Credentialing is a critical process in the healthcare industry that involves verifying the qualifications of healthcare providers and ensuring they are eligible to receive payments from insurance companies.
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PJ Solutions likely offers more than just billing—this could mean a full suite of administrative or operational services, such as scheduling, reporting, and practice management. Combining these services with medical billing allows practices to streamline operations and reduce the need for multiple vendors.
Service
Claim Creation & Submission Compliance & Regulatory Support
Verification of Insurance Revenue Cycle Management
Coding Services Custom Billing Solutions
Patient Billing & Collections Credentialing Services
Denial Management Consultation & Training
Payment Posting Technology Integration
Accounts Receivable Management
Why PJ Solutions
A. Expertise and Experience:
- PJ Solutions has extensive experience in implementing and optimizing EHR and PMS systems for healthcare providers across various specialties. Their expert team understands the unique challenges of different healthcare practices and can tailor solutions accordingly.
B. Personalized Service:
- PJ Solutions offers personalized, one-on-one support to healthcare practices, ensuring that their specific needs are met. They are committed to providing a seamless experience from start to finish.
C. Proven Track Record:
- PJ Solutions has successfully helped many healthcare organizations transition to or optimize EHR and PMS systems, improving practice efficiency, compliance, and financial outcomes.
Testimonials
What Our Clients Say
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FAQ
Have some Questions?
Medical billing outsourcing involves hiring an external company to handle all aspects of the medical billing process, including coding, submitting claims to insurance companies, and following up on denied claims. This allows healthcare providers to focus more on patient care and other essential administrative tasks.
Outsourcing your medical billing can help reduce errors, improve claim acceptance rates, speed up the reimbursement process, and lower operational costs. It allows you to leverage the expertise of specialized professionals while saving time and resources on training and maintaining an in-house billing team.
Getting started is easy! Simply reach out to us for an initial consultation. We will assess your practice’s needs, explain our services, and discuss how we can tailor a billing solution to suit your practice’s specific requirements. Once you’re on board, we’ll guide you through the setup process and begin working on your claims immediately.
Our team of certified coders and billing experts follows strict guidelines and best practices to ensure accurate billing and coding. We stay up-to-date with the latest insurance requirements, medical codes, and regulations to minimize errors and prevent claim denials.
The turnaround time can vary depending on the complexity of the claims and the volume of submissions. On average, we ensure that claims are submitted within 24-48 hours after receiving the necessary patient and provider information. We also track claims for timely processing.
We have a dedicated team that works specifically on denied claims. Once a claim is denied, our experts will investigate the reason, make the necessary corrections or resubmissions, and follow up with the insurance company to ensure that the claim is paid promptly.
The cost of outsourcing varies based on the size of your practice, the volume of claims, and the level of service required. We offer flexible pricing models, including a percentage-based fee or flat-rate pricing, to ensure that our services are cost-effective for your practice. We will discuss the best option during our initial consultation.