Our Services
Delivering Excellence in Medical Billing Services
At Akurate, we are a leading provider of comprehensive medical billing services aimed at optimizing revenue cycles and streamlining financial operations for healthcare providers. With a dedicated team of skilled professionals and a commitment to excellence, we strive to deliver efficient and accurate billing solutions tailored to meet the unique needs of our clients.
Our Approach:
At the core of our approach is a deep understanding of the challenges faced by healthcare providers in managing their revenue cycles effectively. We combine cutting-edge technology, industry expertise, and a personalized approach to provide seamless medical billing solutions. By focusing on efficiency, accuracy, and compliance, we help our clients maximize reimbursements while reducing administrative burdens.
Our Services:
We offer a comprehensive range of medical billing services designed to meet the diverse needs of healthcare providers. Our services include:
Claims Submission and Follow-Up: We handle the entire claims submission process, ensuring accurate coding, proper documentation, and timely submission. Our team diligently follows up on outstanding claims, reducing claim denials and optimizing reimbursement.
Revenue Cycle Management: Our end-to-end revenue cycle management services encompass everything from patient registration and eligibility verification to payment posting and collections. We strive to streamline the entire financial process, improving cash flow and reducing revenue leakage.
Coding and Compliance: Our certified coding professionals stay updated with the latest coding guidelines, including ICD-10, CPT, and HCPCS, ensuring accurate code assignment and compliance. We meticulously review documentation to support coding accuracy and minimize audit risks.
Denial Management and Appeals: We proactively identify and resolve claim denials, minimizing revenue loss for our clients. Our experts handle the appeals process efficiently, providing comprehensive documentation and pursuing every opportunity to overturn denied claims.
Reporting and Analytics: We offer insightful reporting and analytics, providing our clients with valuable data and actionable insights into their financial performance. These reports enable informed decision-making, identifying areas for improvement and optimizing revenue generation.
At Akurate, we are dedicated to delivering excellence in medical billing services. Through our comprehensive solutions, cutting-edge technology, and a highly skilled team, we aim to optimize revenue cycles, reduce administrative burdens, and enhance financial operations for healthcare providers. Our commitment to efficiency, accuracy, compliance, and client satisfaction sets us apart as a trusted partner in medical billing.
Medical Coding
Our Coders are certified from AAPC (American Association of Professional Coders) / AHIMA (American Health Information Management Association). We have expertise in both physician and reimbursement sides. We offer accurate medical coding services to healthcare providers across US, ensure highly accurate as well as compliant coding services in accordance with the CCI, NCCI and LCD (Local coverage decision and medical policies) as per set rules for different states across US.
All our coders are updated with the US coding polices and participate in CEU (Continuing Education Unit) programs from various institutions keeping their certificates current.
We use online tools like Optum, 3M, etc, which provide updated codes and for scrubbing the claims. We follow the books like CPT Assistant, Z’ Health and other pink sheets for being current with the coding guidelines.
Coding for Commercials and Federal payers is done as per the payer specific guidelines, which decreases the denial rate and faster reimbursement.
Coders provide documentation guidelines to the providers, so that their claims are not undercoded due to lack of documentation.
Medical Coding Specialities:
Interventional Radiology
Cardiology
Orthopedics
OB-GYN
Urology
Internal Medicine
Pediatrics
Pain Management
Pulmonology
Ambulatory Surgery
Emergency Room
Inpatient
Diagnostic Radiology
Pathology
DME (Durable Medical Equipment)
HCC (Hierarchical Condition Categories)
Auditing
And Many other specialties
Revenue Cycle Management
Our medical billing process assures our providers with a payment cycle of 30 days.
Demographics Entry
Eligibility Verification
Charge Entry, Scrubbing, Claim Submission
Payment Posting
A/R Management - Follow Up
Patient Accounts Management
Denial Management
Our Denials and Appeals Management service is designed to increase Revenue Collection for Physician offices.
Our expertise includes managing denials for following reasons:
Authorization Issues
Referral Issues
Medical Necessity and Medical Records requests
Non-Participation with Insurance Network
Coordination of benefits
Terminated Insurance
Wrong Diagnosis
Partial Payments
Out-of-network claim status and deductibles
EDI Rejections
Letter of Protection from Attorney cases
Workers’ Compensation
Medical Transcription
Akurate Management Soultions offers high quality transcription services by experienced medical transcriptionists with quick turnaround times. We provide customized Solutions of highest standard with low per line rates. We can proudly say that we have the best transcriptionists in the industry with more than 10 years of work experience, who can handle any kind of specialties, work types, online platforms, and second language English dictators.
Precision and Accuracy:
Akurate Management Solutions maintains higher than AAMT Standard of 98.5% accuracy. The files go through multiple levels of QA to ensure quality.
- Our Transcribers have a minimum of 2 years of experience. There is a rigorous screening process to ensure only the very best get hired.
