Analyze this: Are coding errors wasting your resources, time, and money? Are you facing a shortage of trained and experienced coders & billers? Are high labor costs and high-turnover draining your resources? Are you losing money due to lengthy collection cycles? Outsourcing medical coding & billing is a good option in today's highly competitive healthcare industry. Our knowledge in medical coding & billing will help you obtain a competitive edge and save extensively on your current staffing related expenditures. Altos’s services can help you get out from under the pile of paperwork that today's healthcare system has created for you. Our comprehensive billing services include: 1. Primary Charge Sheet Coding Altos coders utilize the entire medical record when needed, including the physician dictation and nursing documentation, to identify proper CPT and ICD codes and associated facility charges, eliminating utilization of the client's coding resources and reliance on nurse charge capture. Altos’s coders are experienced in both physician and facility coding and are AAPC certified. Coders undergo a comprehensive training program and are involved in continuing education programs, with a very strong emphasis on quality and compliance. 2. Data Entry & Review Altos provides 24 to 48 hour turn-around of all completed source documents. We perform professional coding review using expert consultants and use of online tools. 3. Professional, Technical and Global Billing Altos provides on-site, off-site or shared, demand or batch processing for billing. We will set up a schedule with the client on how the billing information will be sent to us. We will support information transfer through scanning of documents or through direct on-line linkages between our and client systems. 4. Receipt Posting & ELECTRONIC REMITTANCE ADVICE (ERA) Electronic Remittance Advice reduces your collection cycle by anywhere between 50-70%. Add to it the automatic reconciliation with patient accounts for reducing the burden of accounts management. 5. Altos Reimbursement Services Altos provides comprehensive reimbursement services, which includes Medical provider billing Insurance claims filing Patient collections Accounting and data analysis Accounting and data analysis for Small, Medium & Large physician practices Diagnostic service groups Hospitals Altos performs aggressive and proactive follow-up to secure payments from insurance companies or payment arrangements from patients and guarantors, as defined or scheduled, by our Client.    Our reimbursement services cover the following functions: Electronic Claims Filing Paper Claims Submissions Supplemental Insurance Billing Patient Billing Insurance Follow-Up Receipt Posting Flagging of Incorrect Payments During Posting Receivables Management Gross and Net Receivables Tracking Online Financial Reporting Online Patient Statements Online Financial Reporting 6. Patient Follow Up If the client chooses, Altos will send out statements to all patients with past due accounts. We will then call patients with a minimum specified balance to collect the amount and/or make payment arrangements. 7. Insurance Claims Altos uses web-based systems, which makes optimum use of electronic processing for daily claims processing, on-line electronic "edit" functions, as well as prompt claim-rejection follow-up. Before any claims are sent out from Altos, they are checked to ensure accuracy and completeness. We will send the claims directly to Medicare, Medicaid and to all other companies that accept electronic claims and on paper for those companies that do not accept electronic claims. We immediately receive acceptance or rejection reports for the electronic claims filed and they are worked upon to ensure that all claims are accurately & speedily processed. 8. Insurance Claims’ Follow-Up Altos provides aggressive follow-up on unpaid and disputed claims. This includes immediate response to payer claim enquiries, tracking of multiple insurance plans for correct reimbursements, and proactive collections. Altos works with each doctor’s aging reports on a monthly basis. All accounts over 30 days will be traced by contacting insurance companies to ensure that all claims are paid in a timely manner. 9. Patient Statements Altos can generate patient statements daily or on a schedule defined by the client. This includes maintaining of patient insurance demographics –  initial registration coupled with update services. Statements will be sent out to all patients on a client specified interval. Patient statements will show the status of all charges, payments, and any claim filing information. 10. Patient/Insurance Telephone Calls Altos provides personal follow-up with selected "delinquent account" patients. We do this after aggressive patient account follow-up to help avoid high collection agency costs. All patient and insurance company calls on billing, will be handled by a professional Altos patient account representative. Altos staff will take the time necessary to explain the charges, the status of claims, update any information changes and answer any other billing questions the patients might have regarding their accounts. 11. Activity and Insurance Reports Financial Class Activity Report: dollar amount charged for each financial class (FC) as well as the dollar amount paid and adjusted off for each FC. Charge Type Analysis Report: number of charges/charge type (modality) for each doctor by location. Daily Posting Summary Report: charges, payments, and adjustments posted by Medrium each day. Procedure Mix Activity Report: dollar amount charged for each charge type (modality) and the payments that have been received for those charges. Practice Analysis Report: volume of each procedure and dollar amount charged for each procedure per radiologist. Other reports that may be of interest to clients and can be generated on a customized basis include: Accounts Receivable Aged Trial Balance Accounts Receivable by Financial Class Charges of Physician Report Payer Mix Report Quarterly Comparison Summary Revenue Analysis Report Top Referring Physician Report Utilization Report Transactions by Type and Date All the above mentioned reports are online and can be accessed at anytime from anywhere by the providers.