Our Personal Service Sets Us Apart
How Does It Work?
Step 1: Initial Review
We will generate solutions to your current billing issues, and will customize our services to your specific needs. Every effort will be made to develop a process that is comfortable to you, whether you use paper encounter forms or HL7 connectivity. We work for you, and it is important that your transition to AMS be as smooth and non-disruptive as possible.
If you are starting a new practice, we can help you with the necessary processes and procedures to help you succeed in this exciting journey.
Step 2: Next Steps
Your participating status with the Payors will be checked, and we will ensure you are receiving Electronic Funds Transfers whenever available. Fee schedules, as well as any other forms that you utilize will be reviewed with you, as requested. Documentation guidelines, medical necessity policies, and correct coding policies specific to your specialty will be discussed.
Detailed reports are provided on a weekly and monthly basis. These offer valuable insight into the financial performance of your practice. Whether you are data-driven, or just want the basics, we have the reports available for your needs. We will help you determine the most suitable set of reports.
You will have access to our secure encrypted webserver, through which we both will be able to share any HIPAA protected information and any other sensitive information. Reports will be uploaded to this webserver for your convenience.
Strategies For Success
Step 3: Go Live
We manage your complete revenue cycle either by receiving and reviewing HL7 demographic and charge data OR by accurately entering patient demographics and posting and reviewing charges. We will transmit and track claims, follow up on denials and payment errors, post payments, send secondary claims, and assertively follow up on unpaid line items or claims.
We have developed our Unique Dedicated Process to work aged claims, ensuring the most timely reimbursements. Our professional staff will aggressively and properly follow-up on each aged claim until it has been resolved. Claims are followed online whenever possible, both with our Electronic Data Interchange as well as with the payors’ online services.
Only our most experienced staff posts payments, with a trained eye for discovering underpayments and line items denied in error.
Once all payor receipts have been posted, any remaining patient-owed balances are billed to the patient using our easy-to-understand patient statements. Our phone numbers appear on the patient statements, and your staff refers all billing related questions to us. Â Patient questions are answered quickly, politely, and professionally. We will bill the patient three to four statements before referring the account back to you for collections decisions. No patient is ever sent to collections without your specific request.
The most successful clients make best efforts to collect copayments and payments on account at the time of the patient visit. These clients provide claims and payment information in a timely manner and respond quickly to our requests for additional information.Â
Step 4: Your Account Manager
and Billing Staff
Your practice will be assigned to one of our experienced highest-caliber Account Managers. Your Account Manager and dedicated team will be responsible for the full function of your account, ensuring consistent high-quality work by people who know and understand your Practice. Your Account Manager will keep you and your staff informed of any billing issues, denial trends, and any changes to payor requirements and medical necessity policies relevant to your specialty.
Our billing staff is knowledgeable, experienced, and professional. They have formed regular ongoing positive working relationships with the payors and provider representatives to facilitate correct and timely responses to claims inquiries and issues.
Each member of our staff participates in our ongoing internal training program, sharpening skills for the benefit of our clients. Additionally, updates in medical billing policies and procedures are reviewed on a regular basis.