Aggressive and proactive review practices result in savings in nearly 90% of the qualified claims. Our Bill Review Program was developed to assist you in resolving problems with other types of claims.
From preliminary reviews to on-site audits, with A&G's program, experienced Registered Nurses and Physician Consultants will review these in or out-of-netowrk claims to ensure that services were appropriate and charges were reasonable.
A greater percentage of savings is obtained. Staff Nurses use sophisticated proprietary software to apply nationally accepted auditing guidelines when reviewing claims. Quick-turnarounds yield remarkable results that can be achieved in just 5-7 days after all documentation is returned.
Our Bill Review Program pays special attention to detail, which yields higher returns using line-by-line analysis.
Our careful review can review the following: duplicate billing errors, unbundling of charges, mis-coding, length of stay data, appropriate room charges and human error.
IT'S QUICK AND EASY- GUARANTEED RESULTS
Submitting Claims
Once you have selected a claim or claims, just fax us the following:
• UB92 or HCFA 1500 forms for each claim
• Fully itemized statement/bill for each
The bill review process usually requires 1-2 business days
Selecting Claims
The following guidelines are recommended:
• Inpatient Medical, Surgical in excess of $10,000
• Outpatient Medical, Surgical in excess of $5,000
• Physician Claims in excess of $4,000
• Claims under $15,000 with greater than 50% ancillary
(non room/board charges)
A&G Healthcare Services specializes in handling out-of-area & network medical claims and has one of the largest proven networks for saving money.
A&G achieves large medical discounts where others have failed, through aggressive negotiated price formulas and reciprocal agreements.
We provide:
• Hospital Discounts
• Radiology Discounts
• Nursing Discounts
• DME Discounts
• Physician Discounts
• Pathology Discounts
• Surgery Discounts
• Home Health Care
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