Welcome to Pacific Practice SolutionsMedical Billing | Medical Coding | Reporting
YOUR PARTNER IN REVENUE CYCLE MANAGEMENT
Pacific Practice Solutions is a BPO/KPO with end-to-end Revenue Cycle Management. Our KPO team are highly skilled professionals, most with advanced degrees. With over 8 years experience in the Guam/Saipan insurance payer/provider market, we have the knowledge and experience to handle your medical claim billing needs and a robust suite of Revenue Cycle Services. We provide turnkey billing services for all US Mainland Payers and the Guam/Saipan Payer Markets, among them:
✔ Medicare (Part A & B)
✔ Medicaid Programs Guam/Saipan
✔ Guam Commercial Payers, Calvo’s SC, Netcare, and Staywell.
✔ US Mainland Commerial Payers, including Aetna International
✔ Military Payers, Tricare, Triwest, VA, and Champus
✔ US Worker’s Compensation Payers
We are highly specialized in the complex billing and documentation requirements of the Guam/Saipan Medicaid Programs. We pioneered our own highly developed algorithm to analyze payer denial trends within the Guam Medicaid program. Providing you with transparent on demand and monthly reporting. No other outsourced KPO can deliver to the local healthcare providers in Guam like we can!
We understand the time-zone challenges of working with Guam and US Mainland. Our teams work 24 X 7 providing flex support for both Guam and US Mainland based insurance payers. We provide a Guam based highly skilled Client Service Manager who can address your billing issues immediately and can be on-site the same day. We can provide training and development of your pre-registration, scheduling, and clinical teams to assure documentation and compliance meet payer requirements.
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What We Do
Medical coding done by proffessionals Certified from AAPC & AIHMA
Industry's finest transcriptionists are with us, giving 99.95 accuracy within TAT is on us.
If you are new practice or adding a new provider to your group, we take care of your enrollment with the insurances companies.
Getting an incentive is always good. This is a value add service from us !!
Accounts Receivable Management
Our focus is on designing application models to work on the root cause of denials and eliminating denials with the same reason.
Guam & Saipan Medical Billing
We are the only billing company on Guam with 8 plus years of experience specializing in Guam & Saipan Medicaid billing. We know how the insurance companies like Calvo’s, Netcare, Staywell, Takecare and others work on Guam. We have been successful in negotiating contracts and getting payments on time. We understand the time difference between Guam and US Mainland and our teams work 24 X 7 providing support for both Guam and US Mainland based insurance companies.
Pacific Practice Solutions provides complete RCM services, which include but are not limited to Patient account creation, Medical insurance eligibility check, Authorizations, Medical Coding, Medical Transcription, Medical Billing, Insurance collections, Reporting, Analtyics. We also provide provider enrollemt services with Medicare and other commericial insurance companies. We have more than 15 years of experince and are certified from AAPC and AHIMA.
Revenue Cycle Management Services
Whether you’re looking for an RCM partner, a support team to manage your group’s business functions, or a team of experts to advise and help grow your practice – Pacific has everything you need under one roof.
Why Pacific Practice Solutions
We work as virtual private office of the provider and provide all the services from one place. A dedicated expert account manager is alwasys at your service. Our primary focus is on prevention of denials rather than managing denials. We have 15+ years of experince in Medical Billing. We know how get claims passed on first submission. Our ability to get the claims passed on the first go helps providers get revenue at a faster turn around time. We work on root cause analyis of denials. We work on developing business intelligence reports and automation of denials management.
Reporting – CMS Incentives
Compliant wiht HIPAA guidelines
Free EMR / PM
24 x 7 Workflow
AHIMA / AAPC certified Professionals
EHR / PMs we work with
At Pacific we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.
What People Are Saying
Paciic Practicesolutions has a good team of responsive billers and have excellent knowledge of coding and billing. CPT Procedure Codes, Unverified Insurance, Duplicate billing, and posting errors. Our billing team appreciates their help very much.
We have enjoyed our relationship with Pacific Practicesolutions. They are responsive and acknowledge correspondence. Turn-around is excellent, usually the next day. They always help us out when we’re in a bind, even with short or little notice and their partnership provides stability to the coding department during team absences and fluctuations in census. We truly do appreciate their support.
With over 20 years in the Healthcare Industry, it remains refreshing to work with a company that performs and produces what was promised.Pacific Practicesolutions professional and pleasant demeanor with our patients, effective and timely follow-up, efficient approach and ease to work with, exemplifies our experience with this organization on a daily basis.
Tell us something about your practice !!
19C Trolley Square,
Wilmington, DE 19806
275 Farenholt Ave, Ste G,
Tamuning, Guam 96913
M-F: 8am – 10pm
EMR / PM Support
Calvo’s Select Care
Staywell Health Plans
Medical Billing and Coding done by Industry Experts.