Our Services
BILLING
Verification of Benefits – Contact insurance companies to verify health benefits and eligibility BEFORE the patient is seen. We will confirm the patient’s responsibility; copay, coinsurance and deductible.
Claim submission – Submit claims within days from date of service.
Claims follow-up and appeals – Calling insurance companies to check on status of unpaid claims; refiling unpaid claims as needed.
Claims denial – Contact the insurance companies regarding denials and filing appeals if necessary.
Payment posting – Entering payments and adjustments from insurance EOBs/ERAs; posting patient copays.
Patient collections (patient billing) – Contacting patients via phone, email or mail regarding patient statements. Responding to patients’ inquiries about their account. If your client is not insured or they have a large deductible, they could end up paying a lot of money out of pocket for their care. By checking benefits BEFORE the patient is seen you can charge your client up front the day of service so you are not chasing down that revenue after claims have been processed.
Coding issues – Medical coding is a fundamental aspect of maximizing claim reimbursements. The proper knowledge of medical coding and reimbursement methodologies enables providers to receive the correct and maximum reimbursements available.
CREDENTIALING
When you want to participate in health plan networks to treat insured patients and receive in-network reimbursement, you must go through a credentialing and contracting process with each health plan. The Provider Enrollment process can vary by carrier with some initiating the process with a phone call, others have standard forms to be completed, and some require completing online credentialing applications. The consistent monitoring of applications is critical in ensuring timely and accurate acceptance into each network.
Credentialing is an extremely detail oriented and compliance focused process and requires constant attention. After submitting the requested applications and necessary documents, your Credentialing Coordinator monitors application statuses and tends to any additional requirements on a daily basis. ABS will charge $190.00 per insurance per provider for credentialing. Recredentialing is a separate fee.
CONSULTING
You deserve someone that is as passionate about the success of your business as you are. While you focus on delivering quality care to the people you serve, you need someone focused on your organization’s success. Let us help you grow your business!
Alpha Billing Solutions charges a consulting fee of $60.00 per hour for time spent above the normal contracted billing agreement. This would be discussed and agreed upon prior to the consulting.