Practice Growth Solutions
Revenue cycle, billing, and practice support built for modern healthcare teams
End-to-end billing support for claims, payments, AR, and reporting.
ICD 10 and CPT Coding Services Aligned with Clinical Documentation To Reduce Denials
Driving efficiency, compliance, and financial performance at scale
Increase Revenue from patient collections while reducing administrative workload.
we don’t just manage denials; we transform how healthcare organizations experience
We monitor, identify, and rectify critical errors to reduce revenue loss and compliance risk.
Simplify prior authorization services, save time, cut costs and boost revenue
Simplify prior authorization services, save time, cut costs and boost revenue
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Recovery Specialists
HIPAA Compliant
98% Claim Accuracy
30% Revenue Boost Avg
24h Turnaround
500+ US Practices
AI-Powered RCM
Denial Recovery Specialists
Recovery Specialists
HIPAA Compliant
98% Claim Accuracy
30% Revenue Boost Avg
24h Turnaround
500+ US Practices
AI-Powered RCM
Denial Recovery SpecialistsThe cost depends on the work included and your practice's billing profile. Request a written quote covering the pricing model, minimum charges, onboarding, coding, credentialing, patient billing, and existing A/R. Compare equivalent scopes before comparing fees.
Compatibility needs to be checked for your specific system and workflow before an agreement is finalized. Review user permissions, claim submission, clearinghouse arrangements, remittance access, reporting, and any required interfaces. Do not assume a custom integration or software replacement is included.
Onboarding depends on access, available records, payer setup, and the services being transferred. Request milestones for assessment, permissions, workflow testing, cutover, and the first reporting review. Any estimate should reflect those dependencies rather than an assumed universal start date.
Existing A/R needs a separate, explicit ownership plan. Agree who handles each balance, pending appeal, and corrected claim, along with documentation access and fees. Reconcile the starting worklist so neither the outgoing team nor the incoming team assumes the other owns it.
No. The right scope depends on the gap you are trying to address. A practice may need targeted coding, credentialing, denial follow-up, or ongoing billing support. Discuss workload, internal capacity, and the proposed division of responsibilities before choosing an engagement.
A local office is not a substitute for verified service fit. Ask about your payer mix, provider type, approved system access, communication, and Arkansas-specific requirements. Confirm the availability of onsite services directly if your practice requires in-person support.
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Agree which systems are used, how access is approved, and how patient information is exchanged. Ask about permissions, secure communication, and removal of access when responsibilities change.
✓ Define approved access
✓ Confirm secure exchange
Review the proposed vendor's privacy arrangements and subcontractor responsibilities. Document who receives incident reports and how requests for information are handled.
✓ Review the agreement
✓ Clarify escalation contacts
Billing oversight also requires reliable records. Preserve supporting information, review adjustment permissions, and keep an agreed process for corrections and unresolved exceptions.
✓ Keep supporting records
✓ Review exceptions together
| Revenue Cycle Challenge | Operational Impact | A Practical Response |
|---|---|---|
| Staffing Gaps and Unclear Handoffs | ||
| One team handles eligibility, claims, calls, and follow-up without a shared priority list. | Exceptions compete for attention, and work can stall between departments. | Define the queue, responsible person, escalation route, and next review date. |
| Eligibility, Authorization, and Documentation Gaps | ||
| Coverage details or required records have changed since scheduling. | The billing team spends time correcting information after submission. | Check service-date requirements and communicate unresolved exceptions before billing. |
| Arkansas Medicaid and Payer-Specific Instructions | ||
| Different provider types, plans, and services can require different billing instructions. | Applying a generic rule can lead to unnecessary corrections or delays. | Review the applicable provider manual, current notices, and specific plan requirements. |
| Slow Payer Responses and Aging A/R | ||
| Claims remain unpaid without a documented response or deadline. | Staff repeat calls while older balances receive inconsistent attention. | Group work by payer, claim age, reason, and remaining action opportunities. |
| Limited Visibility into the Work Behind Collections | ||
| Reports show totals without explaining unresolved balances. | Practice leaders cannot easily tell which issues need a decision. | Connect financial reporting with owners, next actions, and recurring root causes. |
Illustration
Check that the claim entered payer processing.
Match the response to the documentation.
Record the next action and deadline.
Clearer billing processes can create more opportunities to resolve collectible balances and reduce preventable rework. They can also give managers a firmer basis for staffing and workflow decisions.
Assign pending claims, corrected claims, appeals, refunds, and patient questions before a transition begins. Reconcile the starting worklist so the outgoing and incoming teams share the same understanding of who owns each balance.
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Thousands of providers are growing their practice with PROMBS. Now it’s your turn.
Our billing specialists are ready to analyze your practice and show you exactly how much revenue you can recover.
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Describe a billing, coding, credentialing, denial, authorization, or A/R problem.
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