Pro-active pre-bill review for accurate and timely reimbursement
PCH Health’s pre-billing audit services ensure that healthcare providers comply with HIPAA, Medicaid/Medicare regulations, and all other patient privacy regulations.
We ensure the right bills are sent to patients at the right time. Our pre-bill review experts check claims before submission to identify errors that might be missed during internal quality control.
Revenue cycle analysis
We conduct thorough RCM process analysis to identify and mitigate revenue leakage.
Accurate coding and billing
We ensure all services are coded and billed accurately according to industry standards and payer requirements.
Billing and collections efficiency
Our streamlined billing and collections processes minimize delays and reduce the risk of claim denials.
Patient registration and verification
We enhance patient registration and insurance verification processes to ensure accurate and timely billing and collections.
PCH Health pre-billing services advantage
PCH Health helps healthcare providers develop a proactive review strategy, ensuring all documentation is available before billing. Our pre-bill review services pinpoint areas for improvement, provide tailored solutions, optimize current processes, and educate staff on best practices.
With over 30 years of experience, we excel in healthcare regulations, offer clinical feedback to prevent denials and enable successful appeals. Our advanced analytics and automation enhance billing quality and compliance, especially with Medicare-focused reviews.
Connect with our experts to learn more about our pre-billing audit services.
Why choose PCH Health?
Outsource your pre-bill review and editing services to PCH Health, a HIPAA-compliant organization, to:
- Safeguard your organization's revenue proactively
- Reduce the risk of back-end denials
- Achieve higher rates of clean claim submissions
- Minimize the resources needed for appeals
- Benefit from high-speed claims processing
Awards and Certifications
Top specialties managed by PCH Health include but are not limited to:
Ambulatory Surgical Center
Behavioral Health
Cardiology
Oncology
Orthopedics
Primary Care
Urgent Care