Solutions Healthcare Management

Pinnacle Healthcare Revenue Solutions (PHRS), operating under Solutions Healthcare Management, provides revenue cycle management services specifically designed for specialty medical practices. Established in 1997, the company has built a national reputation particularly in nephrology, supporting over 50 private practice nephrology groups while also serving dermatology, cardiology, gastroenterology, orthopedic surgery, urology, obstetrics, and internal medicine practices across multiple states.

The company's core services include medical coding and billing with AAPC and CPC certified coders, accounts receivable management, denial management, provider credentialing, and practice management consulting. PHRS reports performance metrics including 98%+ collection rates, 7% revenue increases, 23% denial reductions, and average days in AR of 30.25. The firm emphasizes expertise in transitioning practices from fee-for-service to value-based care reimbursement models.

With over 25 years of experience and hundreds of clients served, PHRS positions itself as a specialized alternative to generic billing services, offering customized reporting, strategic development planning, and deep knowledge of payer requirements across different EMR systems including eClinicalWorks, Athena, NextGen, and AdvancedMD.

Choose Pinnacle Healthcare Revenue Solutions when specialty-specific billing expertise is critical to your practice's financial performance, particularly if you operate a nephrology practice or another complex specialty with challenging payer requirements. The company's 25-year track record and documented performance improvements make them suitable for practices experiencing billing challenges, high denial rates, or preparing for transitions to value-based care models.

Expect a consultative engagement that extends beyond basic billing services to include strategic guidance, with emphasis on customized reporting and ongoing process optimization based on specialty-specific best practices.

Pinnacle Healthcare Revenue Solutions operates exclusively in healthcare revenue cycle management, with particular depth in specialty physician practices. The company demonstrates healthcare-specific expertise through HIPAA compliance, AAPC and CPC certified coders, and experience managing thousands of specialty claims annually across nephrology, dermatology, cardiology, gastroenterology, orthopedic surgery, urology, obstetrics, and internal medicine verticals.

Their healthcare focus extends to understanding specialty-specific payer requirements, credentialing with hospitals and surgery centers, and consulting on healthcare industry transitions including telehealth implementation and value-based care model adoption.

Specialty physician groups with 5-50 providers, particularly in nephrology, cardiology, gastroenterology, or other complex specialties with challenging billing requirements. Best fit for practices struggling with high denial rates, extended AR days, or those preparing for ownership transitions or value-based care models. Suitable for both independent practices and hospital-owned specialty groups seeking dedicated revenue cycle expertise.