What Do Medical Billing Companies Do?
Do you run a healthcare provider practice and find yourself wondering, โWhat do medical billing companies do?โ The good news is, you are not alone. With the continual expansion and growing complexity of the healthcare industry, the need for specialized services like medical billing and coding has risen dramatically over the past few years. But, […]
Can You Sue Insurance Companies For Not Paying Medical Bills
At AMS Solutions, we understand more than most that dealing with unpaid medical bills can be one of the most stressful, confusing, and even overwhelming tasks, particularly when there are problems with getting the bills paid by your insurer. You may even be at the point where youโre wondering, โCan you sue an insurance company […]
How to Report Medical Billing Fraud
Every industry is rapidly moving toward complete digitization, and the healthcare industry is certainly no exception. Unfortunately, a world that is moving constantly toward more digital solutions will undoubtedly face mounting concerns over growing problems like medical billing fraud. Weโre going to take a look at what exactly medical billing fraud is, as well as […]
What is a Pre-Payment Review and Why Does It Happen?
Both Medicare and private insurance plans use many different methods to identify and avoid incorrect or improper payments. The methods and tools used can vary depending on the review type, and whether they are used in the pre-payment or post-payment stage.ย Both are important, but understanding pre-payment review is the first step in understanding the […]
Concurrent Reviews vs. Peer Reviews
What Is Concurrent Review By An Insurance Provider? Many people wonder what the standard concurrent review definition is. A concurrent review is a review that takes place while the patient is actively receiving care during an admission to a healthcare facility. The concurrent reviewโs purpose is to have some framework for oversight during treatment that […]
Reasons Why Claims Are Not Being Processed
If a healthcare patientโs claims are denied, not only will they often wonder why claims are not being processed, but they may still submit claims that are inaccurate. Here are some of the common reasons that claims are denied. Top Reasons Why A Claim Is Not Being Processed Missing Or Incomplete Patient Info An incredible […]
What Health Insurances Are Most Valuable for Your Patients
Everyone needs healthcare at some point in their life. The article is intended to assist you in understanding the different types of health insurance plans that are available, and how to choose the one that will be best for your patients. It is essential for everyone to fully understand this topic as it can make […]
How Medical Insurance Landscape Has Changed Over The Past Decade
Medical insurance in America has always been an uphill battle. Over the last decade, the number of uninsured or underinsured Americans has skyrocketed to 48 million. Even with President Obama’s Affordable Care Act, many Americans still struggle to afford their monthly premiums. The Current State of Healthcare in America The United States is the only […]
How to Determine The Best EAP
Employee Assistance Programs provide emotional help for employees through counseling, education, and other services. However, the different types of companies vary in the specifics of what they offer and how to find the right one for your company. It’s vital to know what you’re looking for before committing to any specific program. The Importance of […]
In-Network vs Out-of-Network Insuranceย
Healthcare providers venturing out into private practice often don’t know how to deal with the process of getting paid for services. They’re understandably unfamiliar and can feel a sense of confusion surrounding billing and insurance. Healthcare providers are typically not taught about healthcare billing in their training, so this is an area that needs to […]