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Ancillary Billing Services

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      About ProClaim

ProClaim provides ancillary billing services to over 1,700 extended care facilities throughout the United States.  Our programs offer the most efficient means of capturing reimbursement for covered residents in long-term care facilities and home-bound residents.  

ProClaim offers a Fee for Service (FFS) program where the customer has the Medicare Part B supplier number and contracts with ProClaim to submit claims on a fee per transaction. 

Our unique approach to this business includes: area coordination (field representatives), customer service, document preparation/tracking, billing and collection, compliance, and a full range of reporting which empowers clients to increase both operational efficiency and financial returns. 

Headquartered in Franklin, TN, ProClaim, Inc., is a wholly-owned subsidiary of Gulf South Medical Supply and PSS World Medical.

We also offer a Full Assignment (FA) program through Ancillary Management Solutions, Inc.  This program offers a solution for facilities that do not have a Medicare Part B number and choose not to participate in the Part B program.  Ancillary Management Solutions, Inc. supplies covered products for qualified residents and bills Medicare  and most other payers directly on behalf of the beneficiary.

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Client Focus

ProClaim is dedicated to serving long-term care facilities and providers.  In addition to traditional extended care facilities, our clients also include home care, alternate site care, and pharmacy providers.  Clients range from individual facilities and small regional chains to nationwide organizations, both privately and publicly held.  ProClaim also serves regional and national providers who may use all or only specific parts of our Ancillary Billing Services.

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Expertise

ProClaim's professional staff combines years of experience with ancillary programs, third-party payers, and financial management.  This specialized expertise ensures that our Fee for Service clients achieve the best financial results. 

You can expect:

    • Faster cash collections and fewer write-offs and adjustments
    • Dependable compliance program to enhance risk management
    • Financial benefits resulting in more cost-efficient operations

With ProClaim on your team, your staff can focus on your core mission.  You will reduce capital investments necessary to manage your Part B ancillary program and eliminate the burden of funding long accounts receivable cycles.  Plus, you can be assured that someone is staying abreast of changes in Medicare rules and regulations.

What's more, as regulatory and compliance requirements place dramatic downward pressure on profit margins, you'll have a powerful tool - a proactive business partner in ProClaim - to combat profit erosion and to keep your margins healthy.

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The ProClaim Mission

ProClaim's mission is to provide the best ancillary billing services for enteral, urological, trach, and ostomy reimbursement; to partner with extended care providers to improve operational efficiency; to ensure regulatory compliance; and to enhance financial performance. 

ProClaim is committed to effectively meeting our clients' needs through continuing education, professional ancillary billing management expertise, outstanding service, and personal attention.  We pledge to meet and exceed performance criteria established collectively for each client we serve.

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Operational Overview

    • Area Coordination
    • Customer Service
    • Data entry and processing
    • Documentation services
    • Eligibility verification
    • Inventory assistance and Recommended Order Quantities
    • Billing to third party payers
    • Secondary and responsible party co-insurance billing
    • Primary and secondary collections
    • Monthly management reporting
    • Cash posting applications and accounts receivable monitoring
    • Onsite facility visits and medical chart reviews
    • Customized Medicare billing software
    • Electronic record retention

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Benefits for Selecting ProClaim

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