Medical Billing Support

Connect With An EMR Billing
Solutions Expert Today!- 1-877-394-5567

Free Revenue Cycle Analysis

AnthemBCBS Credentialing Services in NJ at Quick TAT

Consult with our EMR/RCM Experts

Privacy Agreement

AnthemBCBS Claims Processing Services in USA - 98% First Pass Claim Acceptance

  • What are your biggest stumbling blocks?

    • Ineffectual payment contracts
    • Knotty reconciliation processes
    • Surface knowledge of Federal and AnthemBCBS billing regulations
    • Credentialing tripwires
    • Change in existing plan and addition of plans every year
  • Get better performing contracts.

    There is definitely an imbalance of power between insurers and healthcare enterprises. Payers have the upper hand. Our, AnthemBCBS contract negotiation specialists, tilt the scales in your favour. Because strongly managed contracts, will not only safeguard your revenue stream, but also yield long term financial benefits. We perform RVU valuations. Our contract negotiation team analyse payments of individual services by reviewing EOBs. We mine internal claims data and closely scrutinize denied/rejected claims. It is healthy to discuss payment issues right at the negotiation table. More often than not this drives down denials and ensures our clients walk away with better contract clauses this time around.

    Understanding the payer's profile is vital for successful contract negotiations. After more than a decade of negotiating contracts with AnthemBCBS we certainly know what works. Contract negotiation is not just about demanding better rates. It is an opportunity to discuss about new insurance products and plans, risk-sharing models, evolving payment regulations and payer-employer affiliations. And that is why you need someone like thePracticeBridge, who shares a long working relationship with AmeriChoice to handle your negotiations.

    With our AnthemBCBS contract negotiation services you can:

    • Receive fair compensation for services rendered
    • Optimize contractual fees
    • Get better rates for top paying CPTs
    • Freeze on a payment model that delivers more benefits
    • Stay compliant with AmeriChoice payment regulations in your state

    Your financial planning tool!

    Our Medicare Fee Schedule Impact Analysis tool helps you to make financial forecasts! Know how the updates in Medicare reimbursement rates will impact your bottomline. View reimbursement fluctuations over a period of time. Try out the Medicare Fee Schedule Impact Analysis Tool here.

    Learn more about our medical billing services and your benefits.

    Start chat with us now

    Get credentialed with AmeriChoice Insurance quicker!

    Do you hate the credentialing process? Credentialing with insurance companies is nerve wracking, long winded and cyclical. Get credentialed with AnthemBCBS in USA effortlessly with our Certified Provider Credentialing Management experts. Our certified experts assist all sizes and types of healthcare enterprises like, group practices, ACOs, hospitals, PPOs (preferred provider organizations), surgical centres, healthcare networks and independent medical practices.

    Our credentialing services are in compliance with JCAHO, NCQA and AAAHC regulations. Our certified credentialing specialists handle all your AnthemBCBS initial credentialing, re-credentialing, dynamic credentialing and contracting requirements. We carry out primary source verification of elements within 45 days.

    Are you starting a new practice in USA? Resolve issues quickly and reduce credentialing turnaround time with our super-efficient team of Certified Provider Credentialing Specialists.

    Our AnthemBCBS credentialing experts...

    • Handle initial credentialing tasks
    • Offer Medicare revalidation support
    • Contract/In-network physicians
    • Obtain contracted allowables
    • Provide NPI registration support
    • Handle managed care contracting issues

    Who handles your Insurance credentialing?

    • State & Specialty specific, trained & Certified Provider Credentialing Specialist
    • Minimum experience of 5 years
    • Corresponds during the insurance working hours
    • Multiple resources to backup downtime

    What our CPCS dedicated experts can do for you?

    • Obtaining NPI, Group NPI, Tax ID & CAQH ID
    • Revalidating Medicare and Medicaid
    • Credentialing - Federal and commercial insurances
    • Contracting/In-networking
    • Weekly Credentialing & Contracting Status Report
    • Maintaining & Re-credentialing

    What tools are used to speed up physician credentialing process?

    • Credentialing Management Tool
    • Credentialing Status Meter
    • Credentialing follow-up Reminder
    • Paperwork Management Tool
    • Federal Revalidation Reminder & Alert
    • Automatic Weekly Reporting Alert
    • Query Tracking, Messaging & Ticketing application


    Do you need a one tap app to handle all your provider credentialing issues?

