Medical Billing Companies & Consultants in Windber, PA

Overview

ProMed, Inc. is a medical billing company based in Windber, Pennsylvania. It has been in business since 2001 and works with physician practices and other medical facilities that want to hand off their insurance claims work. The company's main focus is getting claims submitted, tracked and reconciled correctly so that a practice is paid as fully and as quickly as possible. Its own description of its role is a partnership with the practice, working alongside the in-house staff rather than just selling a service.

Services

ProMed takes care of both the insurance side and the patient side of the revenue cycle. Its site lists several services beyond core billing:

• Submitting insurance claims and following up on them
• Reconciling payments against submitted claims
• Producing and mailing patient statements
• Electronic health records (EHR) support
• Provider credentialing
• Fee scheduling
• Encounter forms built for each specialty

The firm says its staff keep up with the changing rules of insurance carriers so claims can be handled as cost-effectively as possible. Because insurance payments come in quickly, ProMed can send patient statements soon after the date of service, and it says this has improved collection of the balances patients owe.

How It Works With Clients

ProMed charges a percentage of collections, with the rate set according to each practice's details. The company says this rate covers all costs of insurance and patient billing. Clients receive a customized encounter form listing the procedure and diagnosis codes for their specialty, along with HCFA claim forms, branded patient statements and return payment envelopes with the address already printed. Postage and handling are not billed separately, which keeps costs predictable for practices comparing vendors.

The company presents outsourcing as a way to free front-office employees to concentrate on patients, so physicians may be able to see more people each day. It also points to staffing savings. Employer payroll taxes, paid time off, insurance premiums and other benefits can add a large share on top of each wage dollar. With an outside billing service, a practice pays only for the work that brings in revenue.

Background and Approach

ProMed describes itself as an extension of the client's office. It says patients who contact the company get the same courtesy they would receive from the practice's own staff, and it treats a good working relationship with that staff as a core value. The team includes a President/CEO, an EDI specialist and a claims specialist. The company also stresses ongoing education in a fast-changing field and passes the benefit of that training on to its clients. Buyers in central Pennsylvania, including the Altoona area, may find it a good fit if they want a long-established regional billing partner with all-inclusive percentage pricing and staff they can reach after hours.