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 SpecialistsA submitted claim is not the same as an accepted or paid claim. Review clearinghouse responses, payer status, and remittance details together to identify where the handoff stopped.
Repeated eligibility or enrollment errors need a workflow correction as well as a claim correction. Group exceptions by cause and send useful feedback to the team that can prevent the next one.
Reconcile payer payments and adjustments before assigning patient responsibility. Clear statements and an organized question-resolution process help staff explain what remains due.
Roles & handoffs
Workload & priorities
Reports & decisions
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When a billing company handles protected health information as a business associate, the relationship generally requires a business associate agreement. Define permitted uses, safeguards, and responsibilities.
Confirm approved communication channels, named user access, and the information each role needs. Discuss how accounts are provisioned, reviewed, and removed as responsibilities change. Request the details that apply to your proposed service.
Clarify incident escalation, subcontractor responsibilities, and return or disposal of information at the end of the engagement. A useful security discussion covers everyday workflows as well as the contract.
An active eligibility response may not answer whether the service, network, or authorization requirements have been met.
Plan for the date of service, benefits, payer destination, and required approvals. Our guide explains why an active-coverage claim can still be denied.
State Medicaid enrollment and a managed care plan's contracting and credentialing are separate steps.
Confirm the member's plan, provider enrollment, group affiliation, and participation dates. Use the NH Medicaid enrollment overview alongside current plan instructions.
A correct NPI can still be paired with the wrong group, tax ID, location, or enrollment effective date.
Compare the claim with payer enrollment records before sending a corrected claim. Read about rendering provider and tax ID mismatches.
Visit details, payer policies, documentation requests, or missed follow-up can leave a balance unresolved.
Check the date-specific policy and claim history, identify the responsible team, and document the next action and deadline.
Implementation should define the scope, access, responsibilities, and go-live checks before billing work changes hands. Timing depends on the systems, payer setup, data, and work included.
Select a stage to explore the transition.
Review Your Specialty, Payer Mix, Billing Backlog, Staffing, And Current Workflow. Identify The Functions That Need Support And The Information Required To Assess Them.
Confirm Your Systems, Payer Requirements, Service Scope, And Data Responsibilities. Define How Your Practice And The Billing Team Will Handle Documentation Questions And Exceptions.
Separate New Claims From Legacy Balances And Assign Outstanding Work. Review Access, Submission Routes, Payment Posting, And Reporting Before Changing Responsibility.
Review Claim Acceptance, Denial Reasons, A/R Aging, And Unresolved Work Together. Use The Findings To Set Priorities And Address Recurring Workflow Problems.
Illustrative view
Read the response and correct the submission issue.
Review the reason and choose the appropriate response.
Reconcile the remittance and remaining balance.
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Ask for the services, exclusions, fees, and responsibilities in writing. Define who handles records, corrections, and payer requests.
Look for a defined scope
Agree on reports and review frequency. Look at denial reasons, A/R aging, claim acceptance, and unresolved work with context.
Look for decision-ready reporting
Clarify access, open balances, payer setup, and the go-live checks. Confirm what your staff needs to do before the handoff.
Look for shared responsibilities
The scope can include eligibility checks, coding support, charge entry, claim submission, payment posting, denial follow-up, A/R, and reporting. Ask for the exact functions and exclusions in your proposal. A full revenue cycle engagement and a focused A/R project may have different responsibilities.
Pricing depends on the agreed services. Request the fee basis, minimums, software costs, transition work, and legacy A/R scope in writing. The cost explorer on this page uses editable assumptions and does not represent PROMBS pricing or guaranteed savings.
Compatibility needs to be confirmed for your specific system and workflow. Share your EHR, practice management system, clearinghouse, and access requirements. Agree on permissions, data exchange, reporting, and any added costs before implementation; do not assume every platform has the same capabilities.
Existing A/R should have a separate, agreed scope. Review balances by payer, age, prior activity, and filing or appeal opportunities. Define who works each account and how payments will be attributed, so the outgoing team and new billing partner do not duplicate work.
The timeline depends on access, data readiness, payer setup, service scope, and open work. Plan the transition around a documented checklist and readiness review. Confirm who owns new claims, legacy balances, patient questions, and outstanding payer requests before changing responsibility.
Agree on the business associate agreement, approved transfer methods, user permissions, and escalation contacts before sharing patient information. Request the safeguards and operational details relevant to your engagement. Use this inquiry form for practice-level questions and keep patient records out of the message.
Thousands of providers are growing their practice with PROMBS. Now it’s your turn.
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Describe a billing, coding, credentialing, denial, authorization, or A/R problem.
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