Our Services
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Our Services
Billing
Appointment Scheduling
Efficient scheduling of appointments ensures that providers can optimize their resources & minimize patient wait times.
Patient Registration
This involves collecting demographic & insurance information from patients, including personal details, insurance coverage, & contact information.
Insurance Verification
Team will verify the patient's insurance coverage to determine eligibility, benefits, & coverage limits before providing services.
Charge Capture
Team involves capturing all billable services provided to patients, ensuring that nothing is overlooked in the billing process.
Claims Submission
Claims are prepared by RCM Team and submitted to insurance companies or other payers for reimbursement. Timely and accurate submission is critical to prevent delays and denials.
Payment Posting
Cash Posting Team receives Payments from payers via EFT/ACH/VCC/Paper Check along with ERA/EOB and patients are posted to the appropriate accounts in the healthcare provider's financial system.
Coding and Documentation
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Healthcare services are translated into standardized medical codes,
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Such as ICD-10 for diagnoses and CPT/HCPCS for procedures --- for billing purpose
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Accurate coding and documentation are essential for proper reimbursement and compliance.
AR and Denial Management
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Our AR & Denial Management team involves timely follow-up on the claims
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When claims are rejected/denied or not fully reimbursed by payers.
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Effective denial management involves identifying and resolving the reasons for denials/rejections to ensure maximum reimbursement.
Patient Billing and Collections
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Patients are billed by Cash Posting/Billing & Follow-up Team for any remaining balances of patient responsibility after insurance payments.
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Collection efforts may be required to follow up on unpaid balances
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Which can include sending statements, making phone calls, and negotiating payment plans.
Financial Reporting and Analysis
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Our Financial Reporting and Analysis Team Monitoring key performance indicators (KPIs) and financial metrics allows healthcare providers to assess the effectiveness of their revenue cycle processes and identify areas for improvement.
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Our Effective RCM Team monitoring coordination between various departments within a healthcare organization, billing and coding specialists, and finance teams.
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Additionally, staying updated on changes in healthcare regulations and reimbursement policies is crucial for ensuring compliance and maximizing revenue.
Provider Credentialing
AmeriBlue Business Solutions offering for doctors seeking to enroll in provider networks or participate in insurance plans, fulfilling there are several requirements. Our Provider enrollment services help doctors navigate this process efficiently
ERA/EFT Enrollment, EDI Enrollment
Application Management
Maintaining Provider CAQH Profile
Monitoring Provider License & Revalidation
Re-credentialing and Ongoing Monitoring
State Medicaid & Medicare Enrollment
Insurance Panels and Network Contracts
Follow-up and Communication
