ICD-10…oh my…

Posted by on September 27, 2015 with 0 Comments

October 1st is quickly approaching.  After many date delays, last-minute changes, software updates, and all sorts of unknowns, ICD-10 is finally here.

If you are like many, this change has only distracted you from your day-to-day of seeing patients.  Yet another billing, regulation, compliance issue to work through.

In the last few years alone, claims were upgraded to ANSI 5010, HIPAA compliance has been modified through additional legislation, EHR / Meaningful Use incentives came up, PQRS, HCFA form changes, the Affordable Care Act, you name it.

How painful have all these been for you?  They don’t have to be painful at all!

Previously, doctors have not had to worry about all these things – and now it seems like there is so much to do today just to get paid what you’ve gotten paid yesterday!

Well, that’s where we come in.  At Provider Network Services (PNS), we work to ensure the highest accuracy, greatest compliance, and provide significant value to your bottom-line.  There’s no question as to why our clients love us and stay with us for many years.

We are not a data-entry shop; we are a small, local, family business dedicated to supporting our clients so that they may continue to do what they do best – seeing patients.

So, who knows what the next change will bring – be ready for it with Provider Network Services.

Click here NOW to contact us today!

Filed Under: General

It’s All About the Value

Posted by on May 23, 2014 with 0 Comments

When people ask me what we charge, my response is that it depends. Since we cater our services to the needs of the practice, that means a few things things:

1) We need to know what you need first

2) You only pay for what you need

3) We need to understand your practice as it is today

4) We want to ensure you know the value we provide

The reason why we’ve been around for so long and because our client retention is so high is because of our values.  Our integrity, attention to detail, willingness to go the extra mile, and focus on success drives what we do each and every day.

We don’t want bargain hunters to do business with us.  The reason is simple: we over-deliver, and we want clients that appreciate that so that they become long-term clients.  Bargain shoppers tend to hop all around, and it takes a lot of resources to bring a new account on board before we even made a penny in many cases.

Most business owners truly understand that.

The price has to be fair to both parties.  When considering price, you also need to consider the value for the services, plus the service items themselves.  In other words, look at what you are getting for what you are paying!

Don’t get me wrong – there are “services” that thrive on volume – they can care less about accuracy (their contracts state it!), and they often don’t care about the true success of a mutual relationship.  As a result, those service offerings are usually very cheap.  It’s not that we are more expensive; they are under-priced, and actually, for the lack of accurate bookkeeping, I believe you would be paying them too much!

Going for every penny you are legally and ethically entitled to, combined with our focus on true and accurate records, plus the true relationship we bring to the practice, are some of the things that drive us to give it our all each and every day.

We believe in truly consulting you on your solution.  We want to help you find the solution to your problem.  If we feel we aren’t the answer, we’ll tell you.  Likewise, we’ll help you ask other companies the right questions to see if they are right for you!  We will even compare contracts and present you with a comparison matrix so that you can literally review multiple companies with ease.  The reason why we do this is two-fold:

1) We want you to find your solution

2) We know that you’ll refer potential clients to us because of all the value we provide

We will then give you our honest recommendation on the solution.  Usually when a client comes on board, only then do they realize how we undersold the value of our services.  A recent client told us if they knew then what they know now, they would have accepted our original offer with no questions asked.

For another client we recovered 5-figures of incorrectly-submitted claims in one of the first months of doing business with them.  And that was because we went above and beyond for their benefit.  They thought the claims were being submitted correctly!

Our solutions and services are backed with integrity.  What price would you pay for that?

Filed Under: Why Us

An Often Overlooked Reason Why You Should Do Business with a Billing Service

Posted by on May 23, 2014 with 0 Comments

Most practices realize the benefits of a billing service: someone who is an expert in that particular field, is in touch with industry trends, has a focus for success for the practice, only makes money when the doctors do, and so on.

There is an often overlooked reason why you should do business with a billing service.

Before we get to that, when we first talk with practices to discuss their billing needs, they either already do billing in-house or already have a billing service.  Rare is it that we come across a practice that is so new that they need billing from the get-go.

