Why should I outsource medical billing and contracting instead of handling it internally?

Outsourcing medical billing allows healthcare practices to free up valuable time and resources. Clinicians can dedicate more time to treating patients, while administrative staff can focus on managing operations and enhancing patient experiences. Billing companies like Administrative Medical Solutions specialize in navigating complex reimbursement processes, including claim submissions, denials, and payment follow-ups. This expertise often results in higher collection rates and fewer errors compared to training in-house staff or hiring full-time billing personnel. By leveraging our experience, practices can achieve greater efficiency, reduced costs, and improved cash flow without the burden of managing billing internally.

Similarly, outsourcing contracting services can be a game-changer for practices. Navigating insurance agreements, maintaining up-to-date directories, and negotiating favorable rates with payers are time-consuming and complex processes. Our team brings the knowledge and experience necessary to secure advantageous contracts while ensuring compliance with payer requirements. We manage CAQH setup and maintenance, help you choose the right insurance networks, and support ongoing directory updates. By outsourcing these tasks, practices can avoid administrative headaches, ensure timely contracting, and focus on delivering quality care to their patients.

What services does Administrative Medical Solutions offer?

We provide a full suite of services designed to support healthcare practices in every aspect of their operational and financial workflows. These include comprehensive medical billing solutions, insurance contracting and credentialing services, compliance consulting, and practice management solutions. Our team tailors each contract to the unique size, goals, and needs of your practice, ensuring a customized and effective approach that drives measurable results. By partnering with us, healthcare providers can focus on patient care while we handle the administrative complexities.

How do your medical billing services help my practice?

Our billing services maximize revenue by ensuring accurate claim submissions, timely filing, and persistent follow-up on denied claims. We maintain a 98% first-time claim approval rate. Hiring an outside billing company frees up clinicians' time to treat clients and administrators' time to work with employees and clinicians in the day-to-day workflow. Allowing a billing company that specializes and has experience in these areas is more efficient than training new employees or hiring full-time billing staff.

What pricing structure do you use for billing services?

At Administrative Medical Solutions, we believe in a payment structure that aligns our success with yours. Our billing services are billed as a percentage of collected revenue, except in states where this model is prohibited. This approach incentivizes efficiency and timeliness—we only get paid when you get paid. As your practice grows, we offer volume discounts to help you keep more of what you earn. This performance-based pricing model fosters a collaborative partnership, where both parties are motivated to achieve optimal revenue outcomes.

Do you offer credentialing and contracting services?

Yes, we provide end-to-end credentialing and contracting services tailored to meet the needs of healthcare practices. Our services include the setup and maintenance of CAQH profiles to ensure your providers' information remains accurate and up to date. We also assist clients in selecting the most beneficial insurance networks to join, helping practices maximize reimbursement opportunities while expanding patient access. Directory maintenance support ensures your practice remains visible and accessible to patients across various payer networks. Additionally, we leverage our expertise to negotiate favorable rates with payers, reducing administrative burdens and optimizing your practice’s financial outcomes.

How are your contracting services priced?

Our contracting services are priced per contract per provider to ensure maximum flexibility and cost-effectiveness for healthcare practices. This model allows practices to only pay for the specific contracting support they need. For clients who use our billing services, we offer significant discounts on contracting fees, reducing the financial burden and encouraging comprehensive service partnerships. Additionally, we maintain transparency in our pricing, so practices know exactly what to expect without hidden fees or surprises. By partnering with us, you gain access to expert support for insurance contracts, directory maintenance, and payer negotiations, all at a competitive rate that grows with your practice.

What compliance support do you offer for healthcare practices?

We provide comprehensive guidance to help your practice stay compliant with essential regulations, including OSHA, HIPAA, and corporate compliance requirements. Our services encompass the development and maintenance of crucial documentation, support with internal audits, and actionable recommendations to correct deficiencies and maintain a culture of compliance. We also assist with workflow improvement strategies, ensuring that your practice not only meets regulatory standards but also operates with greater efficiency. By staying up to date on the latest regulatory changes, we help mitigate risks, protect patient information, and support your practice’s long-term success.

Can I customize your consulting services to fit my practice’s needs?

Absolutely! We offer flexible consulting packages tailored to the unique requirements of both small and large practices. Whether you need full-scale operational support or targeted assistance on specific challenges, we work with you to develop a personalized solution that addresses your goals. Our consultants are committed to understanding your practice's operations, identifying opportunities for improvement, and delivering actionable insights that align with your priorities. This tailored approach ensures that every consulting engagement adds maximum value, driving your practice toward greater efficiency and success.

What is your approach to practice management consulting?

At Administrative Medical Solutions, our consulting services are designed to ensure your practice operates efficiently, compliantly, and with an optimized workflow. We understand that a smoothly running revenue cycle management system is the key to a profitable practice. Our expert consultants provide guidance on compliance with key regulations, including OSHA, HIPAA, and corporate compliance requirements, while also assisting with essential forms, documentation, and internal audits. Through process improvement initiatives, we help practices streamline operations, improve workflows, and create better patient experiences—all with the goal of boosting your financial outcomes.

How do you ensure timely claim submissions and payment follow-ups?

We have a systematic approach for submitting claims promptly and conducting regular follow-ups to expedite reimbursements. Our process includes automated claim tracking, proactive communication with insurance providers, and rigorous oversight to prevent delays. Dedicated billing specialists continuously monitor claims and follow up to resolve any issues swiftly. This ensures your practice receives payments faster and avoids revenue disruptions.