Our aim is to help the business side of your practice run smoothly, productively and profitably for years to come.
We want you to be able to concentrate on your patient care without worrying about your bottom line.
ACS can assist you in all areas of your business' life cycle. We can help you start, run or move your practice.
Our highly skilled team of Billers, Coders, Geeks and Consultants will guide your patient and workflow practices to maximize your reimbursement rates while maintaining compliancy with HIPAA and CMS regulations.
We'll take a look at your practice and recommend ways to shorten your overall wait for payment, speed up your patient flow, staff your office and more.
Find out more:
Give Bruce Westenberg a call today at (602) 263-8958
The ultimate goal of any practice is to get the account balance paid down to zero as soon as possible. We work our way through to attain this objective.
Our reimbursement management starts when a charge is incurred and ends only when the patient's balance is zero. In between, however, there are several steps that our team undertakes:
- Patient registration information is entered accurately, and kept updated.
- We make sure that we have verified insurance benefits for the patients with the carrier
- We ask practices to collect patientís portion of the charges at the time of service, and record them into the system or send us the details
- An insurance claim is generated and sent to carrier accurately in a timely fashion
- If a claim is unpaid after an appropriate amount of time, depending on the usual turnaround time of the given insurance company, follow-up procedures are followed
- If a claim is pended for additional documentation, the documentation is sent to the carrier or the patient is reminded to contact the carrier
- When EOB is received, we compare the original charges against what has been paid or denied
- If the claim is paid, and everything is okay, the charges are posted and or entered into the system and a statement sent to the patient with any balance still owing (any contractual write-offs are taken at this time)
- If the payment is less than expected, or the carrier paid the claim wrong, the claim is resubmitted, or a request for a review is sent at this time
- If the claim is denied and it is clear there is no money forthcoming, the balance is billed to the patient if appropriate, less any contractual write-offs
- If the patient sends their payment, the amount is posted in the system
- Accounts receivables are monitored frequently. The biller takes appropriate action for collection of overdue accounts
- We ask practices to maintain a good record of their patients including release of information forms and assignment information. Without properly completed forms, a good portion of your accounts receivable could be lost.
- We keep and use updated procedure and diagnostic codes. Using outdated codes will undermine your practice. Also, the use of modifiers can affect payment by as much as 25% or possibly even result in a denial.
- Fee schedule review and management is as important as any other aspect in the reimbursement process. In order to set proper fees, our team has a good understanding of how various carriers pay claims, awareness of the going rates, PPO fee schedules, Medicare fee schedules and fee schedules based on relative values.
- We believe if we can measure it, we can manage it because the numbers don't lie. We produce timely and accurate reports, analyze them, isolate weaknesses in practice results, establish goals to correct them, and monitor the results continually. We ask practices to look at:
- Gross practice income, expenses and doctor compensation
- Performance compared to previous years
- Charges to collections
- Collections as a percentage of charges
- Charges, collections and contractual or write-off adjustments
- Analysis of net revenue received compared to previous years in order to stay lean.
- We'll tell you how well your practice is performing. We monitor the effectiveness of the collection process by reviewing collection ratios and the accounts receivable aging report and will help your practice collect as much as possible and make smart business decisions.