Outsourcing Service


	If You Do Your Billing In-House... Pros: Ø The practice is in control. Ø The front office staff and clinical staff are involved in and understand the billing process. Ø The physician can monitor the performance of the office and billing staff. Ø Management reports can be run on demand. Ø Payments & EOBs are received in the office for quick deposit. Ø Clinical staff, physicians, and patient files are available to the staff entering charges if there are any questions. Ø Interfacing the billing system with an EMR system is possible. Cons: Ø Cost of good billing and practice management system is borne by the practice. •Initial purchase •Ongoing Support Fees •Upgrades •Electronic claims & remittance •Electronic statements Ø Must have qualified billing manager and staff or will lose money. •Staff turnover presents challenge •Staff size/work load is balancing act •Continuing education required •Who audits details and results? Ø Must have enough staff to do all work consistently or will lose money. •Patient phone calls •Follow-up on unpaid claims •Cover for vacations and illness Ø Cost of billing supplies is borne by the practice. •Paper statements & letters •Secondary & other paper claims •Printing supplies •Mailing costs/postage If the in-house staff is not qualified or working at its full potential -- or if staff size and workload are mismatched -- a significant loss of money is probable. Doctors may not even realize there is a problem because they are too busy to monitor the business of their practices.


	AMS Billing Client Testimonals Working with AMS, I can run my practice the way I want. We have the computer tools we need to run the office and I'm backed up by excellent billers and managers. I can really trust AMS to work hard to bring in every dollar I'm due as quickly as possible–I never have to worry about things as with my previous billing service. The AMS staff are real professionals. I'd recommend them to anyone. –Family Practice Jacksonville, FL The folks at AMS really know what they're doing. Even though my procedures performed are fewer than when I used a previous billing service, I'm making more money with AMS. My staff really likes HorizonMIS™ and the people at AMS. I'm very pleased. –Family Practice Jacksonville, FL In addition to billing, AMS also works with my staff to establish good front office procedures and they provide information to help me with practice decision making. I've had a problem with staff turnover–but AMS has stood by me to train new staff, push them when necessary to get needed information, and keep me informed each month of any problems. I know they have my best interests in mind. –Psychiatry Practice Jacksonville, FL When AMS took over my billing, they began to work my accounts the way they should be worked! We noticed an immediate improvement in cash flow. The computer system, HorizonMIS™, enables us to be much more efficient in the office–and the people at AMS have always been knowledgeable, helpful and available when we had questions. I really appreciate AMS going beyond the basics of billing. –OBGYN Practice St. Augustine, FL

PARTNER WITH AMS BILLING Service

All the "Pros" of Both

Z In-House Billing AND a Billing Service [

PLUS

Stay In Control & Monitor Your Revenue Cycle

The practice stays in control and can monitor the entire revenue cycle. Clients can view history notes in patient accounts. They can see on-screen trending and run management reports right from the physician's office.

Play Important Roles In Maximizing Income

AMS Billing believes that the appointment staff, the front desk personnel, and the physician all play important roles in maximizing income. In our "partnership" philosophy, we keep everyone involved in the billing process.

Excellent End-of-Month Reports

The physician receives an excellent end-of-month report binder and a detailed Executive Summary.

List of Billing Issues

Each month, the physician is given a written list of billing issues that need attention in his/her office such as missed co-pays, missed charges, missed appointments, recurring information errors, etc.

Professional Managers and Billers

Our professional managers and billers provide depth and breadth of knowledge and account coverage.

Your Practice Has Control

The practice generally controls (enters) patient registration and charge entry.

Ø Easy: It takes seconds and saves time and cost compared to copying.

Ø Efficient: Clinical staff, physicians and files are available for questions.

Ø AMS Billing audits and corrects charges and data before submission to carriers.

Ø Claims are processed daily.

Ø Practice knows all charges are captured.

Top-Tier HorizonMIS™ Software

All costs of our top-tier HorizonMIS™ Billing and Practice Management Software are included in the AMS Billing Service fee. The practice utilizes the Front Office features they need while connected to the billing service host system for a seamless partnership.

Ø Expert training is provided.

Ø EMR Interfaces are available.

"Partnership" with AMS Billing

Patient and Insurance Payments/EOBs go first to the physician's office for deposit and faster cash flow. Appointment Scheduling and Patient Check-in features encourage co-pay and patient balance collections at visit and when appointments are made.

Our proprietary "Artificial Intelligence" software that we've nicknamed "ESTHER" ensures that claims follow-up is prompt, detailed, and tenacious. Online requests for information from the practice and warnings on patient accounts enhance efficiency. Results are measurable and routinely provided to the practice. Suspicious write-offs (embezzlement) are flagged--other systems don't do this!

By contract, AMS Billing provides client's patient demographic and charge/payment information in a file on CD if they leave AMS Billing.

All Pros ~ No Cons

Let us show you how easy and "financially wise" a switch to AMS Billing Service can be!

AMS Billing Service, American Medical Systems, Inc.

Jacksonville, FL 32256

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	If You Use Another Billing Service... Pros: Ø By outsourcing the billing functions, less office staff is needed: •Salaries & benefits are reduced. •Fewer staffing issues. Ø Cost of the billing operation is capped, usually as a percentage of collections. Cons: Ø Physician's office loses control of receivables and entire billing process. •Are charges actually billed out? •Are claims sent daily, weekly, or monthly? •Are write-offs appropriate? •Are unpaid claims receiving follow-up? •Are denials being re-filled? •Is office continuing to schedule "no pay" patients? Ø Office spends unnecessary and costly time copying/faxing information. Ø Office needs computer for appointment scheduling, inquiry to accounts, recalls, and other important integrated tasks. Ø A pick-up-and-carry operation makes communication difficult and usually prohibits daily work processing. Ø Practice has few staff with billing knowledge. Ø Doctors frequently do not know how to evaluate their billing service's performance. Ø There are few meaningful practice management reports. Ø Clinical staff, physicians and files are unavailable for questions by charge entry staff leading to guesses, errors and omissions. Ø There is usually a strong negative future impact on the practice at termination of the billing relationship, especially if a limited amount and/or the quality of information available for continued billing operations is poor. All Billing Services are NOT equal and do NOT produce the same results. Partnering with the wrong billing service will result in significant missed revenue and lost income that will never be recovered.


	HorizonMIS™ Backbone of "The Horizon Concept™" A Medical Billing and Practice Management Solution for Practices Serious about their Financial Success!


	MediNotes EMR Two-Way Integration HorizonMIS™ has a two-way seamless integration with MediNotes Electronic Medical Record using HL7 industry standards.


	HorizonMIS™ ASP Service Where Your Medical Practice Business Needs To Be Let us show you how easy and affordable a switch to the HorizonMIS™ ASP Service can be!


	AMS Billing Service Medical Billing & Practice Management Services All medical billing services are not alike. By utilizing the superior HorizonMIS™ Medical Billing & Practice Management Software and its unique specialized tools to their full potential, AMS Billing provides a higher overall return than other billing services.

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