FAQS

PMN charges rates starting at just 3% of your collections. There are no setup or hidden fees, and no long-term contracts. Your exact rate depends on claim volume, specialty, and payer mix, so contact PMN directly for a quote specific to your practice.

At PMN, we don’t charge setup fees or require long-term contracts for our standard services. You pay a percentage of what we collect on your behalf, so cost scales with your revenue rather than a fixed monthly charge. This structure means you can leave at any time without a penalty.

PMN’s rates start at 3% of collections, below the 4% to 10% industry range most billing companies charge. There are no setup fees or long-term contracts with PMN. Lower claim volumes or high-complexity specialties usually push a billing company’s rate toward the higher end.

Outsourcing medical billing improves efficiency by removing claim submission, denial follow-up, and payment posting from your staff’s workload. This means front-desk and clinical time isn’t split with billing tasks. Dedicated billing companies also submit cleaner claims first time, reducing the risk of denials and reducing your workload. PMN’s 99.98% first-pass acceptance rate reflects this lower error rate directly.

Yes, outsourcing is generally worth it once the cost of in-house billing staff, software, and training exceeds the cost of working with a billing company, which is common for small and mid-sized practices. Outsourcing also reduces claim errors and frees your staff to focus on patients instead of collections. Compare your current collection rate and staffing cost before deciding.

Choose the right medical billing company by comparing first-pass claim acceptance rates, average days in accounts receivable, and contract terms, rather than just price alone. Ask for references from practices in your specialty and confirm whether setup fees or long-term contracts apply. PMN publishes its own performance metrics, including a 99.98% first-pass acceptance rate, so you can compare directly.

In-house billing means employing your own billing staff, software, and training, with those costs fixed regardless of collections. With outsourcing, those tasks are completed by a company paid a percentage of what it collects, tying cost directly to performance. Outsourcing is worthwhile when your staffing and software costs exceed what a billing company charges.

The best medical billing company for a small or independent practice is one with no minimum revenue requirement or long-term contracts. It should also offer pricing that scales with collections, rather than a flat monthly fee. PMN has no minimum revenue requirement and offers rates starting at 3%, with no setup fees, making our services accessible to solo and small group practices.

Switching without disrupting revenue starts with settling, in writing, who will continue to manage your open claims after the cutover date. Clean transitions typically take six to eight weeks for small practices, with new claims moving to the new company while the old vendor finishes aged claims. PMN manages this switchover process as part of onboarding.

Minimum revenue requirements are common among larger medical billing companies, which can turn away smaller or newer practices. PMN has no minimum revenue requirement for client practices, making our services accessible to solo practitioners and small group practices. Rates are based on a percentage of collections, so our incentives stay aligned with your practice’s revenue at any size.

PMN’s accounts receivable management includes claim submission, denial management, underpayment appeals, and payment posting across every payer your practice bills. The service covers both new and aged claims, so outstanding balances are worked from day one rather than written off. Rates start at 3% of collections, with no setup fees.

Some medical billing companies bill insurance only and leave patient collections to the practice, while full-service providers handle both. PMN manages both insurance billing and patient collections, including statement generation, payment plan setup, and follow-up on copays, deductibles, and coinsurance, keeping your entire revenue cycle under one point of contact.

Yes, many established medical billing companies work with both solo practices and larger multi-provider groups. PMN provides the same full-service billing, coding, credentialing, and revenue cycle management for both, with pricing that scales by collections rather than provider count and no minimum revenue requirement to qualify.

You should expect monthly production, AR aging, denial, and payment reports, plus collections summaries broken down by provider, payer, and location. These reports should be available in real time rather than only at month-end. PMN provides all of these through its NextGen practice management platform, with custom reports available on request.

Yes, PMN conducts compliance-focused billing and coding audits performed by AAPC-certified coders. Audits review clinical documentation against billed codes, coding accuracy, modifier use, and payer-specific rules to identify both underbilling and compliance risk. Audits are available to current clients and to practices that use another company for day-to-day billing.

Any medical billing company handling patient billing data must operate under a HIPAA business associate agreement governing how that data is handled, stored, and returned or destroyed if the relationship ends. PMN processes all data through NextGen’s secure platform and provides compliance documentation on request during vendor review.

PMN works with more than 30 medical specialties, ranging from primary care and internal medicine to surgical, behavioral health, and diagnostic specialties such as radiology and pathology. Certified coders are trained in the CPT and ICD-10 requirements specific to each specialty. Visit PMN’s specialty pages for coding and billing details relevant to your practice.

Yes, most medical billing companies work remotely and can service a practice regardless of location. PMN is headquartered in Laguna Hills, California, and expanded its client base nationwide after Dr. Ray Ghodsi joined in 2010. We onboard practices located anywhere in the U.S. through the same remote setup process.

Setting up with a new medical billing company typically takes two to four weeks. This covers EHR access, software installation, staff training, and transitioning any open accounts receivable from your previous process, though a complex payer mix can extend that timeline. PMN’s team is available as soon as a contract is signed, so onboarding can start immediately.

Most medical billing companies ask you to upload documents through a secure practice management platform, the fastest method for both parties, though alternatives like direct EHR integration are often available. PMN follows this same process and confirms the best submission method for your workflow during onboarding, before your first claims go out.

Insurance payments go directly to your practice’s bank account, most often through Electronic Funds Transfer, with some paid by check. PMN’s platform tracks every payment owed and posts it against the matching claim, flagging any payment sent to a patient in error under out-of-network coverage. No revenue is left untracked.

No, most medical billing companies build their billing and revenue cycle process around your existing EHR rather than requiring a switch. At PMN, our NextGen platform includes its own EHR option, but your clinical workflow stays the same, and only the billing and claims process changes.

PMN’s team is available by phone and email during business hours for billing questions, payment issues, or patient account concerns after onboarding. You are assigned points of contact who know your practice’s history rather than being routed through a general queue. For urgent payment or claim issues, call PMN directly at (949) 215-5055.