Accurate Billing Solutions, LLC

07/12/2022

We are currently looking for a highly motivated individual with excellent communication skills, good work ethic, and must be a team player. There is great potential for growth, as we like to promote from within and we are growing fast.

Medical Billing Job Duties:

* Responsible for timely submission of technical or professional medical claims to insurance companies, transferring patient and insurance information, initiating payment processes and procedures.

*Knowledge in Billing Software and medical insurance regulations in order to answer patients and Insurance Inquiries.

*Responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into software.

*Monitor the timely filing of claims
Provide expertise on Explanation of Benefits, electronic payment remittance, electronic funds transfer.

*Denial Management by investigating the reasons for denials, finding denial management strategies and when necessary appealing denials.

02/24/2020

New Client referral program:

Accurate Billing Solutions LLC is offering anyone who refers a new client/practice and stays with us for minimun of 90 days will received a $200 dollar referral bonus.

We can be contacted by phone at 401-615-7311, by email: [email protected] or visit our website at www.absolutionsllc.org .

We can service any provider/practice within the United States.

We aim to get you the full amount you deserve by aggressively pursuing underpayments, providing timely filing for all claims.

01/17/2016

ICD-10 FAQs

Q: What is ICD-10-CM and ICD-10-PCS?

A: The World Health Organization’s (WHO) International Classification of Diseases has served the healthcare community for over a century. The United States implemented the current version (ICD-9) in 1979. While most industrialized countries moved to ICD-10 a number of years ago, the United States is just now transitioning with a final compliance date of October 1, 2015. The WHO’s ICD-10 is a classification system for diagnosis codes only, which does not contain a procedural code set.

ICD-10-CM (International Classification of Diseases -10th Revision-Clinical Modification) is a US clinical modification of the WHO’s ICD-10, developed to support US health information needs. ICD-10-CM is designed for classifying and reporting diseases in all US healthcare settings. ICD-10-PCS (Procedure Classification System) was developed by CMS and is not based on an international coding system. ICD-10-PCS replaces the ICD-9-CM procedure coding system and will only be required for facilities reporting procedures on hospital inpatient services. When speaking of both these new classifications, the term “ICD-10” is often used.

Q: Who has to comply with ICD-10?

A: ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims.

Q: Why does the US need to replace ICD-9-CM?

A: Developed in the 1970s, the ICD-9-CM code set no longer fits with the needs of the 21st century healthcare system. ICD-9-CM is used for many more purposes today than when it was originally developed and is no longer able to support current health information needs. Continuing to rely on the outdated and imprecise ICD-9-CM platform adversely affects the value of healthcare data. For example, ICD-9 does not meet current needs to track, identify, and analyze new clinical services and treatments available for patients. ICD-10 offers more detail and specificity in capturing healthcare data.

Q: Why is it important not to further delay the implementation of ICD-10?

A: ICD-10-CM and ICD-10-PCS must be adopted as soon as possible to reverse the trend of deteriorating health data. Never in US history have we used the same version of ICD for 35 years. In addition, many countries have already moved to ICD-10.

Q: Will ICD-10-PCS procedure codes be used for both inpatient and outpatient hospital services?

A: No. ICD-10-PCS procedure codes are designed only for hospital reporting of inpatient services. Current Procedural Terminology (CPT) codes will continue to be used for physician and outpatient services.

Q: ICD-10 seems so complicated. Do physicians really need to use all the codes in ICD-10?

A: No. Healthcare providers will not use all the codes in the classification system; rather they will use a subset of codes based on their practice. Physicians will only use the ICD-10-CM code set for diagnosis coding. The ICD-10-CM code set is like a dictionary that has thousands of words, but individuals use some words very commonly while other words are never used.

Q: Is the cost of ICD-10 implementation worth making the transition?

A: There are costs associated with implementation of ICD-10, just as there are costs to implement any healthcare change. Actual implementation costs will depend on the size of the healthcare organization. It is important to note that delaying ICD-10 also costs the industry money, in addition to mounting opportunity costs from continuing to rely on the outdated and imprecise ICD-9-CM platform. There is also a fiscal and public health cost from the continued use of ICD-9- CM due to the reliance on imprecise data.

