Services
Credit Balance Resolution Services
Overview
Identifying and resolving overpayments or excess funds owed to payers and patients is essential to the financial health and compliance of your organization. AGS Health credit balance resolution services can provide you with peace of mind by ensuring transparency, regulatory compliance, and stability in your finances.
Our team audits your accounts, promptly identifies overpayments, and quickly enacts refund processes while delivering clear documentation, communication, and reporting throughout the process. Our credit balance resolution services not only help prevent legal issues but also build trust among your patients and payers.
SERVICES PROVIDED
AGS Health credit balance resolution services offer robust support to ensure your financial integrity, including:
- Identification, thorough analysis, and prioritization of credit balances.
- Correction of inaccurate adjustments and payment posting.
- Insurance and patient refund packets.
- Management of claim appeals on incorrect payer processing.
- Increased opportunity for secondary billing and/or self-pay.
BENEFITS
Financial Stability and Integrity
Addressing credit balances with the support of AGS Health can help you feel confident in the accuracy of your financial records, allowing you to reinvest your financial resources without concern.
Ensure Regulatory Compliance
Our rapid resolution of credit balances follows the strict policies and regulations of the CMS and payers, helping prevent legal issues and penalties that could damage your organization’s reputation.
Foster Patient and Payer Trust
By identifying overpayments in a timely manner and promptly issuing refunds, we help you build trust and goodwill in the financial practices of your organization.
TECHNOLOGY ENHANCED DELIVERY
Intelligently automated workflows to maximize productivity, efficiency, and business intelligence.
AGS Health’s proprietary Intelligent RCM Engine drives excellence in patient financial services with cutting-edge AI, machine learning, and analytics. Our advanced automation and data-driven logic ensure optimal task distribution, streamlining workflows, and supercharging productivity. Enjoy faster revenue collection, reduced costs, and exceptional efficiency while achieving unparalleled quality and value.
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Additional patient financial services to streamline your revenue cycle
Claims Management Services
Streamline the process of claims submission, billing edits, and reconciliation for both professional and hospital billing to reduce billing backlogs and accelerate cash.
A/R Management Services
Track and collect the outstanding revenue that you deserve with greater operational efficiency and improved financial performance through effective denial remediation, as well as identifying and recovering underpayments.
Self-Pay Management Services
Delivery of patient-friendly statements, collection attempts via outbound calls, and processing of patient payments for consistent and timely patient outreach.
Payment Posting Services
Full transaction services, including payment processing, manual and electronic posting, reporting of unusual adjustments, routing of denied claims, and reconciliation to ensure timely account resolution.
EDI Enrollment Services
Establish Electronic Remittance Advice (ERA)/Electronic Funds Transfer (EFT) authorization agreements for all providers with multiple clearing houses/payers to enroll for electronic claims, remittance, eligibility, and claims status.
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