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The Most Innovative Billing and Reimbursement Services ABC takes the inconveniences and complications out of your day-to-day operations and cash flow, with technology that helps you stay ahead of the curve. Our billing and collections expertise, depth of services, and unique customized edits help ensure claim accuracy and speedy reimbursement. With ABC, you receive monthly practice trend analyses using an exclusive database with highly developed reporting capabilities. Personalized on-site service can allow ABC to expedite the billing and reimbursement process. Our personnel work to eliminate errors in patient, insurance and medical information; they contact the hospital, the patient, or the insurance company to answer questions or verify information before submitting claims. Contact us to learn more about our billing and reimbursement services. Diagnosis, Procedure & Modifier Coding ABC uses state-of-the-art software to help us determine proper coding. Our professional coders are responsible for coding the medical procedures performed. They regularly attend educational seminars to keep current with the many changes in insurance regulations. Integrated Concurrency Tracking Our proprietary billing software system automatically tracks and calculates concurrency based on the rules and regulations for a particular insurance company. Our concurrency package deals with relief, as well as discontinuous time. On-Line Links to Hospital Information Systems We provide a direct hook-up to a hospital's information systems to retrieve pertinent patient demographic, insurance and medical information to ensure accuracy and timeliness of claims processing eliminating the need for hard copy information to be transferred to our headquarters for processing. Electronic Claims Submission Claims are submitted electronically to Blue Cross, Medicare, Medicaid and NEIC for commercial insurances. Electronic claims submission speeds claims processing and expedites payments by providers. Capitation Tracking Insurance companies are assigned a specific billing class so like insurances can be tracked together. Capitation is tracked so reports can be generated based on the billing class, the capitation amount and services provided, as well as by specific demographic elements including age, gender, marital status, etc. Claims are subsequently tracked to ensure that timely and appropriate reimbursements are made by the third-party payers. Delinquent Account Service Our automatic statement cycle ensures that insurance as well as self-pay follow-up is done in the most efficient and timely manner. This service can be fully customized for each practice and allows the client to specify the number of statements their patients receive, the firmness of the dunning notice that appears on statements, the number and severity of pre-collection letters, and the selection of a collection agency that specializes in medical collections. Provider Enrollment Before Medicare, Medicaid and other third-party payor claims can be processed, the anesthesiologist must have proper identification to bill these agencies. ABC account managers can handle all the paperwork necessary to establish your credentialing, with the assistance of our state-of-the-art provider enrollment software. This eliminates those paperwork headaches and makes sure the process goes smoothly. Standard and Customized Reports Our standard reports are powerful management information tools that give you the insight you need to manage your practice. These reports provide detailed information about claim charges, collections, expected collections, adjustments, procedure statistics, percentage breakdowns by insurance carriers, productivity analysis, capitation, referring surgeon statistics, accounts receivable information, and delinquent accounts. Reports can also be customized to fit your specific data needs to include any type of information such as demographics, preoperative, intraoperative and postoperative patient data. In addition, quality assurance reports are available and easily customized with your choice of quality assurance specifications. We have complete flexibility, because we control our software. The report information presented to you each month also includes year-to-date totals. This enables you to review the entire financial condition of your practice every month and provides the valuable information you need to project your future practice activity for the coming months or year. All of our standard and custom reports can be requested through your account manager. Available Reports and Data Service Date of Entry Reports • Claim Charges Report • Adjustments Report • Payment Report • Transaction Total Report Procedure Reports • Monthly Charges Report • Time Analysis Report • Report by Providers Monthly Provider Transaction Report • Transaction Report Statistic Reports • Practice Vital Statistics Report • Procedure Statistics by Date of Service • Service Statistics by Facility Report Productivity Analysis Reports by Procedure • Grand Totals by Individual Provider • By Other, OB and OR Units • By Number of Days and OR Units Management Reports • Receipts/Adjustments • Accounts Receivables Analysis • Accounts Receivables Analysis by Date of Entry • Accounts Receivables Recap by Financial Class • Aged Accounts Receivable Collection Reports • Expected Collections Report • Collections by Payor Date of Entry Report • Billing/Collection by Procedure Code and Insurance Carrier Report • Collections History Report - Actual vs. Expected Collections Capitation Report • Discount Fee for Service Monthly Billing Reports • Total Procedures by Facility Report • Totals by Insurance Carrier Report Delinquent Reports • Delinquent Patient Accounts Listing Report Other Reports • Referring Surgeon Report • Select Transaction Report for Select Insurance Company • Unit/Cases by Facility Report • Payment Analysis Report • Monthly Practice Report Year-to-Date by Month