If they already have a billing service, we discuss why it is they are considering switching.  It is our belief we over-deliver, and our clients would back that up.  Some of our clients make more money with us because their previous billing service didn’t do billing the proper way.

If they do billing in-house, we’re usually contacted to help out in some way.  It may be a temporary need, to fill a gap, or to off-load some of the work the practice does.  Billing in-house does take a lot of effort though, which is why one of our clients told us they are so glad they went with us and that they couldn’t do it in-house after now knowing what it takes to do it right.

That leads me to the often overlooked reason…

We don’t want to replace any person doing in-house billing; we want to supplement it or provide an opportunity for the person or people doing the billing to be able to focus on other things such as tending to patient needs, or maybe to provide the biller time to take an extended vacation.

We work with you.  We only get paid when you do, and we are business owners just like you, so we understand what it takes to make it all work.  In fact, if you have a billing service and are even remotely considering switching, just want to see what’s out there, or if you might want to do it in-house, reach out to us.

We’ve seen it where the necessary follow-up slips through the cracks in-house because there is so much other work to do.  If billing is the most dreaded job in your office, remember it is the only job in ours.  So, contact us today.  You can use the form below…

Filed Under: Why Us


Posted by on January 21, 2013 with 0 Comments

Provider Network Services values transparency. The transparency we provide comes in different ways…

1) Transparency during our requirements gathering sessions

2) Transparency in our contract

3) Transparency with our systems

Our requirements gathering sessions include everything from your first phone call in to our office (or contact form submission) to when a contract is signed. This regularly includes visits, yes plural, to your office in order to ensure we are providing a solution that caters to your needs.

No one practice is the same as any other, and at PNS, we recognize that.

In fact, our contract is very transparent, that it literally spells out every detail, down to where the envelopes are coming from. And if you have a question about something in it, we can clarify the contract (rarely needed) in the contract itself. Of course, the contract is customized to the solution we are providing your practice.

Transparency with our systems includes our reporting, literally hundreds of combinations of reports are available, and even access to our systems for practices who wish to view data in real-time.

We ensure what we enter into the system matches what is on our EOBs in front of us, and if you ever need an EOB, we have them for you. Wonder why a patient got a bill for $20 for a co-pay when they paid their $20 co-pay? Well, taking a look at the EOB, it shows the patient has a $40 co-pay. Some billing services would have thought the $20 was already paid; we recognize the $20 being billed isn’t the same $20 that was paid, thereby getting you money you are rightfully entitled to receiving.

In other words, what we put into our systems matches what we are receiving. We guarantee it.

Want to know how much each provider in your office brought in? Let us tell you with ease.

Want to know your highest paying insurance company last month? No problem.

Want to know what each provider brought in payment-wise so that you can pay each one? You got it.

In fact, we go a step further. We “close” our books when you need to know income in order to pay other providers. Most billing services don’t. Why do we do it? Well, take this example…

Month 1 -> Provider A brings in $1,000 and earns 10%. So, Provider A is paid $100.

Month 2 -> Provider A brings in $2,000 and has to give $300 back to the insurance company from Month 1.

What do most billing companies say the earnings in Month 2 are? Yup, $2,000. Is that right? Technically no. So, our reports will show income earned as $1,700 in Month 2 cause technically you overpaid Provider A in Month 1.

This protects you and us from fraud and in the events of an audit. In our example, when we run reports for the same period of time, they will always match since the date range has been “closed out” accounting-wise. In an example where “closing” is not used, the reports would fluctuate as the numbers do, which can lead a practice to overpaying its providers, and can even leave its providers as not being paid enough if more money came in for the previous month. Let’s look at that example…

Month 1 (same as before) -> Provider A brings in $1,000 and earns 10%. So, Provider A is paid $100.

Month 2 -> Provider A brings in $2,000 and earns $300 more from Month 1 (for example, a rejection was resubmitted and now paid).

