Why Outsourcing billing service? 2019-05-13T14:45:45+00:00

WHY OUTSOURCING BILLING SERVICE?

Why outsource your billing Services?

We specialize in medical billing. This allows our staff to be focused and more cost effective. You only pay a small percentage of what is collected. Our specialized team know when to follow up on claims and when to push back with insurance. This results in better and quicker payment.

Days of worrying about interviews, training, certifications and employee benefits are eliminated. Save money on purchasing expensive computer systems, software or subscriptions. Focus on what you do best and let the experts take care of the headaches of dealing with insurance.

We recognize that proper and efficient billing, coding, and collections are crucial to the success of your practice. Americare billing offers a professional team of clinically-knowledgeable managers and back-office staff to ensure prompt and precise processing of your claims.

We work with a large range of clinic types. Our team has experience with both hospital-base and freestanding clinics including:

· Individual physician practices

· Group practices

· Hospital-based physician practices

· Facility technical billing

· Hospital acquired physician practices

We can create a unique billing platform for your practice or work within the system you currently have. Our expert billing resources provide you the tools to ensure your practice is successful.

Billing &Collection Services Include:

· Data entry

· Submission of claims

· Line item payment posting

· Claim error identification

· Appeal and timely follow-up

· Custom reporting

· Expert management of accounts receivables

· Patient statements

· Adjudication for all benefits

· Utilization review reports

· On-site or remote documentation to coding reviews

· Explanation of benefits review

· Credentialing and contract analysis

Payment from claims can take any where from 15 to 45 days to hit your bank account for a clean claim. The payment process can be delayed with denial, and it can take even longer for you to get paid. Let us help you get your money faster by ensuring your claims are submitted correctly the first time.

Source: Green M.A. (2015)., Understanding health insurance: A guide to billing and reimbursement(12th ed.). Cengage Publishing

“In the most states, individual coverage faces (medical) loss ratios between 55 and 65 percent…”

(Council of Affordable Health Insurance)

“Market analysts estimate that out of every 1 Dollar medical practice is earning, 24 cents are wasted on administrative and billing expenses…”

(New England Journal of Medicine)

“Industry experts have found that the average number of REJECTED claims for medical practice, is about 34% (!)…”

(American Academy of Professional Coders)

“… and, 24 – 40% of rejected claims are NEVER RE-SUBMITTED for payment”

(American Academy of Professional Coders)

“When calculating the additional costs of phone inquiries, duplications and extra administrative expenses, re-submissions can cost as much as $ 57.46 per claim…!”

(“Achieving transparency in the Claims Payment Process” – Health Management Technology)

maintenance (initial investment).......................$ 18,000

Working space, hardware, software, installation

Salary per 1 biller (multiply, if more)................$ 40,000

Payroll taxes, worker's comp...............................$   4,300
Employee benefits package................................$    6,200
Administrative costs, IT support........................$    8,000
Trainings, certifications..........................................$    3,600
Billing Fee.....................................................................$      0

IN-HOUSE BILLING WORTH OF$ 500,000/Yr

BILLING WITH Americare Network

$0

$0

$0

$0

$0

$0

$30,000

(6% of collections)

TOTAL

$80,100

VS.

$30,000

What would you do with EXTRA $ 50,100 ?....

Makes sense?… Still not sure?

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