Improper payment procedures are a big problem – The Health Care Compliance website lists several recent big cases involving medical billing and coding errors intentional and non-intentional that lead to Doctor’s and hospitals paying some pretty hefty sums. Unfortunately coding errors happen!
- Banner Health to pay $18M to settle false claims allegations
- Rotech agrees to pay $9.68 million
- Tennessee doctors plead guilty in $65 million military health care fraud scheme
- Former Dutchess County (NY) surgeon faces new healthcare fraud charges
- Tennessee health care leaders charged in Medicare scheme totaling $4.6 million
- Norwalk medical practice, CEO and physician pay $650,830
- Southern Maryland doctor indicted for health care fraud and identity theft
- HHS, DOJ recovered $2.6B from healthcare fraud schemes in 2017
- Aetna whistleblower accuses CVS Health’s Caremark of fraud in Medicare Part D drug prices
- Arizona Center for Cancer Care faces lawsuit alleging $8 million in Medicare fraud
- Former California state contractor sued over breach of HIV patient privacy
APEX Would Like to Help Your Practice
NOT End Up on a List Like This!
We have been providing custom medical billing services to our clients for well over sixteen years. Our targeted and result-driven services make us a natural leader in the healthcare sector and have allowed us to earn the trust of multiple clinics and physician practices. Our visionary approach keeps us ahead of our competitors because we are totally committed to providing you the best services in this industry.
APEX’s services are specifically designed to emphasize on reducing the days in accounts receivables, lowering adjustments and increasing the cash flow and avoid coding errors. With APEX as a preferred partner, physicians and private practices alike can meet multiple standards – improved customer satisfaction, improved operations and improved revenue. Here’s why APEX stands out from other medical billing companies.
Commitment to Quality
There is a true respect and appreciation for the Healthcare Provider, and we go out of our way to meet your billing and administrative needs. Our goal is to receive the maximum reimbursement for your claims while maintaining excellent client and provider-patient relationships.
Experience and Knowledge
We have a proven record of increasing reimbursement through detailed knowledge of the Correct Coding Initiative. The National Correct Coding Initiative (NCCI) is a CMS program designed to prevent improper payment of procedures that should not be submitted together.
There are two categories of edits. Physician Edits: these code pair edits apply to physicians, non-physician practitioners, and Ambulatory Surgery Centers. In our field, continuing education is the key to success and industry knowledge. Through webinars, seminars, and conferences, and various agency press releases, we keep current on any changes that may affect your claims and payments.
With detailed monthly reports and online access to your claims, many of our clients feel more informed about the status of their accounts than when they had in-house billing. Every payment is checked against your fee schedule with the insurance company to ensure maximum reimbursement. Incorrect denials are promptly sent back to the insurance company for correction and payment.
Communication and Responsiveness
Good client and patient relationships are a priority at APEX. If your patients have questions about their claims or balances, we are available to answer them. We also keep our clients up-to-date on changes resulting from healthcare reform, the upcoming ICD-10 transition, and any other applicable issues. This partnership allows for more efficient billing processes and quicker payment.
Staffed by some of the industry’s most knowledgeable medical billing experts, APEX delivers unparalleled medical billing services. It’s the little things we do that make the difference within your practice. Focus on your patients. Let us worry about your medical billing.
These are only a few ways that APEX stands out from other medical billing companies.
Give us a call today and ask how we can help your practice at 602-441-2263.