Most billing services would only show income in Month 2 as $2,000, whereas we show it as $2,300. Our reports use the same date range; the numbers are based on the accounting cycle.

We’re always thinking ahead and providing you with outstanding service. In fact, we’ll even work to answer your general questions (and on nights/weekends too!) before (and of course after) you’ve signed up with us. The reason is simple: We take a consulting approach to finding a match for you. We want to truly understand your concerns and work with you to customize a solution that meets your needs while providing outstanding service.

Has this benefited you? Have you gotten value from it? Want to know more? Fill out our contact form below, and we’ll be in touch.

Filed Under: Why Us

Medical Billing Service in PA

Posted by on January 12, 2013 with 0 Comments

Provider Network Services is a family-owned business in Pennsylvania. We of course are open to working with providers who are licensed in other states as well. We believe in delivering exceptional value, more than you ever thought you would get from a billing service.

With over 20+ years of psychiatric billing experience, we truly know the importance of ensuring the security of PHI/ePHI under HIPAA. We do bill for additional specialties as well, and we carry our data security mindset with us into those disciplines.

We offer state of the art security as a given in our full-service model, and if you are in southeastern PA (Chester, Delaware, Bucks, Montgomery, Philadelphia counties), we will more than likely make several trips to your office.

Our long term relationship with you is our goal. We are a growing medical billing service in Pennsylvania who would love to hear from you. Please contact us via the form below.

Filed Under: General

EHR, EMR, and Meaningful Use Incentives

Posted by on January 7, 2013 with 0 Comments

If you are like most medical doctors, you are scrounging to qualify for the Meaningful Use incentives by leveraging EHR/EMR.

With Phase 1 of Meaningful Use, only a few key pieces of information are needed to be entered into an EHR/EMR system, such as patient demographics, diagnoses, and procedures.

In order to qualify for phase 1 incentives, practices must be using EHR/EMR by June 30th 2013 so that for 3 months (July, August, September) practices will be on EHR/EMR and can thus submit a request for the incentives in October.

Provider Network Services can work with your practice to qualify for these incentives. Simply contact us using the form below to learn how.

Filed Under: General

New Psychiatry Coding for 2013

Posted by on January 7, 2013 with 0 Comments

If you are a psychiatrist or work in a psychiatric office, you might already know that there are significant CPT code changes for 2013 for psychiatrists.

The main difference is medical services are isolated out via Evaluation and Management (E/M) codes, which are 99xxx in series. If medical services are performed with psychotherapy, an additional psychotherapy add-on code should be used as well. If psychotherapy is being performed without medicine services, the regular psychotherapy codes apply.

In addition to this difference, there is a new code for interactive complexity, and new codes for patients in crisis.

Given that E/M codes can vary based on whether or not a patient is new or established, as well as based on place of service, the code series for most people might have just become a bit more complicated.

Luckily, Provider Network Services understands these code changes and is ready to help you ensure your claims are paid in 2013.

Please contact us via the form below to learn more about how we can help you and your practice.

Filed Under: General

ZyWin® Practice Management System by Auditron Electronics Corporation

Posted by on March 10, 2012 with 0 Comments

If you currently use ZyWin® by Auditron Electronics Corporation as your Practice Management System, we’ve got great news! Provider Network Services is currently looking for new clients that use ZyWin®.

When Provider Network Services performs services for you in-house, we use ZyWin®. When you want us to remote in to your practice to perform services, we first learn your practice management system if we don’t already know how to use it.

So, if you are currently using ZyWin® and would be interested in having us remote in to perform services for you, please either give our office a call at 610-524-1176 or contact PNS here.

Likewise, if you are using ZyWin® and want us to perform services in-house for you, you can save money on practice setup fees. Contact our office for more details.

Filed Under: Why Us

Welcome to Our New Site!

Posted by on February 27, 2012 with 0 Comments

Provider Network Services has a new website! Thank you for visiting.

If you are interested in learning more about our services and how we can help you, please click here and fill out our contact form.

Filed Under: General
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