The RAND study commissioned by the National Committee on Vital and Health Statistics (NCVHS) is the most comprehensive and unbiased study on the cost benefit of implementing ICD-10. RAND concluded that the ICD-10 benefits from more accurate payments, fewer rejected claims, fewer fraudulent claims, and better understanding of new procedures and improved disease management would exceed the cost of implementation.

In 2012, CMS has estimated that a one-year delay will cost the industry between $1 billion to $6.6 billion, on top of the already incurred costs from the previous one-year delay. In the same analysis CMS noted that “it will cost health plans up to an additional 30 percent of their current ICD-10 implementation budgets for a 1-year delay,” and they “assume a two-year delay would be at least double the cost.” These figures do not include the lost opportunity costs of failing to move to a better code set or the costs associated with continued use of an outdated code set (such as the cost of erroneous decisions based on faulty or imprecise data).

Q: Does ICD-10 compete with other healthcare initiatives that require time and resources to implement?

A: Healthcare organizations and providers have known for 14 years that ICD-10 implementation would occur and that they should prepare for the implementation, and the industry began to officially move toward implementation in 2008. While there are always competing priorities, the US healthcare system has already waited too long to realize the benefits of ICD-10. In addition, many healthcare initiatives are tied to ICD-10 implementation, so they work hand in hand.

Q: What are the benefits of ICD-10?

A: ICD-10 will improve national healthcare initiatives such as Meaningful Use, value-based purchasing, payment reform and quality reporting. Without ICD-10 data, there will be serious gaps in the ability to extract important patient health information needed to support research and public health reporting, and move to a payment system based on quality and outcomes.

Q: What is the value of ICD-10?

A: The improved clinical detail, better capture of medical technology, up-to-date terminology, and more flexible structure will result in:
•Higher quality information for measuring healthcare service quality, safety, and efficiency
• Greater coding accuracy and specificity
• Recognition of advances in clinical practice and technology
•Improved ability to measure outcomes, efficacy, and costs of new medical technology
• Enhanced review of medical necessity and fewer claims denials
• Improved ability to determine disease severity for risk and severity adjustment
•Global healthcare data comparability
• Improved ability to track and respond to public health threats
•Reduced need for manual review of health records to perform research and data mining and adjudicate reimbursement claims
• Reduced need for supporting documentations to support information reported on claims
•Reduced opportunities for fraud and improved fraud detection capabilities
• Development of expanded computer-assisted coding technologies that will facilitate more accurate and efficient coding and alleviate the coder shortage
•Space to accommodate future code expansion

Q: Why can’t the industry just skip to ICD-11?

A: The foundations of ICD-11 rest on ICD-10 and the ICD-10 foundation must be laid before a solid structure for ICD-11 can be built. By skipping the ICD-10 implementation, the industry would miss out on vast amounts of experience and training in ICD-10 which is needed for a smooth transition to ICD-11. The WHO version of ICD-11 is currently scheduled to be finalized and released in 2017. Even under ideal circumstances, ICD-11 is still at least 10 years away from being ready for implementation in the United States. The US would still need to evaluate the ICD-11 diagnosis code set for national use and likely develop a national version to allow for the annual updating demanded by Congress and US stakeholders. Additionally, ICD-11 does not include a procedure classification system, which means a procedure coding system for use in the US would need to be developed. It is estimated that the process of developing a US clinical modification, followed by expert review, solicitation of public comments, and further refinement based on review and comments, would take close to a decade.

01/02/2016

Happy New Year!!!

10/25/2015

Medical billing can be a demanding and challenging task for small medical practices. For this reason, many physicians or practice managers make the choice to outsource their medical office billing to a professional medical billing company. There are many advantages to outsourcing medical billing. It saves time and money and eliminates the burden of concentrating on too many aspects of the medical office.

Consider all of the advantages of outsourcing your medical billing before making a decision about whether to bill in-house or outsource the billing of your medical claims.

1. More Focus on Patient Care

Spend more time focusing on what you do best and that is concentrating on patient satisfaction and providing quality care to your patients. This is specifically advantageous for smaller physician groups that cannot afford a large medical office staff. Physicians cannot be efficient at providing excellent patient care if they are bogged down by the financial side of the running a practice.

