ProMantra delivers comprehensive medical billing services designed to streamline revenue cycle management, reduce claim denials, and maximize reimbursements. Our expert team combines industry knowledge with advanced technology to handle your medical billing and coding services efficiently, allowing you to focus on patient care while we optimize your financial performance.
Clean Claims Rate
Faster AR Resolution
Specialties Served
Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by healthcare providers. It includes claim preparation and submission, payment posting, denial management, accounts receivable follow-up, and patient billing. Effective medical billing services connect clinical services with revenue realization to ensure timely payments, reduce outstanding balances, and maintain healthy financial operations.
Effective medical billing services accelerate payment cycles, reduce claim rejections, and ensure consistent revenue collection from both payers and patients. With billing regulations and payer policies constantly changing, professional billing processes help providers maintain cash flow stability, minimize bad debt, and achieve financial transparency. Ultimately, reliable medical billing services strengthen revenue cycle performance, support sustainable practice growth, and improve overall collection rates while reducing administrative complexity.
Healthcare organizations face increasing claim complexity, growing patient financial responsibility, and mounting pressure to reduce operational costs. Modern medical billing services are essential to maintain consistent revenue flow and financial stability in this challenging reimbursement environment. By strengthening billing processes, providers can accelerate collections, reduce revenue leakage, and stay financially competitive in today’s healthcare landscape.
Maximize revenue, reduce denials, and accelerate payments with our proven RCM solutions. We deliver measurable results backed by 23+ years of expertise.
At ProMantra, our team includes certified medical billers and coders with extensive experience across 50+ specialties. From primary care to complex surgical subspecialties, we understand specialty-specific coding requirements, documentation standards, and payer policies that maximize your reimbursements. We offer specialized services including cardiology billing, DME medical billing, podiatry billing, oncology medical billing and many other specialties.
We recognize that every practice has unique needs and challenges. Our outsource medical billing services are tailored to your specific workflows, specialty requirements, and business objectives. Whether you're a solo practitioner or multi-location group, we customize solutions that align with your operational goals, including medical credentialing services to ensure proper provider enrollment.
Our track record speaks volumes, clients typically experience a 30-40% reduction in claim denials within the first three months. Our medical billing and coding services identify denial patterns, implement corrective measures, and provide ongoing training to prevent recurrence, protecting your revenue stream. Our denial management services work tirelessly to resolve issues and maximize reimbursements.
Whether you handle 100 or 10,000 claims monthly, our infrastructure scales to meet your needs. As your practice grows, our medical billing services expand seamlessly without requiring additional overhead investment, supporting your growth without operational disruption or quality compromise.
Our medical billing services follow a systematic approach: charge capture, claim creation, insurance verification, claim submission, payment posting, denial management, and patient billing. Each claim undergoes multiple validation checkpoints before submission, ensuring accuracy and compliance throughout the revenue cycle process.
Quality assurance is embedded at every level of our medical billing outsourcing workflow. Our certified billing specialists use standardized billing protocols, verify insurance eligibility, and apply payer-specific requirements. Regular claim accuracy audits, peer reviews, and continuous training programs maintain our 98%+ first-pass acceptance rate consistently.
Our medical billing services integrate seamlessly with leading EHR and practice management systems, ensuring uninterrupted data flow. This integration minimizes duplicate data entry, improves claim accuracy, and enables faster reimbursement turnaround, allowing providers to maintain operational efficiency without disrupting existing clinical or administrative workflows.
Before submission, every claim undergoes rigorous quality audits through our multi-tier review process. Senior billing specialists verify coding accuracy, medical necessity documentation, and payer-specific requirements. Our medical billing solutions include monthly internal audits and quarterly comprehensive reviews to maintain industry-leading clean claim rates and minimize denial risks. This commitment to revenue cycle optimization ensures the highest quality in our billing output.
Our rigorous claim scrubbing and validation processes achieve first-pass acceptance rates exceeding 95%. By identifying errors before submission, our medical billing services dramatically reduce rejections, accelerating payment cycles and minimizing the administrative burden of claim rework and resubmission efforts.
At ProMantra, our professional medical billing and coding services identify and eliminate common error sources that cause revenue loss. Our systematic approach addresses coding inaccuracies, missing documentation, and compliance gaps, typically recovering 15-25% of previously lost revenue while establishing processes that prevent future leakage.
Electronic claim submission, automated follow-up, and efficient denial management compress your revenue cycle significantly. Most clients experience 20-30% faster payment collection, transforming cash flow predictability and providing the financial stability needed for practice investment, expansion, and strategic planning.
