Advanced Reimbursement Solutions provides multi-specialty professional medical billing insurance services. We have clients in Alabama and Georgia dedicated to maximizing the reimbursement of individual and group practices.
Our clients have seen revenues increase dramatically using our services. Contact Advanced Reimbursement Solutions to see how we can provide a medical billing business solutions for your practice.
How We Do It
- Extensive Knowledge and Experience in Health Care Reimbursement
- Personalized Customer Service
- Emphasis on Getting YOU Paid!
- We have improved revenue over 32% for our newest client!
Our Full Services Include the following:
- Submission of Primary and Secondary Claims
- Patient Statements
- Patient Inquires
- Insurance Follow-up
- Posting of Insurance and Patient Payments
- Comprehensive Monthly Reports
- We can customize our services to suit your practice
Established in 2000, Advanced Reimbursement Solutions provides full or customized billing and accounts receivable management services to providers in the Southeast. Advanced Reimbursement Solutions is located in the beautiful Birmingham Alabama community of Trussville.
Owner Gina Wysor and her diligent staff at Advanced Reimbursement Solutions have extensive experience providing exceptional billing services with a broad range of providers
- Savings on supplies, clearinghouse fees, postage, and software
- Free staff to deal with patient care
- We receive all phone calls regarding patient accounts
- Timely patient billing and insurance reimbursement
- Payments deposited directly in providers account
- Personalized and comprehensive support for your staff
- Immediate claims filing resulting in consistent cash flow
Many practices find it hard to attract, retain, and motivate knowledgeable billing employees. Since billing is all we do we’re efficient, effective, and motivated to make sure you get reimbursed.
What’s involved with Getting Started
What we need to get your practice set up:
- Your provider information such as NPI, tax ID, and commercial identifiers.
- Information on carriers you are contracted with.Your fee schedule.
- If available a copy of your patient database. This is usually easily exported from you current practice management software.
- Registration Fee.
Frequently Asked Questions:
How do we get information to you?
You can send it via fax, mail, pick-up, or electronically. All information is communicated and handled to maintain HIPAA compliance.
What information do you need?
We need a copy of the completed Superbill with the patients name, insurance information, CPT & ICD codes, referring physician’s name and provider number, and applicable modifiers.
Where does my money go?
All payments come directly to your office. You will then send us the EOBs so we can post and appropriately track all reimbursement activity.
Do you submit claims electronically?
Yes, through our Clearinghouse to those payers that are capable of processing Electronic Claims which is most carriers. Remember, most insurances require that you are credentialed with them for us to be able to submit electronically on yourbehalf.
How quickly do we get reimbursed?
This varies by payers and other outside factors. Obviously, some are more and some are less. Commercial claims submitted electronically can be about two weeks. Medicare/HCFA is required tohold the claim for 13 days for all electronic claims and 23 days for paper submissions. For commercial payers, 14 days is an exception but certainly not the rule.
How quickly can you be up and running?
We can start right away! It usually takes about 2 to 4 weeks to get you set up with our clearinghouse, with the carriers, and create your database. (This is also dependent upon credentialing if you are a new practice which may take longer). We also like to start at the beginning of the month so that it is easier for you to separate your previous dates of service from the “cutover” dates to us.
How do we get our existing patient data to you?
You can either provide a complete printout (or softcopy) from your existing system or provide the most current patient information as you see them.
We’re not located near you – is this a problem?
No – most of our clients are located in different cities/states. The nature of what we do is most efficiently handled via fax, email, internet, and US mail. We do like to meet with our clients periodically in person.
How do I know that you will be more effective than our own office staff?
We don’t get paid unless You get paid!
We do more than process claims. In short, our timeliness in processing claims, consistency, accuracy (we do not send out claims that we are not completely confident will be paid), and incentives will generally result in increased cash flow.
Why do you charge a registration fee?
This covers the clearinghouse set up costs, and the time invested in setting up yourdatabase.
Will I have access to Patient information?
Yes. For a small monthly fee we will provide you with the ability to access your patient information via secure connection to our server. This fee covers the cost of additional software licenses. Our software has full practice management features such as scheduling which you may also want to use.
How do we report payments received from our patients for both co-payments and patient billing?
You can report a patient’s co-payment on the superbill. You can also report the patient payments by keeping a payment log. A payment log enables you to report all of the payments received in your office. We’ll be glad to provide one customizedfor you if you don’t already have one.
How often are Patients billed?
If you are contracted for full service billing, all patients in our system with a balance due after insurance carrier payment will receive a bill. We send out patient statements monthly.
How much experience do you have with my medical specialty?
90% of billing is billing, no matter what the discipline. The 10% differences tend to be discipline specific nuances. We have experience with a wide variety of specialties from Family Medicine, Dermatology, Psychiatry, and Opthamology to name a few.
What type of software do you use?
We use AltaPoint, Lytec, and Kareo software. We have found that software packages are software packages, and they are only as good as the biller and the billing process.
What is an acceptable AR (Accounts Receivable) amount?
From our experience a good determination of what shape your AR should be is by multiplying your gross average monthly charges by 2.5 to 3. For example if your average monthly charges are $30,000, AR for a typical practice would be $75,000 to $90,000. If you are above this range, your AR probably needs some attention. Advanced Reimbursement Solutions has extensive experience in insurance AR recovery services.
8152 Willowbrooke Terrace
Trussville, AL 35173