Your Partner in
Comprehensive Medical
Billing, Coding, Credentialing, and Consulting.
A comprehensive suite of medical billing, coding, credentialing, and consulting services tailored to the diverse needs of healthcare practices.
Your Partner in
Comprehensive Medical
Billing, Coding, Credentialing, and Consulting.
A comprehensive suite of medical billing, coding, credentialing, and consulting services tailored to the diverse needs of healthcare practices.
Reduce Your Workload & Focus on Providing
Quality Care.
At PreMedSys, we understand the challenges that healthcare providers face in managing both patient care and the complexities of billing. Our dedicated team is committed to lightening your workload by handling the intricate details of medical billing. With our services, you can confidently shift your focus to what truly matters – providing high-quality care to your patients. By entrusting your billing needs to us, you gain the freedom to concentrate on the well-being of your patients while we ensure the financial aspects of your practice are managed with precision and efficiency.
Founded in 2003 by Myriam Cornell, we’re driven by the belief that healthcare professionals deserve robust financial support.
Benefits
Maximized Revenue and Efficiency
Proven record of maximizing client revenue through faster payments and lower days in A/R, achieved by meticulous attention to detail and submission of clean claims.
Expertise at Your
Fingertips
Access to a diverse team of certified professional coders, A/R specialists, and credentialing specialists, all experts in their respective fields.
Stay Ahead of Regulatory Changes
Continuous training and updates on changing regulations and trends from CMS, legislation, and other insurance areas, ensuring your practice stays compliant.
CareTracker:
Practice Management and Electronic Health Records
- Access to state-of-the-art technology through the use of CareTracker Physician Practice Management and Electronic Health Record Software.
- CareTracker PM and EHR are completely web-based, and both components are fully integrated, making their use seamless.
How it Works
Expertise That
Makes a Difference
Services
Electronic Claims and Payments
- We will submit electronic claims to most payers, including Medicare, Medicaid, BCBS, United Healthcare, Cigna & Aetna.
- We will enroll your practice with as many payers as possible to receive electronic payments through ERA (Electronic Remittance Advice) & Electronic Funds Transfer (EFT).
Diagnosis (ICD-10-CM), Procedure (CPT-4), Supplies (HCPCS), and Modifier Coding
- PreMedSys understands that Healthcare Providers are not coders and should not be worried about the coding process. Our professional coders are responsible for all coding medical procedures performed.
- They will confirm the ICD-10-CM and CPT code selected in the superbill by analyzing the medical record and applying the proper modifiers.
- This will ensure that you will receive 100% charge capture; nothing that can be billed will go unbilled.
Healthcare Provider Education on Documentation & Billing Guidelines
- PreMedSys will provide feedback and education regarding identified deficiencies in the medical record.
- Premedsys will provide updates on Local Coverage Determinations (LCDs) and Covered Diagnoses, ensuring comprehensive understanding and compliance for accurate billing practices.
FAQ’s
The pricing varies based on the unique situation and requirements of each client.
Yes, we are affiliated with the Medical Group Management Association (MGMA), the Healthcare Business Management Association (HBMA), the American Academy of Professional Coders (AAPC), and the American Health Information Management Association (AHIMA).
Our reports are tailored to your practice’s requirements, encompassing data entry, procedure details, location-specific data, provider productivity, and various management reports. In addition to comprehensive month-end reports, our system allows providers the flexibility to generate on-demand reports directly from Caretracker as necessary.
At Premedsys, we excel in providing exceptional claims appeal services through advanced automation, reducing administrative tasks by 70%. Our real-time analytics dashboards offer valuable insights for our A/R teams. Recognizing the dynamic nature of healthcare billing, our commitment to modern, automated solutions makes us the preferred choice for providers seeking efficient claims appeal services. Our follow-up methods include:
- Contacting insurance companies about unpaid claims.
- Resubmitting outstanding claims.
- Establishing patient payment plans.
- Submitting secondary and tertiary claims.
- Reviewing and appealing underpaid or denied claims.
With extensive experience in medical billing, we emphasize direct communication through telephone contact with insurance carriers and patients, proving essential for maximizing reimbursements.