- Our Editors have at least 5 yrs of experience in the industry. They review each document for accuracy and completeness.
- Our QAs have a minimum of 8 years of experience they verify each file and review the entire document for overall quality of transcription.
- The Production Managers are ultimately responsible for Quality Assurance and to ensure that the entire process works in a timely and effective manner.
TAT:
We support Clients requiring 2 – 24 hour TAT with 24 hour Customer Support.
For clients whom we handle Transcription, Coding and Billing, a claim is submitted within 24 hours of patient being seen in the office !!!
Superbill Preparation
A superbill is a customized form for the provider’s office, which contains patient information, the most common CPT (procedure) and ICD (diagnostic) codes used by that office, and a section for items such as follow-up appointments, copays, and the provider’s signature. These forms can be filled up instantly in emergent basis during patient visit and later the provider can update the notes in the EMR/EHR. We also provide service to update the notes based on the superbills.
Patient Scheduling
This service is offered to provide doctors a convenient way to book more patients on a consistent basis. Scheduling is done as per the requirements of the office which include working hours, total providers, procedure type, locations, etc… The actual appointments are scheduled directly into the provider’s Practice Management system. For patients that are “no shows” or have missed their appointments a reminder call can be given on a routine basis to reschedule their appointment with the office. Also recall lists generated based on certain medical conditions can also be used to schedule patient visits. Appointment reminders are done by calling patients at a set time before the scheduled visit.
Provider Enrollment
Enrollment Process
Provider Enrollment is the process of requesting participation in a health insurance network as a Participating Provider. It requires completing the plan’s credentialing/enrollment application; submitting copies of licenses, insurance, and other documents; signing a contract; and any other steps that may be unique to a carrier. Many commercial carriers utilize CAQH to obtain credentialing information from a central location, and require that providers have a complete and up to date profile in the CAQH system as part of the enrollment process.When receiving a provider enrollment request, health plans use the credentialing process to ensure that the provider is properly educated, trained, and meets any other specific insurance network enrollment requirements for participation. After credentialing process is complete, then the network will offer a contract for participation to the provider.
The provider enrollment processing time varies by payor. Some commercial plans take as long as 180 days to complete the credentialing process and then another 30 – 45 days for contracting, while other have the entire credentialing and contracting complete within 90 days.
Once the documents are submitted, following up on applications is important and Akurate manages the followups in a timely manner and makes sure that the enrollment process is completed.
We use secure certified mail for mailing and receiving documents and make sure the confidential data is secure.
Akurate also keeps a log of the renewals and does timely renewals of enrollments.
Scanning & Indexing
Documents scanned in at the doctor’s office are categorically filed into the patient charts as per the requirements of the clinic. Clinical Reports will be given a time and date stamp to allow for more organized indexing. Other types of images which can be filed include Insurance card scans, inbound faxes, and hand written medical notes.
Auditing
Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation.
Top reasons to perform medical billing audits:
To determine outliers before large payers find them in their claims software and request an internal audit be done.
To protect against fraudulent claims and billing activity
To reveal whether there is variation from national averages due to inappropriate coding, insufficient documentation, or lost revenue.
To help identify and correct problem areas before insurance or government payers challenge inappropriate coding
To help prevent governmental investigational auditors like recovery audit contractors (RACs) or zone program integrity contractors (ZPICs) from knocking at your door
To remedy undercoding, bad unbundling habits, and code overuse and to bill appropriately for documented procedures
To identify reimbursement deficiencies and opportunities for appropriate reimbursement.
To stop the use of outdated or incorrect codes for procedures
To verify ICD-10-CM and electronic health record (EHR) meaningful use readiness
Auditing
Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation.
Top reasons to perform medical billing audits:
To determine outliers before large payers find them in their claims software and request an internal audit be done.
To protect against fraudulent claims and billing activity
To reveal whether there is variation from national averages due to inappropriate coding, insufficient documentation, or lost revenue.
To help identify and correct problem areas before insurance or government payers challenge inappropriate coding
To help prevent governmental investigational auditors like recovery audit contractors (RACs) or zone program integrity contractors (ZPICs) from knocking at your door
To remedy undercoding, bad unbundling habits, and code overuse and to bill appropriately for documented procedures
To identify reimbursement deficiencies and opportunities for appropriate reimbursement.
To stop the use of outdated or incorrect codes for procedures
To verify ICD-10-CM and electronic health record (EHR) meaningful use readiness
Superbill Preparation
A superbill is a customized form for the provider’s office, which contains patient information, the most common CPT (procedure) and ICD (diagnostic) codes used by that office, and a section for items such as follow-up appointments, copays, and the provider’s signature. These forms can be filled up instantly in emergent basis during patient visit and later the provider can update the notes in the EMR/EHR. We also provide service to update the notes based on the superbills.
Reach Us
Akurate Management Solutions, LLC
3500 S Dupont Hwy, Suite 300
Dover, DE 19901