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Specialty Medical Billing

Is your current billing system hard for your staff to use—and expensive? Are IT support costs too high? Is your software vendor “nickel and diming” you for regulatory support updates (e.g., NPI)? Do clients think collections are too low? If you have any of these symptoms, we should talk.

Efficient and effective specialty medical billing
AHS workflow optimization enters superbill and other paper-based data faster, with fewer errors. For clients with EMR or other systems, both hospital- and office-based, AHS billing technology directly captures patient demographics, charge information, and more. We also provide handheld devices so your clients can enter charge data on-site. And the entire workflow is designed to speed the end-to-end billing cycle. For example, updates to insurance coverage automatically update all affected claims.

You and your clients get:

  • Much greater productivity—30, 40 percent and more.
  • Increased collections from a streamlined billing process.
  • Reduced Days in A/R—typically 10 to 14 days.
  • Service to billing intervals measured in hours, not days or weeks.
  • Lower IT support costs.

Powerful specialty medical billing software and tools
Call us (908.279.8120) to see how our reliable billing technology will make life simpler and more efficient for your staff. They will like the ease of use, automation of routine tasks, and reminders when follow-ups are required. Both of you will appreciate the increased time available to work on and resolve complex cases and denials. You will really like the increase in collections, improved A/R—and costs that fit your specific billing company.

Lower support costs and IBM reliability
You can be confident that AHS medical billing technology, built on IBM’s highly reliable System i, will meet your demanding operational requirements, day-in and day-out. Just as importantly, your support costs are radically reduced compared to most alternatives. This combination of stable, predictable costs and high performance is a hallmark of AHS and IBM: professional partners for your billing company.

Contact Us
Call us today on 908.279.8120 for your free net collections analysis. Sign up for our newsletter to learn more about industry-leading productivity, improved net collections, and improved cash collection.

How does AHS deliver superior results?

– Optimized medical specialty workflows submit claims electronically the same day a charge is entered and the batch verified. Payments are applied fast: electronically for carriers with automatic reconciliation and, for others, using procedures optimized for each payer.

– Secondary claims—with electronic EOB attached—are filed the same day payments are applied from the primary payer. Denials and other payer responses are automatically queued for A/R team member follow-up. Capitation adjustments are done automatically.

– Full electronic interfaces with all payer organizations instantly upload patient and procedure data, verify eligibility, determine specifics of coverage, submit claims, electronically adjudicate claims, negotiate electronic remittance, and achieve automated posting to line items on the original claim submission.