American Medical Billing offers claims processing for medical providers and suppliers all over the country. We combine the experience and expertise of degreed accountants and licensed insurance agents to process your claims.
Our system has a quality control procedure that makes sure your claims get paid quickly. Before sending any claim we check the following:
Validates procedures, diagnoses, modifiers, places of service
Matches procedures and places of service
Checks procedures matching diagnoses that meet medical necessity criteria
Uses the Corrective Coding Initiative files for INCLUSIVE (to detect UNBUNDLING) and EXCLUSIVE procedures (A HIPAA requirement)
Checks processing of diagnostic procedures
Determines if surgical procedures are coded correctly
Verifies that modifiers are properly coded
Validates gender and age groups with procedures and diagnosis
Checks that days or units are accurate
Special routines for Podiatry, Chiropractors, Psychotherapy, Anesthesia
Checks for UPIN number in Medicare claims
Produces an exception report that summarizes the errors detected.
Produces CLEAN CLAIMS
We also check for undercharging which makes sure you are getting paid the maximum amount!
This system meets the HIPAA compliance requirements for processing claims:
Member of
American Medical Billing Association
National Electronic Billers Alliance
If you would like to talk to us about your billing needs simply call us or send us an email with your name and phone number and we will contact you.