Every dollar you earn deserves to be collected. Probiz manages your entire financial lifecycle — from the moment a patient walks through your door to the final payment clearing your account.
Most providers think of RCM as "billing." In reality, it is the interconnected system of administrative and clinical functions that determines how — and whether — you get paid for every service you provide.
A breakdown at any stage — a missed eligibility check, a single wrong diagnosis code, a late appeal — cascades into revenue loss that compounds silently over time. Most practices leak between 10% and 30% of their earned revenue without knowing it.
Each stage is managed by dedicated specialists — not generalist staff juggling multiple functions.
We verify demographic accuracy and confirm active insurance coverage before the appointment — eliminating the most common source of front-end denials before they occur.
Catches 35% of potential denials at source
We handle all pre-authorization requests with payers before procedures are performed, ensuring coverage is secured and documented to prevent post-service denials.
Reduces authorization-related denials by 89%
AAPC/AHIMA-certified coders translate clinical documentation into precise ICD-10, CPT, and HCPCS codes optimized for maximum allowable reimbursement within compliance boundaries.
Up to 99% coding accuracy rate maintained
Every claim passes through our Thousands of rule scrubbing engine before electronic submission. We catch errors before payers do, maintaining near-perfect first-pass acceptance.
72-hour submission window guaranteed
ERA/EOB payments are posted with same-day precision. We reconcile every contractual adjustment, identify underpayments, and flag payer contract violations for immediate follow-up.
Identifies avg. hidden underpayments recovered
Denials are categorized, analyzed, and appealed within 24 hours. We perform root-cause analysis to eliminate systemic issues — not just fix individual claims.
High denial overturn rate on first appeal
The numbers tell the story that most practice managers don't want to face.
| Performance Indicator | Typical In-House | Probiz RCM |
|---|---|---|
| First-Pass Claim Rate | 75–82% | Up to 99% |
| Average A/R Cycle | 45–60 days | <28 days |
| Denial Rate | 15–25% | <4% |
| Revenue Leakage | 10–30% of earned | <2% |
| Denial Appeal Success | 35–45% | High+ |
| Staff Overhead Cost | $80,000–$150,000/yr | Performance-based fee |
| Compliance Risk | High (staff turnover) | Managed & Audited |
We connect directly to your existing EHR — Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, Kareo, and all major platforms. Your clinical workflows remain completely unchanged.
Our implementation team builds the bridge between your clinical data and our financial engine within 2–4 weeks. From Day 1 of launch, you have a dedicated account manager and a real-time performance dashboard accessible 24/7.
We combine certified expertise with proprietary technology to deliver unmatched revenue cycle performance.
Our advanced rules-based scrubbing engine runs every claim against millions of payer-specific rules before submission, practically eliminating front-end rejections and accelerating your cash flow.
We don't use generalists. Your account is managed by specialty-specific certified coders who understand the nuances of your exact clinical discipline, ensuring maximum compliant reimbursement.
Stop waiting for end-of-month reports. Our proprietary BI dashboards give you real-time visibility into collection rates, A/R aging, and denial trends.
We work seamlessly within your existing software via secure, HIPAA-compliant VPNs. Zero data migration required, and zero disruption to your clinical workflow.
Switching billing partners shouldn't disrupt your cash flow. Our meticulously engineered onboarding process ensures a smooth, parallel transition.
We establish secure remote access to your EHR/PMS and map your existing workflows without interrupting your current team.
We audit your past claims to identify immediate revenue leakage, coding errors, and systemic denial trends.
Our rules-based scrubbing engine is programmed with your specific payer matrix and local coverage determinations to prevent future denials.
We take over day-to-day operations, instantly applying our optimized workflows to accelerate your cash flow and reduce days in A/R.
Common questions about our process, integration, and security.
