Our Services

Why Choose Our Services 

Akurate Management Soultions – Team of certified individuals with expert knowledge and vast experience in the field of Medical Billing, Coding and Transcription Services. Akurate team has an experience of more than 10 years in the US Healthcare Industry.

Medical Coding

Our Coders are certified from AAPC (American Association of Professional Coders) / AHIMA (American Health Information Management Association). We have expertise in both physician and reimbursement sides. We offer accurate medical coding services to healthcare providers across US, ensure highly accurate as well as compliant coding services in accordance with the CCI, NCCI and LCD (Local coverage decision and medical policies) as per set rules for different states across US.

All our coders are updated with the US coding polices and participate in CEU (Continuing Education Unit) programs from various institutions keeping their certificates current.

We use online tools like Optum, 3M, etc, which provide updated codes and for scrubbing the claims. We follow the books like CPT Assistant, Z’ Health and other pink sheets for being current with the coding guidelines.

Coding for Commercials and Federal payers is done as per the payer specific guidelines, which decreases the denial rate and faster reimbursement.

Coders provide documentation guidelines to the providers, so that their claims are not undercoded due to lack of documentation.

Medical Coding Specialities:

Interventional Radiology

Cardiology

Orthopedics

OB-GYN

Urology

Internal Medicine

Pediatrics

Pain Management

Pulmonology

Ambulatory Surgery

Emergency Room

Inpatient

Diagnostic Radiology

Pathology

DME (Durable Medical Equipment)

HCC (Hierarchical Condition Categories)

Auditing

And Many other specialties

Revenue Cycle Management

 

Our medical billing process assures our providers with a payment cycle of 30 days.

Demographics Entry

Eligibility Verification

Charge Entry, Scrubbing, Claim Submission

Payment Posting

A/R Management - Follow Up

Patient Accounts Management

Denial Management

Our Denials and Appeals Management service is designed to increase Revenue Collection for Physician offices.

Our expertise includes managing denials for following reasons:

Authorization Issues

Referral Issues

Medical Necessity and Medical Records requests

Non-Participation with Insurance Network

Coordination of benefits

Terminated Insurance

Wrong Diagnosis

Partial Payments

Out-of-network claim status and deductibles

EDI Rejections

Letter of Protection from Attorney cases

Workers’ Compensation

Medical Transcription

Akurate Management Soultions offers high quality transcription services by experienced medical transcriptionists with quick turnaround times. We provide customized Solutions of highest standard with low per line rates. We can proudly say that we have the best transcriptionists in the industry with more than 10 years of work experience, who can handle any kind of specialties, work types, online platforms, and second language English dictators.

Precision and Accuracy:

Akurate Management Solutions maintains higher than AAMT Standard of 98.5% accuracy. The files go through multiple levels of QA to ensure quality.

  • Our Transcribers have a minimum of 2 years of experience. There is a rigorous screening process to ensure only the very best get hired.
  • Our Editors have at least 5 yrs of experience in the industry. They review each document for accuracy and completeness.
  • Our QAs have a minimum of 8 years of experience they verify each file and review the entire document for overall quality of transcription.
  • The Production Managers are ultimately responsible for Quality Assurance and to ensure that the entire process works in a timely and effective manner.

TAT:

We support Clients requiring 2 – 24 hour TAT with 24 hour Customer Support.

 

For clients whom we handle Transcription, Coding and Billing, a claim is submitted within 24 hours of patient being seen in the office !!!

Superbill Preparation

 

A superbill is a customized form for the provider’s office, which contains patient information, the most common CPT (procedure) and ICD (diagnostic) codes used by that office, and a section for items such as follow-up appointments, copays, and the provider’s signature.  These forms can be filled up instantly in emergent basis during patient visit and later the provider can update the notes in the EMR/EHR.  We also provide service to update the notes based on the superbills. 