2. Reduces Billing Errors

Experienced, professional medical billers can ensure that your claims are accurately submitted in a timely manner. Medical billing companies’ sole purpose is to provide medical billing services. It is their responsibility to ensure that the billers they hire undergo thorough training and are equipped with the knowledge to properly submit medical claims. Not only will this reduce the number of denied and rejected claims due to billing errors but will provide the feedback to assist in maximizing reimbursements on future claims.

3. Saves Money

By outsourcing your medical billing, you could save thousands of dollars in annual salaries and benefits; office supplies and furniture; and purchasing, upgrading, and maintaining billing software and computer equipment. Medical billing companies charge a flat rate per claim or a percentage of the reimbursement on each claim. Either way it is less costly than what you would pay for a medical billing staff to provide the same exceptional services that are provided by outsourcing companies.

4. Improves Cash Flow

What happens when your medical biller calls out or goes on vacation? Sometimes claims have to wait until they come back to work in order to be submitted. Billing interruptions ultimately affects the timeliness of reimbursements and your cash flow. Using a medical billing service allows a continuous, steady flow of claims going out and cash coming in. A steady cash flow is important for your bottom line and the success of the medical office.

5. Improves Patient Satisfaction

The ability to offer excellent customer service is what all medical professionals want to provide to their patients. However, it can be quite difficult to juggle the demands of treating patients and handling billing issues. The medical receptionist is responsible for greeting patients and answering the telephone. Reducing the burden placed on your front office staff by outsourcing can increase productivity, efficiency and employee morale. It can also increase patient satisfaction by improving patient flow. Your patients will be happy because they will receive uninterrupted courteous and professional assistance for their billing questions or issues. More »

6. Ensures Billing Compliance

Health care is an ever-changing industry and insurance companies are partly to blame. One reason that makes medical billing a challenge is keeping up with the changes in Medicare, Medicaid and third party payers. It is a full time job to make sure that the medical office is following the proper protocol required by each payer. Medical billing companies must stay up-to-date on the latest changes in regulations and requirements in order to maintain compliance and ensure the submission of clean claims.

7. Increases Revenue

With the reduction in overhead costs, the timely submission of medical claims and the increased reimbursements, a higher profit is another advantage outsourcing can provide to the medical office. This allows the medical office the ability to provide the best quality services using the best technology and products and the best staff. Patients are becoming more knowledgeable about health care and are making choices based on what provider can offer them the best services. For this reason competition in health care has grown quickly over time and to stay in business health care professionals must maintain a competitive advantage.

09/30/2015

We are a family owned and operated Medical Billing company since 2004. We offer a complete Medical Management software that providers can access remotely via the internet, as well as electronic claim billing through a local clearinghouse.

Rapid cash flow with accurate, on-time payments. We aim to get you the full amount you deserve by aggressively pursuing underpayments and providing timely filing for all claims.

Clean claims, every time. Clients using Accurate Billing Solutions, LLC get the advantage of our powerful knowledge base. With over 20 Years of medical billing experience & backed by a rich, continually growing knowledge of claim errors, we can submit cleaner claims so you can receive full payment on the first submission.

Insights you need to grow your practice. We partner with you to identify opportunities to increase your revenue. We use our expertise to identify problems with claims, workflow issues and other areas to help you not only maintain a healthy A/R, but also increase revenue.

By outsourcing, physicians do what they do best instead of focusing on administration and operations. Healthcare billing is an ever more complex endeavor with the constant changes in rules, updates and compliance regulations from the insurance carriers. Add to this the ICD-10 changes coming on board and the greater efficiency of teams dedicated to nothing but medical billing and you can see why more and more physicians choose this route.

Why we collect more for you.
We allocate over 50% of our billing costs to the successful collection of the last 20-30% of charges that typically do not get paid on first submission. Resolution of these claims can require up to 10 times more effort to resolve and achieve payment. Most practices and even medical billing companies have limited resources that almost never have the time to do this work completely or timely. By routinely applying timely and aggressive collection efforts to these claims we are able to generate higher and more consistent collections and often at lower costs for most practices.