Physician Billing, Coding and Compliance

AMS offers a coding and billing service to physician offices as well as to hospitals and group facilities. We can provide software programs that integrate with our billing system for a more secure, expedient and accurate transfer of information. All Initial Billing activities are available as well as secondary billing, re-billing denied claims, A/R clean up and self pay billing. AMS bills electronically thru one of the most recognized clearinghouses in the medical industry. Professional, expedient, and precise billing is what American Med Systems offers.

We are an NPI Compliant Medical Billing Company.

Paperless EMR System:

AMS can offer CCHIT Certified EMR software for your facility. This “seal of approval “ by the Certification Commission for Healthcare Information Technology is based on the functionality, inter-operability and security of this system.
Any demographic information entered into our billing system is automatically carried over into the EMR system, which prevents duplicate data entry.
As the doctors create their notes, services are automatically coded and upon completion, an E&M wizard suggests the appropriate E&M level to bill based on the information obtained. These charges are then carried over into our billing system.
This drastically reduces incorrect or missed bills and insures that your claims go out correctly the first time so that your practice’s reimbursements are received in a timely manner. On a national average, practices that use an EMR with an automatic coder increase their billings by 25% with supporting documentation to justify their charges and pass audits.

New Physicians:

AMS has scheduler software available for new physician offices, in the same format as our billing software to guarantee that all patient demographics are complete and in the same format as our billing software.
The scheduler supports multiple providers, locations, equipment, and exam rooms. As well as a multitude of appointment scheduling capacities, and ways to break down the scheduling information for easy reference. We can provide a complete list of all the schedulers capabilities.
The scheduler makes certain that the demographics, overage, and proper signatures are kept current by utilizing the demographic verification report.
The scheduler makes sure that referrals are valid thru a tracking system that discovers if the dates have expired or if visit limits have exceeded.
In addition, our software representative will build you a superbill for your specialty, at no additional charge. This virtually eliminates the need for preprinted forms.

Physician Training:
AMS offers external audits and education to ensure your documentation matches what you are billing before a third payer audit. We offer physician training in Medicare’s 95 and 97 documentation guidelines in either group sessions or one on one.

Create a Customized Superbill:
AMS will create a customized superbill for your practice. This tool provides accurate communications to the coding and billing staff. Superbills need to be updated annually to ensure accurate and up-to-date information.

Coding:

AMS has a coding staff, which will code all record types consistently, on time, accurately and cost effectively. We ensure your claims are correct the first time to provide faster reimbursement.
AMS can reduce and prevent backlogs, as well as meet deadlines and space constraints.
AMS will ensure that your records are coded according to the most current compliance guidelines. Our coders are required to maintain continuing education to ensure correct coding.
All coding is done “state side” and not out of the country.
We are proud to guarantee the highest coding quality standards at AMS!

Compliance:

AMS provides chart auditing for compliance.
AMS provides physician education on Medicare’s documentation guidelines.
AMS will provide education to your staff to meet your compliance criteria.

Claim Processing:

AMS enters patient demographics into our billing software.
The claim is transmitted electronically.
AMS confirms that claim was transmitted.
Most electronic claims pay within 10 to 14 days. Direct deposit with your financial institution is available thru our clearinghouse.
HFCA1500 hard copy claims are processed daily to carriers that do not accept electronic claims.
Your facility will provide us copies of all EOB’s and AMS will follow up on all unpaid paper claims within three weeks of the date transmitted.
Electronic payment posting when requested.

Reports:

Acknowledgement reports daily, weekly or monthly.
Monthly status reports and financial summary’s.
Daily or weekly transmittal reports.
AMS has a selection of additional reports at your request.

Self-Pay Balances:

AMS will bill all self-pay patients and self-pay balances when applicable.
AMS will also send a series of follow-up letters to all patients who have not responded to initial self-pay bill.
AMS can direct patient to you directly.

Payors:

214 Electronic Commercial Payor Claim Connections.
265 Electronic State Plan Claim Connections
1161 Total Commercial/Managed Care Plans Claim Payor Connections.
Contact AMS for a copy of the Payor Connections List for your facility to reference.

Auditing:
AMS audits every account once a year to ensure that it is within HHS-OIG (Department of Health and Human Services, Office of Inspector General) and Medicate recommended guidelines. All new accounts are audited for the first 30-days to verify coding levels and compliance.

Demographics:
AMS has the capability to transfer data from the hospital database. We administer to all sizes and types of practices, ranging from single to multi-specialty independent practices, large group and single practices.

We use appropriate CPT and ICD-9 coding to promote higher reimbursement. We provide patient statements, carry a full experienced staff in patient account management. We excel in electronic claims filing and electronic payment posting. We provide complete confidentiality for our clients.

Records That Keep You Up To Date:
When turning over your accounts to American Med Systems, your will never feel out of touch. One significant difference between AMS and our competitors is the quality of our reporting. We keep our clients informed.

Specialties:
The Billing staff at AMS has experience in most physician specialties, including but not limited to; Internal Medicine, Nursing Home, Neurology, Psychology, ER Physicians, Physical Therapy, Podiatry, General Surgeons, Cardiac Surgeons, Orthopedic Surgeons, Family Practice as well as Dental Billing, Oral Surgeons and Periodontal.

Serving Physician Groups:
With such strong results—and excellent client reporting—AMS is rapidly becoming the #1 recovery specialist for health care facilities of all sizes.

If you could increase revenues by two to three times—without adding staff—would you do it? Scores of physicians groups have answered “yes” by turning to American Med Systems, Inc.. We have become a leading revenue recovery specialist in the health care industry with a mission to collect the maximum dollars for clients in the shortest amount of time.

Contact AMS today and you will find that we offer what you want most: professional handling of patient statements, an experienced account management, excellent procedures for claims filing and posting, and complete confidentiality. All billing and coding activities are HIPPA compliant.

Physician groups that understand the benefit of outsourcing their coding and billing choose AMS because of our ability to achieve results. Why do our processes work so well? First, our staff is highly trained in the AMS collection approach. Second, we are committed to adding qualified staff as we grow in order to keep billing and collection representatives from becoming overloaded. We then monitor workload and productivity and make caseload adjustments as needed. Third, our innovative procedures ensure regular contact and prompt follow up with each and every request.

Fill out the following questionnaire and a qualified sales consultant will give your facility a free demo of AdvancedMD!

*Facility Name
Facility Address
Address (cont)
City
State
Postal Code
Country
*Phone
Fax
*Email Address
What type of specialty or medical service does your facility provide?
How many providers are on staff?
How many doctors?
How many nurses?
How many of these providers are part time?
How are you billing at this time? What are your monthly costs or fees?
On average, how many claims are billed each month?
What is the total dollars billed out each month? (average last three months)
What is the total dollars recovered each month? (average last three months)
What are the current billing issues that you would like to see changed or improved?
In total dollars, what is your aging 60 days and over?

On-site Medical Billing & Collections Personnel

Find out how our on-site medical billing specialists can help you ease the burden of medical billing and collections. Learn more about our attractive fee schedules. Contact Us!

The 30-day Revenue Cycle

Learn more about our approach to medical billing and collections and the results that we achieve with weekly remits and innovative solutions. Contact Us!

Workers Comp Collections Services

We have the highest recovery rate of all collection agencies in our industry. We welcome the opportunity to prove this to your facility. Contact Us!

Services

Physician Billing, Coding and Compliance

On-site Medical Billing & Collections Personnel

The 30-day Revenue Cycle

Workers Comp Collections Services

Nationwide Billing and Collections Services from our East & West Coast Offices