ARS was formed as a full service billing and accounting enterprise to provide Home Health Care providers with an advantage. We offer the following services to our clients.
Outsourcing AR Our trained staff will retrieve supporting medical documentation, prior authorizations, submit claims electronically, appeal/refile denied claims, follow up on unpaid claims, post cash. Services also include customized weekly/monthly executive reports and benchmarking along with month end closing. - all to manage your organization's accounts receivable/cash flow. We will meet with you monthly to review reports and implement improvements for operations and billing.
Optional Individual Services:
Resolution of Outstanding AR ARS will "clean-up" your open Accounts Receivable over 90 days days old. If your staff is too busy to work your denials, let us resolve those old accounts. This complete service will be provided at your location or at ours, depending on your specific needs and requirements.
Software Database Maintenence and Training We are proficient in CPR Plus, Brightree, Mestamed(Carecentric) and other HME/Infusion software.
Reimbursement Consulting & Training We are available to train your staff on the most recent reimbursement rules and supporting documentation requirements for Medicare and other payers, we will ensure your staff is up to date on all reimbursement guidelines and changes.
Prepayment Review, RAC, ZPIC, CERT, and Audit Request We maintain a database to respond to all incoming request from all payers with due date, response date, and maintain PDF files on all requests and responses.
Insurance Verification ARS Limited staff and time? Whether you need assistance with Insurance Verification or obtaining Insurance Authorization - ARS will be your Insurance Verification Department. We have many payers we work with "on-line" to reduce costs and time.
CMN and Supporting Documents Retrieval Is your "unbilled" AR increasing? CMN department overworked? You can hire ARS for a short-term assignment to work with your physicians and other referral sources to obtain medical documentation required for releasing your Medicare, Medicaid, and other payer claims. We can also work with the payers that require prior authorizations to obtain those documents so your claims can be released quickly. Do not let your AR go timely before it is sent to the payers. Let us assist you today.
Due Diligence Support ARS staff will audit a sample of open AR balances on your potential acquisition and provide you with an analysis of the collectibility of the existing receivables based on that sample. We will also review Medicare compliance on supporting documentation so you can estimate your possible liability for errors and omissions.
Quarterly Medicare Billing Audits Be pro-active! Find your potential problems before the payers do. Medicare compliance is a huge concern for all healthcare providers. An ounce of prevention is worth a pound of cure! Many consultants and lawyers now recommend that providers have quarterly billing audits done by independent professionals to verify their compliance with Medicare documentation standards. We randomly select active patient accounts prior to billing and review the chart for the necessary documentation. We provide management with a report of our audit results and write a corrective action plan.
Software Conversion (Billing Software) Data conversions are incredibly time consuming when changing billing software. There are master files to set up for all customers, insurances, referrals, and inventory. We are able to manage and complete these processes when it takes too much time away from your staff's day-to-day duties.
Operational Assessment 5 P's - Proper Planning Prevents Poor Performance. ARS will identify opportunities to improve your operational efficiency. We schedule a two-day on-site visit to interview supervisors and evaluate the work flow from intake to cash posting. Afterwards we provide you with a written assessment and an action plan for enhancements.
Short-Term Reimbursement Staffing ARS will place trained HME/IV billing professionals on-site for short-term assignments while your staff takes a needed vacation or extended family leave. These assignments can range from two weeks to six months in length and can be scheduled in advance.
Bad Debt Analysis With 15 years experience as a CPA in the HME industry, Dana Douglas will analyse your receivables by payer and provide you with a detailed bad debt analysis on a quarterly basis. She can trend your adjustments and denials to recommend improvements in your company's operational behavior and reduce your outstanding AR.
Post Pay Review When payers send your company a post payment review for 300 patients and wants the information in 30 days, what do you do? Call ARS! We will come on-siteand manage/assist your staff with gathering the correct data and proofing it prior to the response deadline.
HME Reimbursement Professionals