Non-Governmental & 3rd party Insurance Follow-up Services
At Affiliated Healthcare Management Group (AHMG) we are aware of the many difficulties that can present at the front lines of a health care provider due to staffing shortages, expertise, high volumes, and contractual obligations can inundate hospitals with unique challenges to its billing and follow-up capabilities.
This situation can intensify when the expertise needed to resolve these complex billing and follow-up issues are scarce or not available. Triggering undue economic stress on health care providers caused by underpaid and unpaid claims often resulting in unnecessary write offs and lost revenue.
Affiliated Healthcare Management Group can perform the following:
- Electronic Download of Receivable for Follow-Up Service
- Review aging accounts
- Bill claims electronically
- Follow up on submitted claims using claim tracking technology
- Review all submitted claims on a 21, 30, and 45-, and 60-day cycles
- Check appropriate sites for claims pending
- Review EOB’s in a timely manner
- Analytical support to address inappropriate payer behavior
- Track & trend billing patterns
Outcomes:
- Increased follow-up activity on accounts not timely worked
- Improve billing accuracy
- Improve inappropriate payer activity
- Lower days in accounts receivable
- Increase Charge to Cash ratios
- Lower time to collect and cost to collect
- Minimize inappropriate write-offs and contractual allowances
- Minimize accounts being referred to Self-Pay
- Increase insurance net revenue
- Identify opportunities in payer contracts for future negotiations