Professional Reimbursement Network, LLC

Professional Reimbursement Network, LLC Interested in medical coding certifications? Let PRN help you reach your goals! We offer online medical coding classes. Visit www.ohioprn.com for details.

11/07/2025

Ever feel intimidated in a room full of executives? This person did. Then they saw the company president eating cookies and picking up crumbs. It's a reminder that everyone's human. Use your people skills with everyone!

11/06/2025

Someone out there needs to hear this: You possess the power to transform not only yourself, but the entire world around you. What you experience, what you encounter—you have the capacity to impact, influence, and transform it all.

11/05/2025

Hospitals often disrespect medical coding, thinking it's just "codes". Outsourcing and AI arose from this lack of respect, but now they're making things worse. Medical coding is complex; sequencing changes everything. AHIMA and AAPC should take responsibility.

11/04/2025

Navigating MACs can be a maze. One provider highlights the frustrating lack of consistency. What works in one state may be denied in another. Clear, consistent documentation should be enough, regardless of location. Why the need to constantly adjust?

11/03/2025

Many don't realize the immense pressure HIM managers face to maintain those 6-figure jobs. Hospital finances are strained, impacting their advocacy for coding teams. Pushing for speed sacrifices accuracy, quality, and reimbursement. The full impact isn't always seen right away. Is quality being thrown out the window?

11/02/2025

The AMA continues its fight against declining physician reimbursement rates. These cuts threaten practices and drive doctors out of the profession. There's a long article, “66 Million Reasons Why CMS Must Be Stopped.” Now might be the best time to act.

11/01/2025

Auditors found shocking non-compliance in 12 MAC jurisdictions. They failed contract requirements for audit quality across 3 years. With 287 total audit issues, it's time to break down the 5 major problem areas.

10/31/2025

Medicare Administrative Contractors (MACs) handle billions in claims. But they also manage the first level of appeals—meaning the same organization that denies a claim gets to review its own decision. Is this a conflict of interest?

10/30/2025

Don't just take their word for it. Data from a 2018 study shows that MACs overturn initial determinations in about 19% of cases. But administrative law judge hearings? They result in pro-provider decisions about 65% of the time. A huge difference.

10/29/2025

Data reveals a stark contrast in healthcare appeal outcomes. MAC redeterminations see ~19% provider success, while ALJ hearings yield ~65%. This suggests bias in initial reviews. Is the system inadvertently incentivizing MACs to uphold initial decisions, creating a costly and inefficient appeal process?

Address

10999 Reed Hartman Highway
Blue Ash, OH
45242

Opening Hours

Monday 10am - 5pm
Tuesday 11:30am - 3pm
Wednesday 10am - 5pm
Thursday 4pm - 8:30pm
Friday 10am - 5pm

Telephone

+15138056371

Website

Alerts

Be the first to know and let us send you an email when Professional Reimbursement Network, LLC posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Professional Reimbursement Network, LLC:

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram