FAQS

AVA MedPro provides a comprehensive suite of revenue cycle management (RCM) services, including Provider Credentialing, Patient Eligibility and Benefit Verification, Insurance Billing and Collections, Medical Coding, Denial Management, and Accounts Receivable (AR) Management. Our services are designed to optimize revenue and streamline the administrative processes for healthcare providers.

Outsourcing RCM to AVA MedPro can significantly reduce your administrative burdens, lower operational costs, and improve insurance collection and overall revenue of your practice. By allowing us to handle the complexities of billing and verification and all other RCM related tasks, you and your staff can focus more on patient care while we ensure you get reimbursed for the services rendered by the patients.

Yes, AVA MedPro offers Insurance credentialing services to help healthcare providers get enrolled with insurance payers quickly and efficiently. This ensures that your practice can start seeing patients and receiving payments without unnecessary delays.

You can get started by contacting our Key Account Managers at 818-722-1496. We will schedule a consultation to understand your specific needs and develop a customized solution for your practice.

Our onboarding process is designed to be smooth and efficient. It begins with a detailed consultation to understand your specific needs, followed by setting up the necessary systems and integrations. We also provide training and support to your team to ensure a seamless transition.

We adhere to global standards such as HIPAA and HITECH to ensure the highest levels of security, quality, and compliance in our operations. Our processes are regularly audited to maintain compliance with industry regulations.

Our processes include multiple levels of quality checks to minimize errors and maximize claim approval rates. Also, we employ certified coding professionals and use advanced software to ensure high accuracy in all our processes.

We take patient data privacy seriously. All data is encrypted and stored securely, and we comply with HIPAA regulations to ensure that patient information is protected at all times.

Our clients typically see a reduction in AR days within the first few months of partnering with us. We focus on improving claim submission processes and follow-up strategies to accelerate payment cycles.

We monitor all payments to ensure that you receive the full reimbursement for services rendered. If underpayments are identified, we follow up with payers to recover the difference, ensuring that your revenue is maximized.

AVA MedPro employs a dedicated denial management team that reviews and addresses claim denials promptly. We analyze the reasons for denials, correct any errors, and resubmit claims to ensure that revenue is recovered efficiently.

Our average turnaround time for claim processing is typically within 24 to 48 hours. We prioritize efficiency to ensure that claims are processed quickly and that payments are received promptly.

We offer comprehensive reporting that includes detailed insights into Credentialing and Revenue cycle performance. These reports are customizable and can be generated weekly, monthly, or as per your specific requirements to keep you informed about your practice’s financial health.

The Credentialing process completion depends upon insurance to insurance companies and the plan types (i.e. PPO, HMO. Medicaid, Medicare), but it typically takes somewhere around 90-120 days from application submission date for the isnurance companies to get the process completed.

While we have little to no control over the time it takes for insurance companies to process applications, AVA MedPro streamlines its internal process to ensure that your applications are submitted quickly and error-free, minimizing the chance of rework that often causes delays. Additionally, with our extensive experience in the industry, we’ve built strong relationships with insurance companies and understand the most effective ways to expedite the process for faster completion.