About Ms. Pinky and Professional Associates

pinky-maniri

Ms. Pinky Maniri-Pescasio is a renowned and highly educated Professional Medical Practice Consultant, a sought-after National Speaker on Physician Billing, Coding and Reimbursement. A well-respected Revenue Cycle Management Expert and Compliance Expert.

She is the Chief Executive Officer and the Managing Director of:

GoHealthcare Consulting and Business Development, LLC
Business Address at 330 Mounts Corner Drive
Freehold, NJ 07728

Our mission:
To make sure our Physicians/Clients maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies.
To provide accurate, efficient, HIPAA-compliant and cost-effective medical practice business solutions to healthcare providers, groups and their medical offices.

Our vision is to see ourselves grow with our Clients with highest integrity everyday.

Our values:
Act with high sense of integrity.
Highly professional and knowledgeable about the business, government guidelines, rules and compliance.
Honest, trustworthy and reliable.
We work as a team without reservations.
Respect every individual.
We are always alert and focused on what we do.

Our goals:
To maintain and grow a good business relationship with our clients, helping them build a profitable medical practice business and compliant with the Government and Commercial Payers with Guidelines, Policies, Rules, Statutes and Regulations – all the time!
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Our strength is based on our length of professional experience, expertise, education and training. We take pride with our work ethics and integrity. Our team are all located in the United States. We never outsource our work outside the country or to any 3rd party company.

Ms. Pinky herself have worked extensively with practice administration, medical billing and coding, compliance, appeals, fee schedule analysis, contract negotiation, insurance credentialing, payments recovery due to incorrect billing, charges and coding! Been helping medical providers develop their internal medical billing / coding compliance program in their office as recommended by the Office of Inspector General for Small Group Physicians.

OUR MEDICAL PRACTICE INDUSTRY EXPERTISE

1. Pain Management Medical Billing Consultant
2. Orthopedic Medical Billing Consultant
3. General Surgery Medical Billing
4. Obesity Medicine Billing
5. Documentation Review and Claims Audit
* Accurate Coding
* Evaluation and Management Coding
* Medical Necessity
* Compliance Plans
* CPT Coding Level
* CCI Edits Conflicts
* Payor Guidelines and Policies (Clinical, Utilization and Reimbursement)
* ICD-9, ICD-10, HCPCS Codes
* Medicare and Medicaid Guidelines and Policies
6. Anesthesiology Billing
7. Neurology Billing
8. Physical Therapy Billing
9. Physician Insurance Credentialing
10. DME Durable Equipment Billing
11. Workers Comp Billing
12. MVA Claims Billing
13. Chiropractor Practice Medical Billing

She have worked extensively with administration, medical billing and coding, compliance, appeals, fee schedule analysis, contract negotiation, insurance credentialing, payments recovery due to incorrect billing, charges and coding! Been helping medical providers develop their internal medical billing / coding compliance program in their office as recommended by the Office of Inspector General for Small Group Physicians.

Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies.

Knowledge, Skills, Abilities and Expertise
  • Expert in Medical Group Practice Over-all Operations and Business Management
  • Ability to establish and maintain excellent client relationship, exhibit exemplary interpersonal skills and exercise sound judgment and professionalism in business and personnel matters.
  • Ability to provide leadership and influence others.
  • Ability to solve problems and identify solutions.
  • Knowledge of managed care environment and patient service delivery systems and knowledge of federal and state rules and regulations regarding billing and claims processes.
  • Knowledge of Project Management Process and Systems.
  • Knowledge of applicable federal and state regulatory, rules, laws and statutes
  • Expert in any EMR Systems (eClinicals, Greenway, ADS, Practice Fusion, Epic, Kareo)
  • Expert in Medical Practice Management Software (ADS, Lytec, Medisoft, Kareo, Practice Suite, Office Ally, GE Systems)
  • Expert in Practice Financial Analysis (Collections, Physician Productivity, Procedure/Diagnosis)
  • Expert in Medical Coding (ICD-9, ICD-10, CPT, HCPCS, Modifiers)
  • Expert in Medical Billing (Maximizing Reimbursement, Revenue Cycle, Accounts Receivables, Patient Statements and Claims Appeals)
  • Expert in Medical Billing for all different Places of Service (eg. Ambulatory Surgery Center, Office-based, Outpatient Hospital, Inpatient, SNF, Home, etc.)
  • Expert in Analyzing Insurance Company’s Clinical and Reimbursement Guidelines and Policies
  • Knowledge of HIPPA, OSHA, OIG Guidelines, Medicare Guidelines and all government regulatory, laws and statutes
  • Knowledge of Workers Compensation and Motor Vehicle Claims (Guidelines, Timely Filing, Forms, Appeals, MMI, IME)
  • Expert in Insurance Credentialing and Fee Negotiations
  • Expert in Social Media Medical Practice Compliant Marketing Strategies
  • Expert in Human Resources and Management
  • Expert in QuickBooks and Bookkeeping (Payroll, Employee Benefits, Taxes)
  • Knowledge of Many Different Suppliers Sources (Equipment, Drugs, DME and other Clinical/Ancillary services supplies)

Ms. Pinky’s Educational Background
Bachelor of Science in Systems Engineering – Cebu Institute of Technology

Research Studies – Tsukuba University

Clinical Nursing Credits – Brookdale Community College

 

Professional Affiliations:

  • Medical Group Management Association

  • American College of Healthcare Executives

  • American Health Information Management

 

SPEAKING EVENTS OF MS. PINKY MANIRI-PESCASIO

 

 

 

 

 See what others say about Ms. Pinky and their Testimonials CLICK HERE

 

Ms. Pinky Maniri,MS, BSc –  A Professional Consultant in Medical Billing, Coding, Reimbursement and Office Management. She is an expert on Insurance Credentialing, Contracting and Fee Negotiations. Her Focus of Specialty are in Pain Management, PM&R, Orthopedic and General Surgery. She also BLOGS at JustMyPassion.Com – a website that has been helping medical offices, physicians, office managers, coders and billers since 2005!

 

Ms. Pinky has a Team of Highly Professional and Experienced Medical Practice Consultants, Billers and Coders in the Industry

Medical Billing, Coding, Reimbursement and E/M Questions?

We can help you navigate your practice on how to INCREASE REVENUE by looking at additional Services that you can possibly do in your Practice based on your Specialty.

So talk to us, you will surely love us!

 

CONTACT US HERE!

 

OR CALL US NOW AT (888) 822-0862

 

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