Designed with Your Practice in Mind

OUR SERVICES

What We Offer

  • Outsourced Billing for Ophthalmologists

    PMRG provides ophthalmology practices (and all related sub-specialties) a comprehensive billing service that gives ophthalmologists the comfort and confidence that their clinical services are being converted into the appropriate level of practice income. We start every billing engagement with a depth of knowledge developed from over 30 years of practice and consulting with ophthalmologists nationally.

  • Physician Credentialing

    Our dedicated specialists manage the entire, minutely detailed process of credentialing and act as a sole point of contact with insurers and government agencies throughout the entire engagement, insuring that the a provider is set up completely and accurately.

  • Financial and Operational Performance Consulting

    The heart of the business side of your practice is financial performance. PMRG can assist you in assessing some or all of the components of your practice’s business process, assuring optimal collections, and peak financial and operational performance. Our consulting engagements are designed to take the mystery out of the business of your practice and give you a clear pathway to improve the performance of your practice.

  • Coding and Compliance

    Are you concerned about your exposure to carrier audits? Are you under-coding or over-coding? Our clinical background and 27 years of coding experience uniquely qualify us to review your CPT and ICD-9 coding and medical record documentation. We assess to the current guidelines and regulations. We can conduct an off-site review or include the review in conjunction with a more comprehensive review and assessment of your business.

Outsourced Billing for Ophthalmologists

“Since the outset, it felt like we had an ‘inside biller’ since our lines of communication, superbill submission, and follow up on patient claims has been seamless.”  Steve Harrison, MD, Retina Specialist, PMRG client since 2005

 Maintaining an effective and professional billing staff can be both challenging and expensive for an ophthalmology practice.  People leave, get hired away or worse, just do a bad job managing this critical aspect of your business.  PMRG offers a sound alternative to this potentially difficult and time-consuming business model.  

By out-sourcing your billing and receivables management to PMRG, you have a real partner in running your business.  You’ll find that you have the freedom to concentrate on practicing medicine with the confidence that the business of your practice is being professionally managed by ophthalmic billing experts backed by a sound management team committed to your success. 

  • PMRG has been a leader in increasing the financial performance of ophthalmology practices for over 30 years. We apply our consulting best practices and principles in the installation and operation of each billing client. This approach insures that the clinical services you provide are translating into optimal collections. Further, you have access to clear and cogent management reports that give you the tools to effectively manage your practice.

  • The PMRG operations center, located in Tinley Park, Illinois, is staffed with ophthalmic billing professionals who handle all aspects of insurance billing, as well as patient statements and patient billing questions. Your business is managed on state-of-the-art software and through a leading edge, web-based clearing house. All reporting is real-time, and because it is web-based, it is always available for your review.

  • PMRG operates as your full partner in the financial well-being of your practice. Our detailed monthly management report and regular management oversight meetings give you what you need to build a successful practice. Our reporting team provides you with expertly prepared ad-hoc reports as you need them. Our clients services team is looking out for changes in credentialing rules and requirements to make sure you and your practice are kept up to date.

  • Oversight and controls on cash flow and management. Because the charges and payments are handled such that no one person has control over the entire process, there are solid checks and balances in place that insures all money is being accounted for.

    Management and support of the practice management computer system on your behalf. We interface with the software vendor (AdvancedMD), and can generally handle all of your software questions ourselves. So long as you use AdvancedMD, you never have to pay for support.

    Sophisticated reporting. PMRG has a reporting specialist on our team that is available for ad-hoc, on-demand reports. No one on your team needs to take valuable time to learn how to run every report or take the time to generate those reports. Plus, we have a team to analyze and make sense of the data on your behalf.

    Fee schedule management. We will advise you on where to set your fee schedule, and will keep it up to date with the changing Medicare reimbursement levels to insure optimal reimbursements.

Not sure if outsourced billing is right for you? Read our document: Six Key Questions about Outsourcing Your Billing.

PMRG recommends and uses AdvancedMD as a practice management software platform. Click here to learn more about AdvancedMD.

Click here to read a case study on our partnership with AdvMD.

If you are interested in finding out more about our billing service, please click here to contact us.

Physician Credentialing

Welcome to PMRG Credentialing Services, where we streamline the process of medical credentialing for healthcare professionals. Our comprehensive platform is designed to simplify the often complex and time-consuming process of credentialing, ensuring that healthcare providers can focus on what matters most – delivering exceptional patient care.

At PMRG, we understand the importance of accuracy, efficiency, and compliance in credentialing. Our staff offers a seamless experience, guiding you through each step of the credentialing process with ease. From initial application submission to verification of credentials and ongoing maintenance, our team empowers you to manage your credentials with confidence.

Key features of our medical credentialing service include:

  1. Efficiency: Say goodbye to doing tedious paper applications and endless follow up. Our team streamlines credentialing tasks, saving you time and reducing administrative burden.

  2. Accuracy: We prioritize accuracy in credential verification to ensure compliance with industry standards and regulatory requirements. Our robust verification process helps mitigate risks associated with credentialing errors.

  3. Transparency: Track the status of your credentialing application with timely updates at every stage of the process. Our transparent approach promotes accountability and peace of mind.

  4. Support: Our dedicated support team is here to assist you every step of the way. Whether you have questions about the credentialing process or need technical assistance with our platform, we're always just a click or call away.

Join hundreds of healthcare professionals who trust PMRG for their credentialing needs. Experience the convenience and reliability of our platform today.

PMRG – Simplifying Medical Credentialing, Empowering Healthcare Providers.

For more information or to get started, please contact Paula Muhlenbruch at pmuhlenbruch@medicalpmrg.com or 708.623.8214.

Consulting Services

PMRG Consulting Services offers a wide range of offerings to support physician practices.  Our consulting division is led by Jana Holt.  Jana spent over 20 years managing a busy retina practice, and she holds several certifications: 

  • Certified Profession Coder (CPC)

  • Certified Profession Ophthalmic Coder (CPOC)

  • Certified Profession Medical Auditor (CPMA)

  • Certified Profession Practice Manager (CPPM)

    • Conduct needs assessments and analyze data to identify areas for improvement.

    • Develop and create strategies to improve operational function, reduce costs, and enhance patient care.

    • Training and/ or on-boarding for practice administrators.

    • Training of front desk employees

    • Establishing and tracking financial benchmarking and KPIs.

    • Evaluate payer contracts. Provide data to assist in contract negotiations.

    • Development of or review of current Practice Policies and manuals including compliance, policies and procedures, HIPAA, OSHA and more.

    • Audit services including chart review and recommendations for improvement to comply with healthcare compliance.

    • Staff and Physician training on coding guidelines, changes, and updates

    • Fee schedule assessment and development.

    • Revenue cycle evaluation, management, and clean-up.

    • Evaluation of patient billing, collection, and refund policies with recommendations on best practices.

    • Review of reports from PM system with emphasis on areas that need immediate attention.

    • Recruiting

    • Development or review of Employee Handbook

    • Job Descriptions

    • SOPs

    • Performance evaluation assistance

    • Employee on-boarding process

    • Employee development process

    • Training and Education (HIPAA, Compliance, OSHA, FWAE)

    • Review reports for MIPS / QPP compliance.

    • Make recommendations for areas of improvement.

    • Assist with annual reporting.

    • Security Risk Assessment (SRA) assistance

For more information or to get started, please contact Jana directly at jholt@medicalpmrg.com or 708-623-8200 ext 8290.