Medical Billing Companies & Consultants in Hiawatha, IA

Physician Management Services of Iowa, LLC, known as PMSI, is a family-owned revenue cycle firm based in Hiawatha, Iowa, just north of Cedar Rapids. It handles billing and coding for physicians and other clinicians across Iowa and neighboring states. Its clients include solo and multi-physician groups, practices in freestanding settings and practices based inside facilities. The company also counts hospitals among the organizations it supports.

Background

The company started in 1996, when owner Lori Stuart ran it alone from her home. She saw room for a more personal way of handling claims and code assignment, and the business grew from there to serve many providers and practices. PMSI was incorporated in 2000 and has given ongoing billing support to Midwest hospitals and providers ever since.

Its team includes certified coders, some of them credentialed in radiation oncology and others in hematology and chemotherapy coding. The firm says its staff has more than three decades of experience managing radiation oncology billing.

Billing and Revenue Cycle Services

PMSI sets up its billing work to fit each practice instead of selling a fixed package. Its aim is to make a constantly changing administrative field simpler, raise collections and shorten the wait between seeing a patient and getting paid. Its billing work covers:

• Secure, HIPAA-compliant entry of patient demographics
• Insurance eligibility checks in real time
• Preparing and sending clean claims
• Posting payments and adjustments
• Producing statements for patients
• Following up on denials and filing appeals
• Collections and resolving receivables

Coding Support

On the coding side, PMSI assigns procedure and diagnosis codes and keeps its team up to date on rule changes. One example is the revised evaluation and management guidelines, which now depend on either time or how complex the medical decision making was.

The company helps practices check that their documentation meets these rules, and it presents itself as an ICD-10 resource. It codes for evaluation and management, emergency medicine, family practice, mental health, radiation oncology, and medical oncology and hematology. The goal is more accurate coding, less compliance risk and lower spending on in-house coding staff.

Oncology Focus

Oncology is a special strength. PMSI works with radiation oncology, medical oncology, hematology and infusion centers. In these settings, costly equipment, drugs and staff mean coding mistakes do real financial harm. Its oncology services include prior authorizations, chart audits, procedure and diagnosis coding, billing, and help with receivables and denials.

In radiation oncology, the team tracks every stage of a treatment course, from consultation and clinical treatment planning through delivery, management and follow-up. It also handles the different rules for hospital technical, freestanding and professional billing. Staff work directly with providers and give them training, feedback and advice so that every billable service is captured and records stay complete.

For buyers, PMSI offers a small, owner-led firm with specialized oncology credentials. It also provides broader billing and practice management support for both primary care and specialty groups.