Professional Reimbursement Inc.

12/22/2021

https://www.modernhealthcare.com/safety-quality/pfizer-pill-authorized-home-covid-treatment

The long-awaited milestone comes as U.S. cases, hospitalizations and deaths are all rising and health officials warn of a tsunami of new infections from the omicron variant that could overwhelm hospitals.

11/15/2021

https://www.bloomberg.com/news/articles/2021-11-12/costly-alzheimer-s-drug-fuels-record-medicare-premium-hike

The standard monthly premium for Medicare outpatient, or “Part B,” coverage, will be $170.10 in 2022, up from $148.50 in 2021, senior Biden administration officials said Friday.

11/11/2021

07/13/2021

I was happy to contribute to the latest edition of the National Home Infusion Association's magazine. In the article, I share how to correctly document and bill for drug wastage.

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06/21/2021

I count it all joy that for 33 years, Professional Reimbursement Inc has partnered with the most amazing clients in the infusion industry, building lifelong relationships along the way. To you, we say THANK YOU! As PRI transitions out of full revenue cycle management into proactive AR Management, I would love the opportunity to share how PRI can partner with your billing department, not replace them, to achieve a common goal. Here's to 33 more amazing years to come.

05/12/2021

It's great that your biller is proactive in looking at prior billing to determine if previous claims have been paid. While this is a good practice, it should not result in the biller simply rebilling the claims. This should be the start of communication between your biller and collector. Unfortunately, this does not happen.

Rebilling claims without proper research can add to further delays in getting the cash through the door. Inundating the payer with multiple claims is not the solution, neither is repeatedly sending out incorrect claims.

Our Team at PRI has a proven process to work alongside your in-house billing team to manage your accounts receivables effectively, allow your collectors to focus on new rejections so that you can reduce your dso, and bring in the cash.

If you are experiencing challenges in your revenue cycle process, let's talk! [email protected]

04/22/2021

Join the discussion this afternoon with me for 𝐁𝐞𝐬𝐭 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞𝐬 𝐟𝐨𝐫 𝐍𝐚𝐯𝐢𝐠𝐚𝐭𝐢𝐧𝐠 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐀𝐝𝐯𝐚𝐧𝐭𝐚𝐠𝐞 𝐏𝐥𝐚𝐧𝐬 4:00 PM – 4:30 PM EDT.

I'll be discussing the challenges providers face and offer practical solutions to reduce payor denials.

03/19/2021

NBC News investigative and consumer correspondent Vicky Nguyen reports on the strain being put on pharmacists as they are expected to fill prescriptions, distribute vaccine shots and provide COVID-19 testing.

03/19/2021

The post-acute care company claims that a former employee shared confidential information with one of its competitors.

03/03/2021

Finishing up my slides for my lightning round session at NHIA's Annual Conference. With Medicare rules in place, one would think navigating these plans would be as easy as 1,2,3, but not so. I'm happy to share what I've learned along the way and how to minimize denials proactively.