ARE THESE SERVICES BEING SUBMITTED TO APPROPRIATE PAYERS?
APS can help. Here’s how:
We examine the documentation to determine that all activities performed have been captured. We also ensure the information collected is complete and data is accurate and appropriate for billing.
This step alone can lead to substantial increases in revenue!
APS coders review pairings of diagnosis and procedure codes within a claim, ensuring that they are payable by each payer prior to submission.
We correct mismatches—and work with providers if mismatches are too frequent!
APS Medical Billing reviews any rejected claims for systematic issues that can be addressed in the pre-billing process (plan designations, etc.).
Our educational approach can help address any systematic problems in the documentation and other pre-billing processes.
Once a claim is accepted and processed, we review the insurance explanation of benefits to ensure that the adjudication of the claim reflects any contractual agreements between the provider and the insurer.
We pursue corrections to allowed amounts and appeals as appropriate—and our dedicated accounts receivable follow-up team addresses delays in processing by delinquent payers we address delays in adjudication.
We pursue balances from patients based on customizable processes taking into account your wishes and the provisions of state and federal laws. Refunds are addressed quickly and efficiently to comply with payer contracts and keep patients from becoming discontent.
We have dozens of collection processes available, including web-based payment options, outbound calls made on accounts and customized bill cycles; so APS Medical Billing can be as sensitive as you wish.
Browse our educational materials to learn more, and contact us today to get started.