Our team of RCM professionals brings years of healthcare industry experience and expertise, making us a trusted Healthcare Revenue Cycle Management Company.
We tailor our revenue cycle management services to meet the unique needs and goals of each healthcare provider.
We deliver excellence by leveraging technologies like automation and data analytics by improving efficiency and accuracy considerably.
Safeguarding patient information is in our DNA. We are SOC 2 Type 2, ISO-27001:2022 certified, and fully HIPAA compliant. Our 100% work-from-office policy ensures highest confidentiality and data security.
At AMI, we are committed to delivering EXCELLENCE in healthcare revenue cycle management services, meticulously crafted to align with the distinct requirements of each organization. Recognizing that every entity possesses unique objectives, we tailor our strategies accordingly. With a deep understanding of the complexities and challenges of the healthcare landscape, our dedicated team of RCM experts leverages industry-leading practices and cutting-edge technology to optimize your financial operations. From accurate coding and billing to proactive denial management and patient- centric collections, we empower healthcare organizations and revenue cycle management companies to maximize revenue, enhance efficiency, and ensure compliance while boosting the overall patient experience.
Front-end Revenue Cycle | Mid Revenue Cycle | Back-end Revenue Cycle | Consultative Support |
|---|---|---|---|
Our team handles provider enrollment and credentialing, ensuring strict compliance with regulatory requirements and facilitating smooth reimbursement processes.
The trained experts in AMI help systematically coordinate and organize patient appointments within a healthcare facility. This encompasses the entire process, from initial appointment scheduling to confirmation, rescheduling if necessary, and ensuring accurate recording of patient information.
This is the process of confirming a patient's insurance coverage and understanding the extent of their benefits to ensure accurate billing. It is crucial for healthcare providers to avoid claim denials, streamline reimbursement processes, and provide transparent financial information to patients.
Our team makes sure to obtain approval from an insurance payer before a patient receives specific medical services or consultations, ensuring coverage and preventing potential claim denials.
We make sure we collect and record essential information about a patient, such as personal details, contact information, and insurance data to establish accurate records and facilitate seamless claims submission and error-free billing.
With flawless communication and a neutral accent, we deliver an exceptional experience for your patients. We serve as a centralized communication hub handling inquiries, scheduling appointments, and providing support to patients, healthcare providers, and other stakeholders to enhance overall operational efficiency.
Accurately recording and entering charges for the medical services provided, while Charge Audit is the process of reviewing and validating these entries to ensure compliance, accuracy, and optimal reimbursement.
Our certified medical coders assign accurate codes to medical procedures, ensuring timely reimbursements and reducing claim denials.
We assist in enhancing clinical documentation to strengthen precise coding, reduce claim denials, and ensure adherence to regulatory requirements.
We contribute to maintaining revenue integrity through consistent audits and assessments of billing processes and claims submissions.
Our team conducts medical coding audits to pinpoint and correct errors, ensuring prompt reimbursements and minimizing claim denials.
Our data management team efficiently logs correspondences, processes charges, conducts audits, and directly posts EOBs and ERAs into your billing system. Additionally, we manage patient balance transfers and secondary billing according to your specific requirements.
With over 17 years of experience, our team excels in managing accounts receivable, employing proven best practices to ensure timely follow-up and effective collections.
We expertly manage denied claims by comprehensively managing the appeals process, rectifying discrepancies, and resubmitting claims to maximize reimbursements and minimize revenue loss.
Our team of specialists excels in identifying payment discrepancies, analyzing root causes, and implementing strategies to secure full and accurate reimbursement for healthcare services rendered.
We administer credit balance accounts, ensuring timely and accurate refunds to foster positive relationships with patients and insurance payers.
At AMI, we excel in patient collections by initiating patient outreach for outstanding balances in a compassionate and professional manner. Our team tailors flexible payment arrangements to align with client-specific financial policies, streamlining the resolution of patient accounts while ensuring a seamless and patient-centered experience. We emphasize fostering trust and transparency, delivering financial clarity, and maintaining high levels of patient satisfaction throughout the revenue cycle process.
We identify automation opportunities in your operations, and our expert developers, well-versed in AI and revenue cycle management, help enhance operational efficiencies and provide valuable data analytics.
Our thoroughly screened associates, with specialized training in accents and cultural nuances, ensure a superior customer experience by handling inquiries, facilitating payment arrangements, and enhancing overall satisfaction.
We schedule to speak in detail and understand your goals, challenges and current operations.
Depending on your volume & area of need, we decide on how many resources should we kick-off with.
We bring together our teams and set up a secure VPN channel & remote desktop that has minimum to zero latency.
We schedule for someone from your onshore team to virtually train our in-house trainer.
At this stage, the pilot batch is launched and the team starts working on the allocated accounts.
AMI ensures strict adherence to HIPAA regulations, backed by SOC 2 Type II, ISO-27001 certifications, and strict security measures. This includes encryption of electronic data, restricted access controls, regular audits, and employee training on ISMS. Additionally, stringent on-premises protocols include biometric login, CCTV monitoring, and disabling USB slots. Comprehensive training on handling PHI and HIPAA compliance ensures ongoing adherence among our skilled employees.
AMI's approach consists of employing strong security measures, including encryption protocols like TLS and AES, secure communication channels like VPNs or SFTP, RBAC for access control, DLP solutions, regular security audits, employee training, data encryption at rest, and incident response plan, to ensure the secure transmission of Protected Health Information (PHI) while adhering to industry regulations such as HIPAA. These measures collectively reduce the risk of data breaches or unauthorized access, enabling the safe exchange of PHI between clients and AMI.
