Our Medical Billing Services

Charge Entry

Enter charges into the designated EMR/EPM system.

Akrivis Solutions will enter all appropriate CPT codes with corresponding ICD10 codes into the designated EMR/EPM system within two (2) business days from the date received.
Akrivis Solutions will make every effort to code the appropriate CPT and IDC10 codes based upon the information supplied by the provider..

Insurance Payments

Akrivis Solutions will post all electronic payments from insurance companies to patient accounts.

Akrivis Solutions will post all insurance payments to correct patient accounts within three (3) business days from the date electronic deposit information is received. All payments will be balanced a the end of the month against provider receipts AND clearing house receipts.

Claims Processing

The process of submitting clean claims to the appropriate insurance company through an agreed upon clearing house.

Akrivis Solutions will submit clean claims to the designated clearing house on a weekly basis. Any / all claims that are rejected at the clearing house level will be reviewed and corrected each week.

Denials

Zero payment and denial review and appeal.

Akrivis Solutions will review all zero payments and denials to establish if an appeal is warranted based on CPT coding, ICD10 coding and provider contracts with insurance companies.
If warranted, Akrivis Solutions will file an appeal within the time frame allowed with the appropriate insurance company. Akrivis Solutions will also handle any follow-up calls related to appealed claims.

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Accounts Receivable

Insurance Company And Patient Aging

Accounts Receivable Aging Report creation and review.

Akrivis Solutions will create the Accounts Receivable Aging Report for the provider monthly.
Akrivis Solutions will work all aging accounts at least once per month.

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Patient Statements

Akrivis Solutions can create and mail patient statements.

For an additional fee,Akrivis Solutions can create and mail patient statements for the provider.
All patient statements will be reviewed for accuracy and mailed via first-class mail.

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Administration

Eligibility and Patient Benefits

Akrivis Solutions can review patient insurance eligibility and benefits before the patient's appointment.

Akrivis Solutions will review benefit information for all scheduled patients per the contract established with the client.

Insurance Company Contracting

Akrivis Solutions can assist the provider with insurance company contracting.

Akrivis Solutions will assist the provider with insurance company contract updates, re-negotiations and new contracting on request.

Provider Credentialing

Akrivis Solutions can maintain the credentialing for the provider.

Akrivis Solutions can also perform the credentialing for new insurance companies in addition to keeping the providers CAQH (Council for Affordable Quality Healthcare) up to date.

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Revenue Cycle Management

Monthly Practice Analysis

Overall production and collections of the practice. Includes the total charges, adjustments and payments for each month, year to date and monthly average information along with Monthly AR totals.

Additional information such as totals by department or specific codes can be added depending on the EMR / EPM reporting capabilities.

Provider Collections

Shows the collections by each provider, as an individual and compared to the practice total on a monthly basis, year to date and monthly averages.

Service Collections

Shows the collections by service, on a monthly basis, year to date and monthly averages.

AR Reports

Shows the total amount outstanding for the practice. More detailed information can be presented depending on the EMR / EPM reporting capabilities.

Provider Production

Shows the productivity and patient count by each provider, as an individual and compared to the practice total on a monthly basis, year to date and monthly averages.

Service Production

Shows the productivity by service, on a monthly basis, year to date and monthly averages.

Payer Mix

Shows payer information by charges, collections and patient count.

Custom Reports

Additional customized report upon request.

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