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Compliance is critical to your medical billing: Rely on ACCN Billing Services for physician billing, training, claims auditing, and more.

Compliance is critical

 

Three Commandments of E&M

  1. Perform whatever service you deem appropriate for any patient, within the scope of your expert medical judgment.
  2. Give yourself credit for everything you do for the patient, by documenting each fact carefully and in appropriate detail.
  3. Document the medical necessity for the level of care you provide.

Medicare University

ACCN Billing Services delivers experienced, turnkey physician billing for skilled nursing and continuing care organizations and physician groups.

Working with ACCN means worry-free claims preparation and prompt billing to assure:

  • Strict compliance with medical necessity
  • Accurate coding
  • All visits captured
  • Improved cash flow

Why work with ACCN?

Because an audit can be costly, and we are physician billing experts:

  • We know the rules – and we make sure you know them too.
  • We are rigorous about documenting medical necessity.
  • We train your physicians and provide ongoing support in coding claims accurately.
  • We minimize denials by requesting more documentation when needed.
 

Compliance is paramount.

Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code.

For every service billed, you must indicate the specific sign, symptom, or patient complaint that makes the service reasonable and necessary.

For all E&M codes, there must be a face-to-face encounter with the patient.

cms.gov

Our goal is to keep our clients 100% compliant with physician billing rules; our expertise in billing for post-acute care and home health visits is unmatched.

Our clients rate us highly.

Here’s how we earn consistently high satisfaction ratings from our clients:

  • Accurate claims. We give providers the tools and training to expertly code claims – and we audit your claims to ensure accurate coding.
  • Timely billing. Our streamlined process assures your claims are submitted quickly to keep your cash pipeline flowing.
  • Receivables follow-up. We follow up on outstanding claims and act as your advocate in the rare instances when rebilling or other resolution is required.
  • Clear, informative reporting. You can easily review claims and revenue by payer and by physician, and you can request custom reports. We also provide a benchmarking comparison that shows you how your community measures up in terms of physician visits per bed.
ACCN Billing Services specializes in physician billing ā€“ with a focus on sub-acute, nursing home, and home care.

Process plus training

 

Good questions and specific, accurate answers produce outstanding documentation:

  • Why are you seeing the patient? (Medical necessity)
  • Where is the problem — very specifically?
  • What have you done for the patient?
  • What tests are you going to order?
  • What do you plan to do to help this patient?

ICD-10 has upped the ante for physician billing; coding rules are more stringent than ever before. Physicians need to know how to document and facilitate claims that demonstrate medical necessity and pinpoint the exact services delivered using the most accurate modifiers.

Care, coding, and compliance

These three Cs of good billing – care, coding, and compliance – are at the foundation of ACCN’s billing process.

  • We give our clients tools and strategies for documenting the care their physicians provide.
  • We help physicians sharpen their coding skills.
  • We make sure the claims we submit on our clients’ behalf comply with the rules and regulations of Medicare and other payers.

ACCN Billing helps your doctors help us by providing:

  • Physician billing forms to make it easy for physicians to fully document their services
  • Physician training on billing guidelines and how to code using ICD-10
  • Online resources to help physicians stay up-to-date on compliance updates and other issues

Customized reporting provides a clear picture of your billing and more:

  • Easily review claims and revenue by payer and by physician
  • Benchmarking comparison provides a measure of physician staffing and quality of care by comparing your physician visits per bed against data from other, similar providers
  • Receive your reports monthly or on a schedule you request

A process that works.

01 visit-audit

1

Physician visit audit

1. Physician visit audit

Periodic visit documentation review helps confirm that physicians are maintaining compliance in completing their visit notes.

02 training

2

Physician training

2. Physician training

In-person or webinar training by our experienced team of expert coders and billers, plus references and tips to keep documentation standards high.

03 billing-forms

3

Physician billing forms

3. Physician billing forms

Billing forms serve as a template to help physicians keep compliance in mind as they complete their documentation.

04 billing

4

Payer billing

4. Payer billing

Timely, accurate billing based on care, coding, and compliance.

05 claims

5

Outstanding claims follow-up

5. Outstanding follow-up

We follow up on all outstanding claims and complete the rare rebill or provide additional documentation to promote good cash flow.

06 benchmarking

6

Benchmarking & reporting

6. Benchmarking & reporting

Reports are clear, making it easy to track claims and revenue, and are customized based on your needs.

Your expert team

ACCN Billing Services was founded by five mission-guided organizations to meet the need for a qualified Part B physician billing service for skilled-nursing, sub-acute, and home-care providers. Our expert team has more than 50 years of combined healthcare and billing experience, so we understand the need to optimize your cash flow.

We are a partner you can count on for all aspects of physician compliance, billing, and managed-care-payer credentialing ā€“ and to provide the timely claims submission, accounts receivable management, and physician reconciliations you need to receive payment as soon as possible. 

Iā€™d like to know more about how ACCN Billing Services can help streamline my physician billing!

Find out more

 

Contact ACCN Billing Services

1 Blue Hill Plaza, Lobby Level
PO Box 1625
Pearl River, New York 10965

(845) 920-1173

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