AMI offers comprehensive training on handling Protected Health Information (PHI) and compliance with HIPAA regulations. This includes courses on confidentiality protocols, secure data handling practices, and regular updates on HIPAA guidelines to ensure ongoing employee compliance. Additionally, employees undergo regular assessments to reinforce their understanding and adherence to these critical standards.
Step 1. Pilot batch planning: Depending on your volume and the requirement, we’d mutually decide on a number of resources that should be allocated to your company.
Step 2. We get our IT teams together and we remote desktop into your system by using the provided Username-Password to log-in and begin working remotely (via a secure point-to-point VPN connection). This way the data stays in the US and everything is HIPAA and SOC 2 compliant.
Step 3. Training: Workflow training as per client’s software and existing process. The Pilot group is trained by the onshore trainer remotely via Virtual Training Platforms (Like GoToMeeting, Etc.), which also acts as a Train The Trainer Program, post which all future trainings are done internally by the designated AMi Trainer.
Step 4. Operations Knowledge Transfer: Understand the KPI's. Every client follows a unique strategy to produce better outcomes. Some clients concentrate on minimum ‘X’ number of closure percentage every month and some focus on touching every request as frequently as possible to get better rotation. At this stage, our ops team would understand the strategy and set up KPI's for the India team accordingly.
Step 5. On Job Training / Nesting: At this stage, the pilot batch is launched, and team India starts working on your orders. It is now time to observe their performance for the next few weeks.
Step 6. Pilot Evaluation: At this stage, a thorough evaluation of the Pilot is done based on our productivity and overall performance. The client would then proceed with signing a long-term agreement and adding more team members as in when required.
The pricing structure fluctuates based on the partner's specific business needs and the solutions sought following AMI's analysis of their operations. Simply schedule a call with AMI's sales team to learn more about their offerings
Generally, for the non-voice resources, most of our partners prefer for them to work during the nights in the US as it is daytime here in India, this enables them to save time and reduce the turnaround for their non-voice projects which are mostly based on the client's discretion. In terms of voice, these resources work in tandem with the state-side team, hence they work during the day in the US, and follow US time zones, based on the partner’s preference and on-shore location, they log in EST, CST, and PST, or MST hours. The resources also follow the same calendar followed by the state-side team and also take public holidays according to the US calendar.
AMI strongly believes in ethics and gives client privacy the utmost priority. Each client’s team is allocated a separate working space with glass partitions separating their teams from the rest of the floor. Measures are taken to restrict access to resources from sensitive information.
Yes, we do. We have a commercial general liability on an “occurrence basis” with a limit of not less than One Million Dollars ($1,000,000) & also, cyber liability insurance on an “occurrence basis” with a limit of not less than One Million Dollars ($1,000,000).
AMI offers robust real-time reporting and analytics through our proprietary RCM dashboard. This dashboard allows healthcare organizations and billing companies to monitor key performance indicators (KPIs) such as days in accounts receivable (AR), claim denial rates, and payment posting times. Our clients benefit from customizable reports that provide deep insights into their revenue cycle performance, enabling data-driven decisions that optimize financial outcomes. On average, clients using AMI’s analytics tools see a 20% improvement in cash flow within the first six months.
Step 1. Pilot batch planning: Depending on the requirement, we would select trained resources and allocate them to our new client.
(We hire resources with a minimum of 2-3 years' experience, who are further trained on compliance, security protocols, updated information on RCM, etc. and put on our Bench Resource Pool, so when there is a requisition from any new client or our existing clients, we can align the trained resources within 24 hours from our Bench Resource Pool, as this saves a lot of time and cost for us and our clients).
Step 2. IT Setup: We understand the IT infrastructure and get access to the clients system via a secure VPN channel and remote desktop.
Step 3. Training: Workflow training is conducted as per the client's existing process. The pilot batch is usually trained by the onshore trainer remotely via virtual training platforms (Like Zoom), which also acts as a Train The Trainer Program, post which all future training is done internally by the designated Trainer.
Step 4. Operations Knowledge Transfer: Understanding KPI's, every client follows a unique strategy to produce better results. At this stage, our ops team would understand the strategy and accordingly set up KPI's for your India team with us.
Step 5. On Job Training / Nesting: At this stage, the pilot batch is launched and the team begins performing quality control / data entry / inbound calls. And now it's time to observe the performance for the next few weeks.
Step 6. Evaluation: At this stage, a thorough evaluation of the Pilot is done based on our productivity and overall performance. The client would then proceed with signing a long term agreement and adding more team members when required.
AMI employs a multi-faceted approach to reducing claim processing times, leveraging technologies like robotic process automation (RPA) and AI-driven claim scrubbing. By automating routine tasks such as eligibility verification and coding validation, we can significantly speed up the claim submission process. Additionally, our proactive denial management strategies, powered by predictive analytics, help identify and resolve issues before claims are submitted. As a result, healthcare providers partnering with AMI typically see a 25% reduction in claim processing times and a 15% increase in cash flow.
AMI's experienced RCM team is well-versed in managing complex billing scenarios, including multi-payer claim submissions and cross-state billing requirements. We utilize advanced billing software, to manage diverse payer rules and regulations efficiently. Our team stays up-to-date with state-specific requirements, ensuring compliance and accuracy in every claim submission. AMI’s expertise in handling these complex cases leads to a 98% claim acceptance rate across multiple payers and states.
Absolutely. AMI prides itself on its ability to tailor RCM processes to meet the specific needs of each healthcare organization we work with. We start by conducting a thorough analysis of your current workflows and then design customized solutions that integrate seamlessly into your operations. Whether you require specialized coding for certain medical specialties or unique billing cycles, AMI’s flexible approach ensures that our services align perfectly with your organizational goals. Our clients appreciate the personalized support, which often leads to a 30% improvement in operational efficiency.
