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At PayrHealth, our experts bring a deep understanding of your specialty and local market dynamics to every analysis. With experience drawn from thousands of contract negotiations, we infuse this valuable context into each data query. This allows us to transform raw data into meaningful, actionable reports that are readily available whenever you need them.
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Mismanaged A/R
Providers encounter difficulties in managing their accounts receivable (A/R) because of the process's inherent complexity and unpredictability.
Unpredictable Cash Flow
Providers often find it challenging to maintain consistent and reliable cash flow, primarily due to issues like bad debt and underpayments.
Inconsistent Payor Compatibility
Providers face difficulties in navigating the requirements of various payors and handling diverse claim types, such as fee-for-service, value-based, and capitated.
Complicated Patient Management
Providers struggle with the increasing patient financial responsibility due to high deductible health plans (HDHPs) and self-pay patients.
Unsatisfied Patients
As patients become more empowered and informed consumers of healthcare services, providers find it increasingly challenging to maintain high levels of patient satisfaction.
High Denial Rates
Providers encounter a significant volume of denials from payors, which adversely affects their revenue and disrupts cash flow.
Revenue Cycle Management
Our healthcare RCM solution provides in-depth visibility into A/R performance, monitoring essential metrics like days in A/R, A/R aging, and turnover rates, all aimed at maximizing your financial results.
Improved Cash Flow
Our medical RCM service boosts cash flow by decreasing bad debt and minimizing underpayments through accurate and prompt claims submission.
Payer Partnership Alignment
Our flexible and scalable RCM platform adapts to the constantly shifting demands of payors, guaranteeing that providers secure the highest possible reimbursements.
Streamlined Patient Coordination
Our medical billing platform streamlines patient management by automatically calculating and informing patients of their out-of-pocket costs before services are provided.
Satisfied Patients
Our RCM service prioritizes patient satisfaction by offering a platform that enhances the patient-payer relationship.
Automated Process with High Recovery Rates
By automating the time-consuming tasks of claim submission, our RCM experts and EHR platform enhance efficiency, while our proactive strategies tackle denial issues at their root, resulting in higher recovery rates and stronger revenue management.
Save on in-house billing costs with our competitive 4.99% collections rate, pay-for-performance model, complimentary EMR software, scalability, and free denied claims appeals. Collaborate with us for optimized billing solutions and services such as:
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Denial Management
Billing Software
Accounts Management
Technical Support
ClearingHouse Services
Electronic Statements
As a leading medical billing services company, PayrHealth is dedicated to helping providers achieve financial success. Our U.S.-based team, with experience working at many of the nation’s top payors, possesses the expertise needed to maximize billing claims and ensure optimal reimbursement across all 50 states.
In- House billing Costs
| * Calculations based on a practice with $10,000,000 collections. | |
| Annual Salary | $600,000 |
| Overheads | $150,000 |
| Total | $750,000 |
PayrHealth's Full Service Solution
| * Calculations based on a practice with $10,000,000 collections. | |
| Billing Service Rates | as low as 4.99% of the collections |
| Total | $500,000 |
Annual Savings with PayrHealth
| $250,000 |
Case Study
In-House billing | PayrHealth's Solution | Results | |
|---|---|---|---|
Charges (On Average) | $2,300,000 | $2,300,000 | |
Gross Collection Rate (GCR) | x 26% $600,000 | x36% $830,000 | 10% Increase in Gross Collection Rate |
Billing Costs | $60,000 | $40,000 | $20,000 Savings in monthly cost of RCM service |
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Target
100% CMS
While many consultants provide strategy without actionable results, PayrHealth goes further. We leverage decades of experience and strong payor relationships to drive data-driven negotiations, ensuring our clients achieve real, measurable outcomes—not just reports.
