PPBS · Billing Transitions
When It Is Time To Change Billing Companies
Most practices do not leave a biller because of one bad month. They leave because claims were filed late, denials were never appealed, and accounts receivable kept growing while nobody explained why. PPBS takes over those accounts and reconciles them.
Request An AR ReviewFive Signs The Practice Is Losing Money
Timely Filing Denials
Every payer has a filing deadline, from 90 days to a year from the date of service. A claim submitted after it is denied and cannot be billed to the patient. If timely filing denials appear on your remittances at all, claims are sitting unsubmitted. Each one is revenue the practice has already lost.
Appeals Filed Late Or Not At All
Denials have appeal windows too, usually 60 to 180 days. A biller who works denials only when there is time, or writes them off instead of appealing, lets recoverable money expire. Ask for a list of denials from the last six months and what was done with each. Silence is the answer.
Accounts Receivable Growing Past 90 Days
Healthy physician AR is concentrated under 60 days. When the 90-plus and 120-plus buckets keep growing, claims are not being followed up. Many balances in those buckets are already past the appeal window by the time anyone looks.
No Visibility
You should be able to see your own claims, payments, denials and aging without asking for a report. If the only information you receive is a monthly summary, you cannot tell whether the numbers above are happening to you.
Coding Questions Go Unanswered
A biller who cannot explain why a wound care, surgical or podiatry claim was coded the way it was, or who does not know your MAC's coverage policy, will not catch the documentation problems that lead to denials and audits.
How PPBS Takes Over
Prompt Reconciliation Of Accounts Receivable
35+ years of medical billing experience, applied first to what is about to expire and then to everything else.
Full AR Reconciliation
Every open balance is reviewed claim by claim: paid, denied, never submitted, or past deadline. You get a true picture of what is collectible.
Deadline Triage
Claims still inside timely filing are submitted first. Denials still inside the appeal window are appealed first, with payer policy citations. Nothing recoverable is allowed to expire during the transition.
Clean Cutover
New claims start flowing through PPBS on the agreed date while the old AR is worked down in parallel. There is no gap in submissions.
Coding Review
Specialty-specific review of how claims were being coded, so the denials that caused the backlog stop recurring.
Read-Only Access
Your account in CollaborativeMD is yours to see at any time: claims, payments, denials and aging.
Frequently Asked Questions
- Can PPBS recover claims my previous biller never filed?
- Only those still inside each payer's timely filing limit. PPBS identifies which unsubmitted claims are still filable and submits them immediately. Claims past the limit are documented so the practice knows what was lost and why.
- How long does a transition take?
- New claims can move to PPBS within days once access to the practice management system and payer portals is in place. Reconciling old AR depends on its size and age; the deadline-sensitive work is done first.
- Do I have to change software?
- PPBS runs clients on CollaborativeMD, which gives every client read-only access to their own account. Transition from another system is handled as part of onboarding.
- Will PPBS also handle credentialing for new providers?
- Contracting and credentialing are handled with our partner PECS, so a new provider is enrolled and billable without a second vendor to manage.
Request An AR Review
Tell us about your practice and your current billing arrangement. We will review where your receivables stand and what is still recoverable.