    Would you like to monitor the progress of your credentialing process wherever you are?

    Do you want a credentialing app that works the way you do?

    Simple. Download the CredentialingBridge app. Run batch verifications, apply/maintain CAQH profiles, receive reminders to renew licenses and get a whole lot of other amazing features with our user-friendly app. To know more about CredentialingBridge click here.

    Work with someone who knows the rules of the game!

    We've been in the insurance medical billing industry for over a decade. And have a team of certified billers who specialize in offering AnthemBCBS insurance specific billing support. Our experts understand the ins and outs of the AnthemBCBS payment mechanisms. Our first pass claim acceptance rate is above industry standards. And that is because we know the claim processing method of insurance companies. Increase your bottomline benefits by working with us.

    Secondary insurance payments constitute a huge chunk of a healthcare enterprise's revenue. We offer expert secondary insurance billing services. We fill out every line item found in the EOB/ERA sent by primary insurance providers. Our billers enter accurate, allowed amount, payment amount, adjustment amount, group codes, adjustment details and the adjudication date. This helps in the speedy payment of secondary claims.

    Are denials haunting your healthcare enterprises?

    Zero down on denials with our Americhoice denial management experts. We lower your denial rate and eradicate underpayments. Get a .2% denial rate by working with our super-efficient Americhoice denial management team. Our denial management team reviews process issues and claim payments to identify the leaks in your revenue cycle. We classify denials into different follow-up groupings and have specialized variance teams on board. Our appeal success rate with Americhoice insurance billing is 98%.

    Our denial auditors analyse denial patterns to increase claim acceptance rates and reduce denials in the long run. ICD 10 denial prevention team: ICD 10 is expected to increase coding denials. Protect your revenue stream with our code auditors and denial prevention experts. We have a dedicated 24/7 team to effectively reduce coding related denials.

    Clean out those AR backlogs!

    Sporadic and indifferent phone calls are not getting to help you get paid. It is downright frustrating to be put on hold for hours on end on a busy working day. Our insurer specific AR calling team, rescue your organization from long phone wait times and unpaid claims.

    Is your pending AR list ever growing? Detoxify your billing cycle!

    Trust a team of AmeriChoice AR calling specialists to whittle down on your pending AR list. See a 60% reduction in your pending AR within a few months of working with us.

CERTIFIED

Why?

NJDOBI Logo

Specialty We Serve



You should hire us to bring a significant change in your cash flow and revenue cycle workflow. Please read on how we will help you grow your revenue

Billing Revenue Analytics App

Our Promise

Our billing service will help you to

    Transfer claims within 24 Hours

    Address Denials within 48 Hours

    98% Reimbursement within 21 Days

    Reduce AR upto 90% in 90 Days

    Remote billing support

    Cut costs upto 30% and more

Interested to hire our remote billing specialists, Request a Quote Here

Our Clients Voice

"After working with PracticeBridge I've seen tremendous improvement in collections. The medical billing team is very responsive and friendly. It's been a beautiful journey with PracticeBridge so far. My huge AR backlog has finally come down, thanks to their super-efficient team"

Learn how they tackle my RCM problems and improved my collections.

Emily Watson
CEO, Family Practice Group
New Jersey
"Our patient billing process was a complete mess and it does contribute significantly to our monthly revenue. PracticeBridge Inc has turned things around and increased our patient collections.

Amanda Rodriguez
CEO, Cardiology Practice
New York


Our Services Locations

We provide services for all types of healthcare models:

Hospital Billing Service

Hospital Billing

PracticeBridge Inc. offers revenue cycle management services for hospitals in United States. We understand US medical billing regulations and have the depth of experience required to lighten your workdays and improve bottomline benefits.

Know More

Physicians Billing Service

Physicians Billing

Work with PracticeBridge Inc. We are a United States based medical billing company who specialize in offering revenue cycle solutions to independent medical practices.

Know More

Group Practice Billing Service

Group Practice Billing

Tackle your most difficult challenges head on with our advanced medical billing services for group practices. We offer group practice billing services that will accelerate your billing cycle.

Know More

ACO Medical Billing Service

ACO Medical Billing

Accountable Care Organizations will have to rethink their revenue cycle management strategies. Shorten your revenue cycle and drive up workflow efficiency with our RCM services.

Know More

A FEW OF THE PAYERS WE WORK WITH

Looking For More Information