PRISM
Your Medical Practice Transformation Specialist
Are you leaving money on the table?
If you have a sneaking suspicion you’re not getting the pay you deserve and want to cash in on money available only to those who “know the medical billing tricks of the trade, Prism is the answer you’ve been looking for.
You need Prism if you’re:
Evaluating your practice performance
Thinking of buying an existing practice.
Excited to launch your own practice.
Wanting support to expand.
Ready to bring your billing in-house.
Practice Transformation Services: Medical Practice Solutions
PRISM scours your practice to find where the untapped money is hiding. We deliver deep-dive analysis through in-office reviews specially tailored to your specific business.
Gain access to our in and out-of-network billing expertise. Our medical practice solutions emphasize out-of-network collections for multi-specialty providers, surgical and non-surgical alike.
Choose PRISM to get customized long-term and short-term contracts fit to your goals and practice needs. We’ll build you a system designed to maximize revenue and boost efficiency.
Medical Billing Consulting: What’s your collecting potential?
Prism takes the guesswork out of medical billing collecting potential based on patient volume, payer mix, and targeted benefit analysis.
Transitioning your practice brings questions, unexpected challenges, and the need for skills insurance companies don’t want you to cash in on.
Medical Billing Services
Get the support and payouts you deserve when PRISM walks you through scaling your practice with confidence and ease. We offer:
Don’t face this alone.
Front Office Training to Enhance Performance Management
Learn how to match patient needs with billing expertise to boost profit. Prism trains staff to properly assess and verify benefits.
We know all too well the important necessity of a strong front-end in any medical practice.
The front-end staff lay the foundation for the rest of the team to build from. Aside from being frustrating and disruptive, a weak foundation will result in payment delays, denials, upset patients, and an overall negative impact on the practice reputation.
PRISM solves this persistent problem by offering training services to meet your staff’s particular level of need.
Teach your staff to:
• Get proper benefit verification training for both in and out-of-network providers.
• Analyze and implement workflows that keep your practice running smoothly.
• Train new hires with Prism’s seamless and proven policies and procedures.
Hey there, I’m Lale of PRISM, a trusted consultant with 20 years of proven experience managing operations in the healthcare industry for both in and out-of-network providers. I specialize in strong personal relationships designed to communicate with surgeons, physicians, and other practice stakeholders.
As a business owner and consultant I’ve gained practitioners $100M in gross collections across 7 states.
I have built and led high-performing teams, and my success comes from the teams’ success. As an articulate and detail oriented professional, my dedication to continuous improvement has allowed me to repeatedly exceed goals and expectations, reduce costs, and improve efficiencies.
I successfully navigate this ever-changing and complex environment by continuing to be actively involved in every step of the collection process. I am passionate about practice transformation. I genuinely enjoy providing practices with the tools and resources to help significantly increase their bottom line while also improving operations.
The specialized service your team at PRISM provides is unique and unlike anything being offered in today’s market. Let us empower your practice to reach its full potential.
CLAIM YOUR FREE INITIAL CONSULTATION TODAY.
About Us
Practice Transformation Specialist
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Bringing billing in-house can give you more control over your revenue cycle and enhance the transparency of your billing operations. Our team can assist with setting up your internal billing processes, training your staff, and implementing the necessary software to ensure a smooth transition.
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Starting your own practice is an exciting journey! We provide comprehensive support, from setting up your billing and coding systems to navigating compliance requirements and maximizing your revenue streams from the beginning.
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Purchasing a new practice involves many financial and operational considerations. We offer due diligence services, financial analysis, and a strategic plan to ensure a smooth transition and continued profitability for your new venture.
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Expansion brings new challenges and opportunities. Our consulting services can provide you with the additional support you need, including scaling your billing operations, managing increased patient volume, and ensuring optimal financial performance during growth.
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Going out-of-network can be a strategic decision to improve your practice’s financial health. We can help you assess the implications, guide you through the process, and manage the transition to ensure your practice thrives in an out-of-network environment.
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Understanding your collecting potential is crucial for financial planning. We provide detailed analysis of your patient volume and payer mix to give you accurate projections and strategies to maximize your collections and improve your overall financial performance.
Medical Billing and
Medical Billing Consulting
Providers get flexible options with PRISM.
Choose in-house medical billing or outsource your medical billing to PRISM. You call the shots.
We design your full-scale training service and show you how to keep it running smoothly.
Not sure what you need?
Take the guess-work out when PRISM guides you through reaching your business goals with personalized feedback tailored to your specific finances, logistics, and practice data.
We have consistently increased collections for our clients by a minimum of 30%.
Performance Management
We evaluate all aspects of your business process from Revenue Cycle Management to front-end staff workflow review.
Whether you are looking to improve what you already have in place or prefer to start fresh, PRISM delivers you the tools and knowledge needed to boost revenue, streamline smooth office operation, and increase patient satisfaction.
Strategic Business Analysis
With the “No Surprise Bill Act” medical providers struggle with automated and unwarranted pricing of claims by third party pricing agencies such as Zelis, Multiplan, and Viant, leading to unwanted:
Delays in payment
Underpaid claims
Bogus insurance denials
Insurance companies continue their on-going and unrelenting pursuit of paying out as little as possible to out-of-network providers. In order to successfully navigate these pitfalls, you need an experienced team that understands payer specific strategic work-flows (Aetna, BCBS, CIGNA, UHC, Oxford etc.).
Contact Prism, your experts in out-of-network account management and medical billing collections.
Strategic Medical
Practice Business Analysis
With the “No Surprise Bill Act” medical providers struggle with automated and unwarranted pricing of claims by third party pricing agencies such as Zelis, Multiplan, and Viant, leading to unwanted:
• Delays in payment
• Underpaid claims
• Bogus insurance denials
Insurance companies continue their on-going and unrelenting pursuit of paying out as little as possible to out-of-network providers. In order to successfully navigate these pitfalls, you need an experienced team that understands payer specific strategic work-flows (Aetna, BCBS, CIGNA, UHC, Oxford etc.).
Contact Prism, your experts in out-of-network account management and medical billing collections.
Get in Touch!
We are here to help your practice reach its full potential. Whether you have questions about our services or need personalized consulting, our team is ready to assist you. Contact us today to discover how PRISM can make a difference in your medical practice.