Pyramids Global -
Frequently Asked Questions
About Medical Billing & RCM

Yes, Pyramids Global generates and sends accurate patient statements on a regular billing cycle. The billing cycle frequency can be fully customized to fit the specific needs and preferences of your practice, ensuring patients receive clear, timely billing information every time.

Pyramids Global does not maintain proprietary billing software. Instead, we work with all major third-party billing platforms – including AdvancedMD, Kareo, eClinicalWorks, athenahealth, and more, ensuring your practice can continue using the software you are most comfortable with.

Yes, Pyramids Global provides fully customized RCM solutions for every client. If your practice has specific requirements related to billing software integration, credentialing, prior authorizations, patient inquiry handling, or any other billing need, our team will build a tailored solution that fits your practice perfectly.

Yes, Pyramids Global works with a comprehensive list of third-party billing software platforms. We will help you select and implement the billing software that best fits your practice’s workflow, size, and specialty, at no additional complexity to your team.

Pyramids Global is fully responsible for all patient billing communication. Whether a patient has questions about their statement, a balance dispute, or an insurance explanation, our patient help desk team handles every inquiry professionally and accurately on your behalf.

When you partner with Pyramids Global, we assign you a dedicated account manager, team lead, and billing team. You will receive daily, weekly, and monthly financial statements covering your practice’s collections, claim status, denial trends, A/R aging, and overall revenue cycle health.

Pyramids Global believes in complete transparency. You will have full access to the billing system at all times, allowing you to review claim status, payment postings, denial reports, and all billing activity whenever you need it

Pyramids Global manages the complete insurance refund process on your behalf. We contact the insurance provider directly to verify whether the reimbursement request is legitimate. If valid, we balance the payment against future reimbursements and notify your practice immediately. If the insurer refuses the adjustment, we inform your practice so a direct refund can be issued to the patient.

Pyramids Global has designed a simple, low-cost medical billing solution starting at just $3 per claim, with no setup fees. To get started, contact our billing team at consult@pyramidsglobal.com or call (888) 511-5441. We will walk you through the onboarding process and have your practice billing efficiently within days.

Pyramids Global offers prior authorization services across 20+ medical specialties, including Electrophysiology, Cardiovascular Disease, General Surgery, Psychiatry, Pediatrics, Podiatry, Internal Medicine, Gastroenterology, Dermatology, Family Practice, Mental Health, Counseling, Ophthalmology, Chiropractic, Oncology Radiology, Rheumatology, Urgent Care, Speech Therapy, Physical Therapy, and Occupational Therapy.

Yes, Pyramids Global proactively monitors all active authorizations and notifies your practice well before expiration. We also initiate renewal requests in advance, ensuring your patients never experience a gap in authorized services that could result in claim denials.

Prior authorization processing times vary by payer and specialty. On average, Pyramids Global obtains most authorizations within 7 to 14 business days. For urgent cases, we escalate directly with the insurance carrier to expedite the process and minimize delays to your patients’ scheduled procedures.

When a prior authorization is denied, Pyramids Global immediately reviews the denial reason and prepares a detailed appeal on your behalf. We work with your clinical team to gather the necessary medical documentation and certify that the requested service is medically appropriate and required – maximizing the likelihood of a successful overturn.

Yes, Pyramids Global communicates directly with Primary Care Physicians for all referral inquiries on behalf of your practice. We submit referral requests via phone and fax, and our team follows up persistently until every referral is fully processed and confirmed.

Pyramids Global requests complete patient eligibility and benefits information from the scheduler at least two days before each appointment. We verify active coverage, co-pays, deductibles, and specialty-specific benefits, then send a full benefits summary to your practice via email and upload the notes directly into your EMR system for easy access.

Pyramids Global accommodates same-day and next-day patient additions. As soon as new patients are added to your scheduler, our eligibility team processes their verification as quickly as possible, ensuring your practice always has accurate coverage information before the appointment.

When Pyramids Global identifies that a patient’s insurance is inactive or that their plan excludes specific services, we immediately notify your practice with a detailed explanation. This gives your team the opportunity to contact the patient directly, discuss alternative coverage options, and make any necessary scheduling or billing adjustments before the appointment

Yes, Pyramids Global’s certified medical coders review every medical record pertaining to the services rendered. We assign the correct CPT, ICD-10, and HCPCS codes for each patient encounter – ensuring coding accuracy, compliance, and maximum reimbursement for your practice.

Yes, Pyramids Global provides coding review services for claims coded by your own team. Our certified coders examine every CPT and ICD-10 code for accuracy and compliance, identify any areas that need correction, and append the proper modifiers before submission, ensuring your claims are fully compliant and positioned for maximum reimbursement.

