IT'S ABOUT MORE THAN JUST BILLING:
IT'S ABOUT GETTING PAID
Wouldn't it be wonderful if every medical professional could simply provide their services to patients, then send a simple bill to an insurance company or patient, and know they'll receive appropriate payment in a few days? And sadly, there are billing companies by the thousands that were established and operate using this philosophy: the more bills that are prepared and sent, the more will get paid, no matter the form or substance of the submission. Then if the insurance company delays, denies, or pays the wrong amount, nothing is done. Tens of millions of healthcare dollars that are owed to healthcare providers go unpaid every year because there is no one in the process that understands payer roadblocks and how to navigate through them.
THERE IS A WAY TO GET PAID...NOW!
Since 1992 ACS, Inc., has been successfully obtaining maximum reimbursement for its medical clients with a process that is virtually foolproof. And this process is so simple and effective that ACS guarantees its results for medical providers of all types.
KNOW THE PAYER SYSTEM
ACS is staffed by professionals who know all the tricks that insurance companies use to prolong paying providers, to pay inappropriately, deny claims, and often to not pay at all. When payers understand we know how they operate, they eventually begin to process our clients' claims the right way from the start.
KNOW THE MEDICAL ENVIRONMENT
The one thing that is certain in today's medical environment is: "nothing is certain." Part of the dilemma faced by providers is that the payers' rules seem to change almost daily. Our staff specialists are continually updating various payers' rules and guidelines, and continually updating our clients with those changes that if not implemented timely, will always slow down our clients' cash flow.
KNOW OUR CLIENTS
We know every healthcare provider operates differently. We do not force any client to change to fit us. We customize the processes at ACS to best fit the needs of each client, keeping at the forefront an understanding of the universal goal: collect every dollar available on every claim in the shortest period possible.
1. UNDERSTAND PROCESSES
Medicare in Washington uses different rules from Medicare in Florida. Every payer uses different modifiers and demands unique billing practices. If a billing company refuses to adapt to fit each payer's specific requirements, claims will not be processed and paid appropriately. At ACS our Job #1 is to know our clients. Job #2 is to know our clients' payers.
3. ACCURATELY PROCESS CLAIMS
Gathering all the details that contribute to a claim is just the beginning. Every payer has unique methodology for filing claims for processing, whether that filing is via electronic or hard copy submission. At ACS we know every payer's specific requirements for coding and claims submission and diligently follow those procedures.
2. COLLECT CLAIM DETAILS
Obtaining accurate and complete information from each patient, from each healthcare provider, and from each treating facility are critical so that claims payments are made accurately and quickly. ACS has a complete department of experts dedicated to assure collected claims data is accurate and complete.
4. FOLLOW UP/APPEALS
The most important (and largest) ACS department is our Follow Up department, staffed with pros that no every payer. Our follow up process begins just days after claim submission, tracking every claim and every payment through every payer's system to assure proper processing and payment on every claims submitted. Every claim that is denied is appealed as far as necessary to achieve payment.
Dan Newman/CEO-Chairman
Founded ACS in 1992 as an emergency ambulance billing company. Perfected processes that successfully resulted in maximizing payment for ambulance clients -- considered the most difficult sector in medical reimbursement management. Transitioned those processes to traditional healthcare providers in the early 2000's.
John Prock/Compliance Program Mgr.
Joined ACS in 2003 coming from the steel industry where for 25 years he functioned as a Quality Control Manager. He specifically directs the extensive internal Quality Control Program at ACS in which every process for every client is continually audited and revised as necessary.
Scott Shurley/VP-CIO/COO
Became the Chief of Information Services at ACS in 2003. Subsequently Scott assumed the role of CIO and most recently became the ACS Chief Operating Officer. He is a graduate of Louisiana Tech University with a degree in Management Information Systems.
Mary Ann Newman/Exec. VP
Came to ACS 11 years ago from EDS where she directed finance for a GM assembly plant for 15 years. She initially managed the ACS Human Resources Department and subsequently moved to finance
Vicki Pylant/Senior Client Manager
Joined ACS from a large company where for 9 years she served in several senior management positions. She is a graduate of Louisiana State University where she majored in Business Management and Administration. She is the Senior Client liason for all ACS clients.
Earl Tonjes - VP/CAO
Came to ACS after 26 years in the Air Force where he retired as a colonel. His last Air Force post was as Barksdale Air Force Base Commander. At ACS he handles all HR, policies and procedures, HIPAA, and compliance.
The uncertainty of the U.S. Healthcare system has every medical provider on edge about their future. Each has spent years in preparation for healthcare careers. Many have spent even longer establishing their skills in various medical fields. Today each finds themselves in a medical environment in the United States that just a few short years ago no one thought could exist.
One thing in this hectic healthcare environment IS certain though: no matter who provides U.S. healthcare, someone will have to manage the reimbursement process. We have seen just how convoluted and complicated government insurance programs are in the area of reimbursement. And commercial payers have always followed the lead of Medicare and Medicaid. Even if U.S. healthcare develops into a full blown government system, in such a system, reimbursement management will be necessary to assure financial viability within the system.
What this means is that every healthcare provider needs to grasp as quickly as possible every detail of their profession, especially in the revenue area. And every healthcare provider needs to assure themselves that they are operating in an environment that will assure they will receive maximum reimbursement for their work.
To that end, ACS will continually adapt its continuing education programs to accomodate the ever changing healthcare reimbursement guidelines. We encourage you to make certain that you will always be able to provide great service to your patients with fair and just compensation.
Dan E. Newman/CEO-Chairman
CONTACT INFORMATION:
318-747-9977 (Main Office Phone)
888-357-9977 (Toll Free Phone)
401 Market, Suite 200 (Street Address)
Shreveport, LA 71101
dnewmanacs_aol.com (Email Address)
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