We deliver transparent reporting with key performance indicators tracking clean claim rates, days in A/R, collection percentages, and denial rates. Our medical billing service provides actionable insights that demonstrate tangible ROI, with most practices seeing 10-20% revenue increases within six months of partnership.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
Deep knowledge of specialty-specific coding, compliance requirements, and payer rules to maximize your reimbursements
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Our certifications and compliance standards ensure your revenue cycle operations meet the highest industry benchmarks for security, accuracy, and regulatory adherence.
Real metrics from real healthcare organizations we've helped transform
98.5%
Clean Claims Rate
30–40%
Faster AR Resolution
45+
Specialties Served
23+
Years RCM Expertise
200+
Healthcare Organizations Served
$2.5B+
Annual Revenue Managed
99.5%
Client Retention Rate
See how we’ve helped healthcare organizations like yours achieve measurable revenue growth
Multi-Specialty Hospital
Surgery Centre
Surgical Centre with Lab Services
After a bad experience with another billing company, I was hesitant to outsource again. ProMantra completely changed my perspective. Within three months, our clean claim rate jumped from 87% to 96%, and our days in AR dropped significantly. My office manager now focuses on patient care instead of billing headaches. The transparency and expertise they bring have transformed our practice finances. This is the best company for RCM services.
Orthopedic billing is incredibly complex, and we were leaving money on the table with coding errors and missed modifiers. ProMantra's specialized knowledge made an immediate impact on our collections, improving by 28% in the first year, and denials dropped from 12% to under 4%. Their authorization team prevents denials before they happen. I can finally focus on surgery while they handle the financial complexities with true expertise.
Managing billing for eight cardiologists was consuming our resources and affecting profitability. ProMantra reduced our AR from 68 to 41 days within six months and improved our authorization approval rate to 94%. The cost savings compared to in-house staff, combined with better results and real-time reporting, made this decision invaluable. Their dedicated support and responsiveness set them apart from any billing partner we've worked with.
Mental health billing has unique challenges that most billers don't understand. ProMantra reduced our claim rejections from 15% to under 3% and helped us implement documentation practices that reduced audit risk. The financial improvement allowed us to hire another therapist and serve more patients. My clinicians are less stressed, and we're making a bigger impact in our community thanks to their behavioral health expertise.
I was handling my own billing to save money and nearly couldn't make payroll for one month. ProMantra found over $47,000 in unpaid claims and recovered $38,000 I thought was lost. My monthly revenue increased by 35%, and I spend evenings with my family instead of fighting insurance companies. They gave me my life back while making my practice significantly more profitable. I recommend ProMantra for any RCM Services.
ProMantra's revenue cycle management services are designed to support healthcare providers across the spectrum, from solo practitioners to large health systems. Our scalable solutions adapt to your organization's size, specialty, and unique requirements.
RCM companies partner with experienced revenue cycle teams to scale operations and deliver reliable results to their clients. Support across coding, billing, AR, and denial management helps manage higher volumes, reduce operational costs, and maintain accuracy while meeting strict SLAs and compliance standards.
Solo practitioners and small group practices benefit from our cost-effective RCM services that provide enterprise-level capabilities without the overhead. We help independent practices compete effectively by optimizing their revenue cycle and reducing administrative burden.
Large group practices with multiple specialties appreciate our ability to handle diverse coding requirements and payer relationships. Our centralized approach provides consistency while accommodating specialty-specific needs, including complex insurance contracting.
Hospital-based practices and health systems leverage our expertise in complex billing scenarios, including facility and professional fee billing. We understand the unique challenges of hospital RCM and provide solutions that integrate with existing systems, focusing on revenue integrity and acuity capture.
Whether you are in cardiology, orthopedics, gastroenterology, dermatology, or another specialty, our team includes certified coders and billing specialists with deep expertise in your field. We understand the nuances of specialty billing and maintain current knowledge of specialty-specific regulations and requirements.
High-volume, challenging environments like urgent care centres benefit from our efficient processing capabilities and real-time eligibility verification. We help these practices maintain quick patient throughput while ensuring accurate billing and collections, including efficient supply billing processes.
Clinical and reference laboratories benefit from our specialized expertise in navigating complex test ordering and billing workflows. We handle the intricacies of panel billing, medical necessity documentation, and compliance with evolving PAMA requirements. Our team ensures accurate claim submission for diverse test portfolios while managing multiple ordering physician relationships and maintaining optimal reimbursement rates.
