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Welcome to A-One Biz Solutions!
We are a complete end-to-end Medical Billing Solutions Provider for physicians and healthcare entities in the USA. A fast paced organization, A-One Biz Solutions has a wide range of experience in the delivery of healthcare services. Our experience enables us to understand your business processes and our service are calibrated to understand the sensitivities of the stakeholders in the healthcare industry.
A-One Biz Solutions has an experienced and integrated team working round-the-clock to meet the challenging targets of claims processing. We track every claim and collect every dollar possible for our physician customers. Our team is supported by the best practice processes and IT systems. We ensure that our efficiency, eye for detail and accuracy compliment your hard-earned reputation for quality.
We scale our high quality and efficiency to the growth opportunity enabling you – our clients - to achieve your business goals. Our processes grow with you and help you increase your profits while maintaining your high level of service quality.
Contact Us to know more about how we can help you. |
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Benefit and Eligibility verification |
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| • | Accurate and prompt verification of all scheduled appointments. | | • | Verification which covers the copy, deductibles and special billing rules for the encounter. | | • | A report sent to each practice by 8.00 am which lists out patients who have high deductibles, invalid coverage and high patient balances. | | • | Obtaining the authorization for Chemo treatments based on the regimen proposed. This is a great help for the practices, as the staff are then free to concentrate on the clinical side. |
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Charge Capture |
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| • | Complete charge information is captured within 24 to 48 hours and audited for compliance and accuracy. | | • | Continuous reconciliation of billed services with rendered. | | • | Exhaustive billing rules per account that enables the staff to be updated on the processing rules. | | • | Diligent follow up for all pended claims to ensure 100 % reconciliation with appointments. |
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Payment Posting |
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| • | Payments are diligently applied to the accounts and at the same time matched with the fee schedules. | | • | 100 % reconciliation of the posted amounts. | | • | List sent for all refund issues and excess payments. | | • | Low payments and denied line items are researched for further processing and action. |
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Claims transmission |
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| • | Claims transmitted directly to Carriers or through clearing houses. | | • | Claims audited for compliance and accuracy which helps in reducing rejections. | | • | Rejections fixed promptly ensuring faster payment of claims. | | • | Thorough audit of all transmissions to ensure they are successful. |
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Denial Management |
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| • | Correspondence and research of denied EOB's to validate the determination or else arrive at corrective measures. | | • | Research the denials and work with the client's office and the insurance company to fix the problems and to get paid. |
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Insurance follow up |
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| • | Using proprietary work flow tools, our well trained staff diligently follows up with the insurance companies, and takes pay or specific steps to get the claims paid and liquidated. | | • | High volumes of claims addressed on a daily basis. | | • | No claims left un-addressed after 60 days of submission. | | • | Clear reasons for claims outstanding on 90th day. |
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Successful expertise on Oncology billing |
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Proven track record for collecting +99 %
of submitted claims |
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Improved collections for the physicians. |
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Intense focused approach and weekly status reports |
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Significant experience in various specialties and medical billing
software’s |
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Systematic denial tracking and appeals process to maximize reimbursements |
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Payer Analysis - To identify payer specific denial rates and trends As experts in
processing claims, we know what it takes to file a claim for a first time resolution
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