Code the encounter
Providers chart the encounter note in PrognoCIS. Taiga drafts ICD-10 and CPT codes from it, and the treating physician approves them before the claim is built.
Keep PrognoCIS and give the claim queue an owner
PrognoCIS is the cloud EHR and practice management suite from Bizmatics, part of Harris Computer since 2021. Bizmatics also sells PrognoCIS RCM services. A practice can keep PrognoCIS for charting and hand coding, claims, and appeals to an independent team.
Book a demoAsk first whether your PrognoCIS claims run through in-house staff or PrognoCIS RCM, and which clearinghouse your account uses. Biller access is set up by the practice and confirmed on a call.
Encounter note in PrognoCIS
Visit documented and coded for approval.
Scrubber and clearinghouse
Edits run, then claims route out.
Rejected bucket and denials
Corrections, appeals, and payments need owners.
How a PrognoCIS claim gets paid
PrognoCIS keeps charting and billing on one platform. The handoff decides who works each queue.
Run scrubber checks
PrognoCIS lists scrubber warnings, LCD checks, CCI edits, and global day alerts. Agree who clears each hit before submission.
Route and acknowledge
PrognoCIS supports several clearinghouses and links 999 and 277 acknowledgments to each claim. Rejected claims collect in their own bucket, so name who empties it.
Post and appeal
EOBs can post from the clearinghouse, and appeal letter templates sit on the claim screen. Taiga works every denial and appeal; decide where payments are posted.
What a PrognoCIS practice gets
The platform stays. The follow-through gets a dedicated team.
Physician-approved codes
Drafted codes reach the claim only after the treating physician signs off.
An empty rejected bucket
Rejections and denials get worked to resolution, including low-dollar ones.
A real choice of service
Bizmatics offers PrognoCIS RCM. Compare its scope with an independent partner before deciding.
What to confirm in PrognoCIS
These details shape the handoff more than any feature list.
Who works claims now?
Tell Taiga whether staff, PrognoCIS RCM, or another biller handles claims, and any contract notice terms.
Which clearinghouse is connected?
Confirm the clearinghouse on your account and where its acknowledgments and ERAs arrive.
What access can a biller have?
Have your PrognoCIS administrator set a billing role for claims, payments, and reports.
How much A/R is open?
Share an aging report so Taiga can take over open claims or run alongside current work.
For PrognoCIS practices that want billing handled
Useful for a practice that likes PrognoCIS for charting but has a rejected-claim bucket and aging report nobody has time to clear.
No PrognoCIS partnership is claimed
Nothing here describes an API link, marketplace listing, or vendor relationship with Bizmatics. Taiga works through access your practice grants, confirmed in onboarding.
Questions from PrognoCIS practices
Who owns PrognoCIS?
Bizmatics makes PrognoCIS and has been part of Harris Computer, an operating group of Constellation Software, since 2021.
Can we keep PrognoCIS and use Taiga for billing?
Yes. Taiga works alongside your existing EHR, so providers keep charting in PrognoCIS.
We use PrognoCIS RCM. Can we move to Taiga?
Review your RCM agreement's notice terms first. Taiga can then take over open A/R or run in parallel while the transition happens.
Who clears the rejected claims bucket?
In a Taiga handoff, Taiga corrects and resubmits rejections and works the denials that follow. Confirm the access needed during setup.
Map your PrognoCIS billing with Taiga
Bring your clearinghouse details, a rejected-claim sample, and your aging report. Taiga will show which queues it would own.