AR Collect specializes in the Federal No Surprise Act, which took effect on January 1, 2022. We have a strong focus on submissions to CMS for arbitration.
AR COLLECT
Medical Collections is submitting and following up on claims with health insurance companies to receive payment for services provided by healthcare providers. It involves translating medical procedures and diagnoses into standardized codes and submitting them to insurance companies for reimbursement. Accuracy and attention to detail are crucial in this field, as errors can result in delayed or denied payments.
AR COLLECT
Federal IDR refers to a dispute resolution process that involves two parties (The billing provider and the insurance carrier) using the Federal IDR (Informal Dispute Resolution) method to resolve low reimbursement rates paid by the insurance carrier. This process allows parties to negotiate and reach a fair payment rate before resorting to arbitration via CMS. The goal is to encourage open communication and compromise between the two parties involved.
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The No Surprise Act is a law protecting patients from unexpected medical bills including being balanced billed by providers. The No Surprise Act is a safety net for patients, to provide much-needed relief for individuals burdened with high medical bills that they did not anticipate, or may not have control over outside of their outlined plan benefits.
AR COLLECT
The medical revenue cycle refers to obtaining payment for healthcare services. It encompasses various stages, including patient registration, insurance eligibility verification, coding and billing, claims submission, payment posting, and collections. The medical revenue cycle aims to maximize revenue for healthcare organizations, ensuring accurate billing and timely reimbursements. Efficient revenue cycle management is crucial for healthcare providers to maintain financial stability.
AR COLLECT
Out-of-network providers refer to healthcare professionals or facilities not contracted with a specific insurance company. When a person seeks medical services from an out-of-network provider, they may have to pay higher out-of-pocket cost share or may even be elegibele for full payment at their own expense Individuals should understand their insurance plan's coverage for out-of-network providers to make informed decisions about their healthcare.
AR COLLECT
The Department of Health & Human Services (HHS) is a U.S. government agency responsible for protecting the health and well-being of Americans. The Department of Health & Human Services (HHS) works to provide essential health care services and support to individuals and communities, including healthcare access, public health initiatives, social services, and scientific research. Their mission is to enhance and promote all Americans' overall health and quality of life with equitable health care.