Yes, Pyramids Global uses CPT codes, ICD-10 codes, and modifiers to review every denied claim. We identify the exact coding error or documentation gap that caused the denial, make all necessary corrections, and resubmit the claim promptly, recovering revenue your practice has already earned.

Pyramids Global codes all claims within 24 hours of the practitioner signing the medical records. This fast turnaround ensures your claims are submitted promptly, reducing days in accounts receivable and keeping your practice’s cash flow consistent.

Yes, Pyramids Global always files claims in your practice’s best financial interest. We handle both paper and electronic claim submission to the clearinghouse, manage all claim denials, and follow up on every unpaid or underpaid claim, ensuring your practice receives the full reimbursement it has earned.

Yes, Pyramids Global provides your team with complete, on-demand access to the billing system. You can view real-time claim status, payment details, denial reports, and all financial transactions at any time, giving you full visibility and control over your practice’s revenue cycle.

Pyramids Global assigns every practice a dedicated professional account manager who serves as your single point of contact for all billing and collections inquiries. Your account manager is reachable by phone and email during business hours and ensures all your questions are addressed promptly and accurately.

Yes, Pyramids Global sends your practice daily email updates with a complete assessment of billing activity and collection status. You will always know exactly where your claims stand, from submission through payment, without having to follow up or request reports manually.

Pyramids Global works on clearinghouse rejections, payer denials, and claim errors every single day. Your practice also receives a comprehensive weekly denial summary report, highlighting denial trends, root causes, and the corrective actions taken to recover every dollar your practice is owed.

Pyramids Global delivers a full suite of billing reports including Monthly Financial Summaries, Missing Claim Tracking Reports, Monthly A/R Aging Reports, Missing Information Reports, Denial Analysis Reports, and any custom billing report your practice needs, all available on demand.

Pyramids Global’s experienced patient help desk specialists handle all patient billing inquiries directly. Patients can contact our team with questions about their invoices, insurance payments, balances, or payment plans, and our specialists will resolve every inquiry professionally, accurately, and in a way that reflects positively on your practice.

Yes, Pyramids Global reviews every patient statement in detail, including the date of service, all procedures rendered, and any outstanding balances on both the patient’s and the payer’s side. You can expect accurate, fully reconciled statements that reduce patient confusion and minimize billing disputes.

Pyramids Global is unable to update Coordination of Benefits directly with payers, as COB updates must be initiated by the patient. However, our patient help desk team will contact the patient, explain the situation clearly, and guide them through the process of updating their COB, ensuring the issue is resolved without burdening your clinical staff.

Pyramids Global follows a structured patient reminder process. We first ensure that the required number of billing statements are mailed through the clearinghouse within a 28-day billing cycle per your practice policy. If patients do not respond, our team makes outgoing reminder calls and leaves voicemails to prompt payment. As a final step, we compile outstanding statements and deliver them to your provider team for handoff to recovery agencies when necessary.

When your patients call, their calls are routed directly to Pyramids Global’s patient help desk team at our head office. Our specialists are available from 8 AM to 5 PM in your time zone to assist patients with billing inquiries, statement questions, payment arrangements, and any other billing-related concerns, professionally and on behalf of your practice.

Medical credentialing is the process of verifying and documenting a physician’s qualifications, licenses, and credentials, ensuring all information is accurate and complete within insurance systems. Pyramids Global manages the complete credentialing process for your providers, helping you contract with all major payers in the industry so your practice can begin participating and billing without delays.

Pyramids Global ensures your practice gets enrolled with the maximum number of insurance companies in your state, including all major commercial payers, Medicare, and Medicaid. We also handle the complete setup of Electronic Funds Transfer (EFT) and Electronic Data Interchange (EDI) agreements so your practice can receive reimbursements electronically and submit claims efficiently.

Credentialing timelines vary by payer and state, but typically take 3 to 6 months depending on the insurance panel’s availability and processing schedule. Pyramids Global begins the credentialing process immediately upon engagement and tracks every application actively, following up with payers to minimize delays wherever possible.

Provider credentialing is the procedure through which a health insurer evaluates a care provider’s credentials, qualifications, and abilities using submitted documentation and the provider’s CAQH profile. Pyramids Global manages every step, from CAQH setup and maintenance to application submission and payer follow-up, ensuring a smooth credentialing process for every provider in your practice.

Yes, Pyramids Global handles the addition of new physicians to an existing group practice. Simply provide us with the new provider’s information and credentials, and our credentialing team will submit all required documentation to every insurance company on your behalf, ensuring the new provider is enrolled and ready to bill as quickly as possible.