PPMS offers us the ability to meet the independent guidelines set by insurance carriers by actually customizing override tables. With a built in insurance claims scrubber, the system recognizes the black hole edits for Medicare edits. Most claims typically fail on the front line scrubbers, ours do no and rejections rates drop to less than 1%.

Feel confident with the reimbursement for your hard work. Phy-Med monitors each claim closely to achieve successful closure.

Pending Claims:

PPMS automatically submits pending claims every 30 to 45 days in accordance with carrier guidelines ensures. Phy-Med ensures that any claims which were not paid or rejected are not by-passed.

Underpaid Claims:

Phy-Med verifies underpaid claims against guidelines set forth by the AMA and specialty academies. If there are discrepancies Phy-Med reviews them and sends claims to begin appeals.

Reimbursed Claims:

PPMS posts and directly applies claims to each line item to ensure each procedure is reimbursed appropriately.