Patient Scheduling

This service is offered to provide doctors a convenient way to book more patients on a consistent basis. Scheduling is done as per the requirements of the office which include working hours, total providers, procedure type, locations, etc… The actual appointments are scheduled directly into the provider’s Practice Management system.  For patients that are “no shows” or have missed their appointments a reminder call can be given on a routine basis to reschedule their appointment with the office.  Also recall lists generated based on certain medical conditions can also be used to schedule patient visits.   Appointment reminders are done by calling patients at a set time before the scheduled visit.

Provider Enrollment

 

Enrollment Process

Provider Enrollment is the process of requesting participation in a health insurance network as a Participating Provider. It requires  completing the plan’s credentialing/enrollment application; submitting copies of licenses, insurance, and other documents; signing a contract; and any other steps that may be unique to a carrier.  Many commercial carriers utilize CAQH to obtain credentialing information from a central location, and require that providers have a complete and up to date profile in the CAQH system as part of the enrollment process.

When receiving a provider enrollment request, health plans use the credentialing process to ensure that the provider is properly educated, trained, and meets any other specific insurance network enrollment requirements for participation.  After credentialing process is complete, then the network will offer a contract for participation to the provider.

The provider enrollment processing time varies by payor.  Some commercial plans take as long as 180 days to complete the credentialing process and then another 30 – 45 days for contracting, while other have the entire credentialing and contracting complete within 90 days.

Once the documents are submitted, following up on applications is important and Akurate manages the followups in a timely manner and makes sure that the enrollment process is completed.

We use secure certified mail for mailing and receiving documents and make sure the confidential data is secure.

Akurate also keeps a log of the renewals and does timely renewals of enrollments.

Scanning & Indexing

Documents scanned in at the doctor’s office are categorically filed into the patient charts as per the requirements of the clinic. Clinical Reports will be given a time and date stamp to allow for more organized indexing. Other types of images which can be filed include Insurance card scans, inbound faxes, and hand written medical notes.

Auditing

Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation.

Top reasons to perform medical billing audits:

To determine outliers before large payers find them in their claims software and request an internal audit be done.

To protect against fraudulent claims and billing activity

To reveal whether there is variation from national averages due to inappropriate coding, insufficient documentation, or lost revenue.

To help identify and correct problem areas before insurance or government payers challenge inappropriate coding

To help prevent governmental investigational auditors like recovery audit contractors (RACs) or zone program integrity contractors (ZPICs) from knocking at your door

To remedy undercoding, bad unbundling habits, and code overuse and to bill appropriately for documented procedures

To identify reimbursement deficiencies and opportunities for appropriate reimbursement.

To stop the use of outdated or incorrect codes for procedures

To verify ICD-10-CM and electronic health record (EHR) meaningful use readiness

Auditing

Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation.

Top reasons to perform medical billing audits:

To determine outliers before large payers find them in their claims software and request an internal audit be done.

To protect against fraudulent claims and billing activity

To reveal whether there is variation from national averages due to inappropriate coding, insufficient documentation, or lost revenue.

To help identify and correct problem areas before insurance or government payers challenge inappropriate coding

To help prevent governmental investigational auditors like recovery audit contractors (RACs) or zone program integrity contractors (ZPICs) from knocking at your door

To remedy undercoding, bad unbundling habits, and code overuse and to bill appropriately for documented procedures

To identify reimbursement deficiencies and opportunities for appropriate reimbursement.

To stop the use of outdated or incorrect codes for procedures

To verify ICD-10-CM and electronic health record (EHR) meaningful use readiness

Superbill Preparation

 

A superbill is a customized form for the provider’s office, which contains patient information, the most common CPT (procedure) and ICD (diagnostic) codes used by that office, and a section for items such as follow-up appointments, copays, and the provider’s signature.  These forms can be filled up instantly in emergent basis during patient visit and later the provider can update the notes in the EMR/EHR.  We also provide service to update the notes based on the superbills. 

Reach Us

Akurate Management Solutions, LLC

19C Trolley Square,
Wilmington, DE 19806

 

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