ALS Integrated Services, LLC

12/14/2023

We are getting this question a lot during our onboarding with new clients. Mama Rudolph said she would share some of her lessons over the next few days. Stay tuned!

12/12/2023

Santa! I need some HELP!

12/12/2023

Frosty!!! What is causing all of my Revenue Challenges?

08/16/2023

IMPORTaNT! Are you seeing patients with BC Medicare Advantage cards? New information! You need to take note and pay attention to patients and make sure they are not QMB status! Why is this important? A patient comes in with a $25 COP and no secondary plan. If you are doing best practices and checking benefits prior to the patient coming in you would have learned that the patient had also qualified as a QMB recipient.

What does this mean?

In this case, the practice cannot collect the $25 COP. This is new! We are used to only seeing this situation with Medicare/Medicaid combination. Medicare confirmed that the provider has to honor the QMB status and not collect patient responsibility.

Be sure when you are verifying benefits for Medicare Advantage plans, you ask if they are QMB beneficiaries.

If not Now, then When?

Hope this helps! Have a great day!

08/16/2023

If you have Ohio Aetna contact this information is for you.

December 31, 2023, the current contract with RPN will be terminated. If you want to continue your relationship with Aetna as an in-network provider you must credential with them directly.
Late Friday, you should have received an email from Aetna to contract with them. The email may appear suspicious or may have gone to your spam folder.

The subject line is "SEND SECURE AETNA GENERAL BUSINESS". When you click on it to open there will be a link to set up a password. You will need to set up your password at which time you can log in with the email address where you received this notice and with your new password for further instructions.

The message will give you the instructions to contact their member services (via their website) or contact them via phone. Before you start, make sure to gather your reimbursement schedule. (Gather some of your EOBs to see what you are getting paid for one unit for each CPT code.) Compare the schedule to what they are offering and decide if want to negotiate before signing the new agreement.

Hope this helps! Have a great day!

08/11/2023

Is Your Billing Being Sabotaged?

Inaccurate Benefit Checks
Not Tracking Authorizations and Referrals
Insufficient Knowledge of Insurance Guidelines
Not Billing Daily
Improper Use of Modifiers
Not Working Denial Daily
Credentialing Issues

05/02/2023

03/28/2023

Received a question from a practice today, I find it very interesting every time I receive some of these questions. I thought I would start sharing these with you and see if you have the same issue.

"ALS I have an outsourced billing company, but I notice my ARs are through the roof. How do you handle the ARs for your clients"

ALS - This is probably the number one question that we get! After we close each month, we run an AR report and we work anything over 30 days for Commercials, 15 days for Medicare, and 45 days for WC/Auto. We have a google sheet that we share with the practice owners and their office managers. This is a live report, they can see who we are working with and who we have touched. We have a note section that indicates what the issue was and how we handled it. We check on Medicare after 15 days, because they typically pay within those 15 days.

We are very transparent with our practices, we think of ourselves as an extension of their office.

Are you in the same situation? Does your current billing company share monthly reports with you? Are you monitoring your AR's? Are you holding them accountable for your AR's? Don't let your AR's get high, you want to stay on top of those.

05/29/2020

Do YOU Have a Great Billing Specialist? Do you want to focus on your patients? Call ALS Integrated Service, where we focus on maximizing your revenue, so you can focus on the needs of your patients!

In today's landscape of Rehabilitation Billing, there are constantly new best practices, filling methods, coding standards, requirements and more. Unless you have a team that can keep your practice up to date on this constantly changing environment you are bound to leave money on the table.

ALS Integrated Services, LLC will ensure you will always get the most out of your billing. Our team of professional billing specialists will work the entire life-cycle of your claims.
Here are some of the highlights of what we will do:

Verify and Correct Claims
File Claims to Payers accurately and on-time
Send Statements to Patients
Post all Payer Remittances
Integrate with Collection Agencies
Guide you through the Refund Process
Work your outstanding A/R
Financial Reporting
Communication with your staff
Complete your Payer Electronic Enrollment for faster
payments
Much more