handles utilization-review disputes with workers' comp carriers and their auditors. This can matter a lot to orthopedic and other practices that treat injured workers. Beyond billing, the company offers several back-office services.

It answers phones for patient billing questions and payer callbacks and takes overflow calls from the front desk. It also watches incoming fax queues for referrals, orders and payer documents and routes them the same day.

Working With P.A.M.I.

The company presents itself as a partner that helps practices bring in more revenue without giving their own staff more work. It shapes its revenue cycle services around each practice's needs. It also gives guidance based on its long history in the field.

Practices that are growing can use its expansion support, which covers billing and back-office operations when a group opens new locations. Combined with its credentialing work for new sites, this makes P.A.M.I. worth considering for multi-location specialty groups that want one outside team to handle enrollment, billing, collections and administrative support.