Billing services

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Billing services
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Each EOB is audited for correct payment and/or benefits and credited appropriately. When necessary, immediate steps are taken to process and repair unpaid or reduced claims to ensure that you receive every possible penny. Checks are mailed directly to you.
We continuously track your net collection rate (the actual payment vs. the contracted rate) to ensure you are getting your fair share. Amromed Billing Services will improve your net collection rate and your average collection per charge, which translates to more money in your pocket. Our goal is to help you get started or to help you improve your existing practice. Remember, if you don’t get paid, we don’t get paid. It is to our mutual benefit to collect the full reimbursement for services rendered.
Each month we work on the accounts receivable aging report. When a claim is not paid, we research and fix the problem and resubmit the claim. We will reduce your accounts receivable days outstanding, which means less of your money is tied up. We aggressively track, manage, and follow up immediately on all denials

Credentialing & Enrollment

  • All your credentialing and enrollment needs will be handled by our credentialing specialists. When you hire new providers, don’t worry, we will take care of it.

Insurance Eligibility and Benefit Verification

  • Accurate and meticulous insurance verifications – eligibility and benefits can be a time-consuming process for clinics.
  • Thorough eligibility and benefits verification help in reducing insurance claim denials due to incorrect billing, which can result in significant loss of revenue for healthcare providers.
  • Our insurance verification process will check procedure-specific coverage and benefits and all out-of-pocket costs so that patients know what is due before their visit. This will help patient collections and prevent it from aging and eventually becoming uncollectable.

Claims Submission / Rejections

  • All claims are audited by our experts to make sure claims are billed per on the contract and within the current 2019 CPT guidelines.s
  • Our audits have shown immense accuracy, allowing providers to get their reimbursements faster.
  • If there are any denials it will be fixed the next day after receipt of the EOB.

Payment Posting - ERA and Manual

  • Payment reconciling with received deposits via EFT or paper check willbe processed timely and accurately.s
  • Each time payments are received we will reconcile the claim to make sure that there are no underpayments or overpayments.
  • Any patient responsibility will be verified with the patient insurance benefits to make sure the claim process accurately.
  • Any errors found will be reprocessing on the same day.

Insurance Underpayment Recovery

  • Any underpaid claims are sent to our payment recovery team and are addressed with high-level care to make sure that you are getting paid per the contract.
  • Necessary actions are taken with the insurance network management team to avoid underpayments on future claims.

Correspondence and Denial Management

  • Correspondence from the insurance companies are reviewed and action will be taken within 24-48 hours from the date received.
  • Any denials that get captured during the payment posting will be addressed.
  • Our goal will be to identify the root cause of the denial and have it fixed so the denial will not get repeated again.
  • High denial percentage
  • Regulatory pressures
  • High / Aged AR Days

Account Receivable and Collections

  • Our team will follow-up on any outstanding claims on the respective follow-up date. We will make sure all payments are paid on time.
  • We will apply the required pressure to any party that owes you money. Let us focus on collections and you focus on providing quality services.

Generating invoices for patient responsibility

  • Patient invoices will be generated once a monthly or every 15 days’ basis.
  • Only after we have audited each invoice to ensure matches the patient benefits.
  • We send invoices out via mail or email depending on your preference.

Providing both general and specific reports as required by Client

  • Reports like billing, deposits and AR percentages are submitted to you or your team on a monthly/weekly basis giving you live updates on every happening.
  • Any other tailored reports that you request will be provided by us as well.

We have over a decade of proven results; our RCM services increase cash flows and higher patient satisfaction results for our clients. We look forward to serving you and your patients with the same level of commitment.

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Why Us ?
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We know your biggest challenges..

  • Frequent underpayments
  • Denials that are never worked on
  • Unstable collections
  • Patients with high deductible health plans
  • High denial percentage
  • Regulatory pressures
  • High / Aged AR Days

What you should know about us.

  • We are a biller that has the experience and expertise to handle your medical practice’s entire revenue cycle with personalized care.
  • We are available 24/7 to offer billing support
  • We are a biller that has experience and are experts in your EHR