Project Management
AMS offers both short- and long-term project management and support. Often times a health care facility does not have the resources available to expeditiously move major projects forward. AMS can contribute by supplementing staff “working” accounts or by performing any phase of project management from design through implementation. AMS project management tasks have included:
- Revenue cycle software implementation
- Receivable billing and follow-up recovery
- Cash management, backlog resolution and reconciliation
- Claim submission and payment audits
- Credit balance resolution
- Charge description master review and optimization
- Denial management, tracking and recovery
- Physician credentialing and enrollment with Medicare and other payers.
Training and Education
Creating a team of knowledgeable, well-trained staff is the cornerstone to the success of maximizing the revenue cycle. AMS can customize training material, develop core staff competencies and educate staff on processes including:
- Third-party claim submission rules including Medicare with corresponding regulatory documentation
- “Hands-on” staff education on effective account follow up techniques for Medicare, Medicaid, Blue Cross and other major payers
- Emphasis on documentation requirements, revenue code requirements, medical necessity and related Advance Beneficiary Notification (ABN) compliance requirements
- Specialty focus on appeal preparation, submission, follow-up and recovery management
- Development of a courteous, friendly customer service ethic sensitive to patients in resolving outstanding obligations
- Documentation of insurance verification and pre-authorization requirements
Interim Management
Our vast hands-on experience allows AMS to provide on-site interim management for any size acute care hospital, physician practice, rehabilitation or behavioral health facility. An AMS professional can step in to fill a vacancy or missing link in the revenue cycle leadership team. Our areas of expertise include:
| -Patient Access | -Late charge management |
| -Patient Scheduling | -Patient Financial Services |
| -Pre-Registration | -Third party billing claim submission |
| -Insurance verification and pre-authorization | -Third party follow-up |
| -Patient cash collections | -Cash posting |
| -Patient financial counseling | -Denial management |
| -Patient registration | -Self pay customer service, billing and follow-up |
| -Day of service activities | -Contract management |
| -Medical necessity checking and ABN processing | -Bad debt management |
| -Charge description master optimization/management |