Why PracticeForces

We will help you develop the most profitable and patient-centric practice possible

With Medical Billing PracticeForces, our clients benefit from a team of over 400 experienced coders and billers identifying underpayments, preventing claim denials, and focusing on the health of your practice - so you can focus on the health of your patients.

Not only do we provide medical billing and coding Services for physicians, we also offer complete practice management consulting and effective solutions to help you streamline your administrative processes and develop the most profitable and patient-centric practice possible.

On average, our clients experience a 20% increase in revenue during the first 90 days of partnering with us, with spikes of 40-60% not uncommon. For example, in a recent half-year analysis of our services for an established primary care and geriatrics practice we achieved a 158% payment increase, and significantly reduced their outstanding A/R.

We provide complete revenue cycle management and medical practice consulting and can manage all or a portion of the strategic tasks for your medical practice, including:

  • Launching new medical practices and/or new office locations
  • MACRA readiness and consulting
  • EHR evaluation, installation, training and support including:
    • eClinicalWorks server installations and support
    • AdvancedMD training and support
  • Technology solutions and consulting
  • Medical coding by our AAPC (American Academy of Professional Coders) certified coders, enabling our coders to demonstrate superior levels of expertise in their respective specialty disciplines
  • Contract negotiation and credentialing for Medicare, Medicaid and commercial carriers

We supercharge the revenue of our client practices by consistently and relentlessly performing the full range of RCM functions on a daily basis to make sure we capture ALL the revenue our providers have worked hard for and deserve. These are some of the functions that are most often asked about:

  • Daily payment posting and deposits directly to the practice/physician’s bank account
  • EOB follow-up and denial analysis
  • Fast electronic transmission of claims - within 12 hours from the time of patient visit
  • Real-time insurance verification of deductibles, secondary, and tertiary claims, including claim status verification within 24/48 hours of submission
  • Consistent cash flow, due to immediate claims filing
  • Continuous follow up with patients and insurance carriers, and management of all patient or carrier calls regarding outstanding claims or balances
  • Charge entry for any volume of charges and coding analysis, including all modifiers
  • Claim scrubbing to ensure there are no coding or claim information errors
  • Timely EOB follow up with carriers: analysis of electronic remittance advice, rejection codes and then necessary actions taken to recover all amounts due. This includes all required insurance claim forms, which are generated and submitted by our office
  • Rigorous denial management, payment pursuit, and appeals in which highly effective specialists perform claim-by-claim review and execute appeals on your behalf
  • Detailed client reporting & analysis provided at client-chosen intervals free of charge