austinfiller
Forms



  1. What services do you offer?
  2. What billing software do you use?
  3. Do you transmit electronically?
  4. Who keeps the data?
  5. Can you help us set our fee schedule?
  6. What kind of reports are provided each month?
  7. Do you review the Explanation of Benefits (EOB) for incorrect processing?
  8. How are patient collections handled?
  9. Who handles calls regarding patient accounts?
10. What are your fees and how often are we billed?

TopWhat services do you offer?

Full service medical billing:  perform all data entry, transmit electronically, post and review EOB’s, bill patients for their portion, manage accounts receivable, follow up on unpaid claims and patient balances

TopWhat billing software do you use?

AMCA uses Medisoft Advanced Patient Accounting.

TopDo you transmit electronically?

Yes, AMCA transmits electronically through Texas Health Information Network managed by Availity.

TopWho keeps the data?

AMCA offers multiple options for data storage and management.  AMCA can maintain the data and allow secure remote access into AMCA’s system or AMCA can remotely access data at your location.

TopCan you help us set our fee schedule?

Yes, AMCA can help you develop a list of the CPT codes and appropriate fees for your services.

TopWhat kind of reports are provided each month?

Standard monthly reports include a Practice Analysis summarizing the breakdown of the services provided for the month, total charges, receipts and adjustments.  Additional reports are available as needed and can be customized to your practice needs.

TopDo you review the Explanation of Benefits (EOB) for incorrect processing?

Yes, AMCA carefully reviews each EOB for possible bundling, downcoding and underpayment.  Denials and appeals are handled directly from our office.

TopHow are patient collections handled?

AMCA makes every effort to collect patient balances.  Monthly statements are generated to the patients for outstanding balances due to but not limited to co-insurance, unpaid co-pays, deductibles or no coverage.  Difficult accounts that are uncollectible are discussed with the provider to decide the next step.

TopWho handles calls regarding patient accounts?

All patient and insurance calls are directed to AMCA to free up your staff time.  HCFA’s and patient’s statements reflect AMCA’s phone number for questions.

TopWhat are your fees and how often are we billed?

Each office is evaluated individually through a pre-screening process.  The set up fee and monthly rate are then quoted based on the information obtained and the needs of each client.  There is a one time set up fee to initiate the contract.  The set up fee includes designing the necessary paperwork (if needed) for the billing process i.e. superbill, patient demographics, daily summary sheets for balancing, creating the initial database and working with your staff to prepare the paperwork needed to perform the billing.  Monthly fees are based on a percentage of collections.  If you do not get paid, neither do we.  Invoices are submitted after all collections are posted through the end of the month.