Question 1

Why Should I Choose a Third Party Billing Company Instead of Going In-House?

Accepted Answer

Outsourcing your medical billing to a third party who specializes in billing is beneficial for a number of reasons beyond saving you time and money. Having a team of professionals at your disposal ensuring that the entire process from start to finish is done correctly is the most important thing you can do to protect your revenue cycle. Professionals like us stay on top of the current complexities surrounding medical billing, leaving you more time to operate your business.

Question 2

What Are All the Services That AMS Solutions Provides?

Accepted Answer

AMS Solutions is a Full Revenue Cycle Management company. We create a custom plan to help you from the charge entry process, to claim submission, to AR Management (working denials/rejections) and posting the payments. We also provide a review of your fee schedule during the onboarding process, an aging A/R service for all new partners, an audit of your claims over the last 90 days, and full credentialing services.

Question 3

Will I Receive Financial Reporting From AMS Solutions?

Accepted Answer

At AMS Solutions, we pride ourselves in being the most communicative and transparent billing company available. We provide custom reporting showing in-depth financials and helping give clarity to the financials within your practice. We are here to not only provide that information but also talk you through what it means and help give you the tools and knowledge to grow your practice.

Question 4

What Sets AMS Solutions Apart From Other Billing Companies?

Accepted Answer

At AMS Solutions we are not trying to be a mere outsourced service. We understand that every practice is different, having its own unique needs and ways of operating. Over the last 30+ years we have focused on becoming partners with our customers and leaning into long-term growth-focused relationships. We set each partner up with a specific account manager and success team promising fluid and quick communication.

Question 5

What Does the Credentialing Process Look Like?

Accepted Answer

At AMS Solutions, we help physicians and providers get credentialed — enrolled and attested with payer networks and authorized to provide services to patients who are members of those plans. The credentialing process validates that a physician meets standards for delivering clinical care, wherein the payer verifies the physician’s education, license, experience, certifications, affiliations, malpractice history, any adverse clinical occurrences, and training.

Question 6

How Do I Get In-Network Contracts?

Accepted Answer

The first step is to determine which payer networks you wish to join. Assess the payer mix of your patient population to determine which payers are most common amongst your patients. Once you have determined which networks you would like to join, you will need to submit an application. Once an application is received you will likely need to follow up a number of times to receive a timely response. This process typically takes about 6 months; constant follow-up may shorten this timeline.

Question 7

What Software Do You Use?

Accepted Answer

The arena of medical billing software is ever changing and growing. We at AMS Solutions understand that to provide exceptional service, we must also continually expand our knowledge of different software systems. We provide a custom plan for your practice no matter what software you are utilizing. If you are looking for which software will best fit your needs or are looking at switching software systems, we can help guide you.

Question 8

When Do Claims Have to Be Submitted to Insurance Companies?

Accepted Answer

A participating health care provider (in-network) must submit claims within 90 days of the date of service. An out-of-network provider must submit claims within 180 days of the date of service. It is always recommended to submit claims as close to the dates of service as possible to ensure timely payment and to avoid disruption in the revenue cycle.

Author: AMS Solutions

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