Imaging and diagnostic centres leverage our comprehensive understanding of technical component billing and authorization management. We streamline prior authorization workflows, optimize CPT code selection for various modalities, and manage the complexities of bundled and split-billing scenarios. Our specialized approach ensures timely reimbursement while maintaining compliance with facility-specific billing regulations and payer-specific imaging policies.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
Healthcare providers consistently choose ProMantra for our revenue cycle management services because we deliver results that directly impact their bottom line. Our client retention rate exceeds 98%, reflecting the value and satisfaction our services provide.
With over 23+ years in healthcare revenue cycle management, we have helped hundreds of practices improve their financial performance. Our experience spans multiple specialties, practice sizes, and geographic regions, giving us insights that benefit all our clients.
Our proprietary technology platform provides real-time visibility into your revenue cycle performance. Advanced analytics help identify trends and opportunities, while automated workflows reduce manual errors and improve efficiency. Our platform integrates with over 50 EHR and practice management systems, ensuring seamless data flow and improved charge capture.
Each client is assigned a dedicated account manager who understands your practice's unique needs and challenges. Our support team is available during business hours for questions and issues, with emergency support available 24/7 for critical situations.
We provide detailed monthly reports that give you complete visibility into your revenue cycle performance. Our reports include key metrics, trend analysis, and actionable recommendations for improvement. You will always know exactly how your revenue cycle is performing, including your clean claims ratio and net collection rate.
Whether you are a solo practitioner or a large health system, our RCM services scale to meet your needs. As your practice grows, our services grow with you, providing consistent support and performance regardless of your size.
Our RCM services typically cost less than maintaining an in-house billing department while delivering superior results. Most clients see a positive return on investment within the first three months of partnership, with significant improvements in their collection rate and overall revenue integrity.
Stop leaving revenue on the table. Partner with ProMantra and experience the difference that expert revenue cycle management makes
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Find answers to common questions about our RCM services and how we can help your practice
Medical billing services handle the entire revenue cycle from claim creation to payment collection. Professional billers submit claims to insurance companies, follow up on unpaid claims, manage denials, and ensure providers receive accurate reimbursement for services rendered according to payer contracts and regulatory requirements.
Medical coding translates clinical documentation into standardized codes (ICD-10, CPT, HCPCS) representing diagnoses and procedures. Medical billing uses these codes to create and submit insurance claims. While distinct, these functions work together seamlessly to ensure accurate reimbursement and regulatory compliance throughout the revenue cycle.
Outsourcing typically reduces costs by 30-40% compared to maintaining in-house staff, equipment, and software. At ProMantra, we provide specialized expertise, stay current with regulatory changes, reduce denial rates, and improve cash flow. Most practices find outsourcing more cost-effective and efficient than internal operations.
Professional medical billing companies provide seamless transition support including data migration, workflow integration, staff training, and parallel processing during the changeover period. Most transitions complete within 30-45 days with minimal disruption to collections. Your new billing partner will analyze your current processes, integrate with your existing practice management system, transfer outstanding claims, and establish new protocols while maintaining continuous cash flow throughout the transition.
Most practices notice improvements within 30-60 days, with substantial revenue increases becoming evident by month three. Initial setup includes data migration, workflow integration, and process optimization. Once established, professional medical billing services consistently deliver faster payments, reduced denials, and improved overall financial performance.
Reputable medical billing and coding services support diverse specialties including primary care, cardiology, orthopedics, neurology, gastroenterology, dermatology, mental health, physical therapy, and surgical subspecialties. Experienced companies understand specialty-specific coding requirements, documentation standards, and payer policies that impact reimbursement rates and approval likelihood.
Professional medical billing companies implement robust security measures including encrypted data transmission, secure cloud storage, regular security audits, staff training on privacy regulations, and business associate agreements. These safeguards protect patient information while ensuring compliance with HIPAA, HITECH, and other healthcare data protection regulations.
Quality medical billing services include comprehensive denial management. Expert billers analyze denial reasons, correct errors, gather additional documentation if needed, and resubmit claims promptly. They also appeal unjustified denials and track denial patterns to implement preventive measures that reduce future rejection rates.
Absolutely. Medical billing companies are highly beneficial for small practices and solo practitioners who cannot afford full-time billing staff. Outsource medical billing services eliminate the costs of hiring, training, salaries, benefits, and software purchases. Most billing services offer flexible pricing models scaled to practice size, making professional billing affordable even for single-provider practices. Small practices typically see immediate improvements in cash flow, reduced overhead, and more time to focus on patient care.
Track key metrics including clean claim rate, first-pass acceptance rate (target: 95%), average days in accounts receivable (target: under 30 days), collection rate, denial rate (target: under 5%), and net revenue improvement. At ProMantra, we maintain an exceptional 98.5% clean claim rate with transparent monthly reports demonstrating measurable ROI.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
